Journal of gastroenterology and hepatology · 2011
Adaptive immune responses during acute uncomplicated and fulminant hepatitis E.
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Srivastava Ratika, Aggarwal Rakesh, Sachdeva Sanjeev, Alam Mohammad Intakhab, Jameel Shahid, Naik Sita
Аннотация
BACKGROUND AND AIM: Hepatitis E virus (HEV) infection is endemic in several developing countries. Clinical manifestations of this infection vary widely from asymptomatic infection to uncomplicated acute viral hepatitis and fulminant hepatic failure. The pathogenesis of this disease and the reason of varying disease severity remain unknown. In viral infections, tissue injury can be caused either by virus itself or by host immune responses directed against infected cells. We therefore studied adaptive immune responses to HEV antigens in patients with hepatitis E of varying disease severity and healthy controls.
METHODS: Cytokine secreting CD4+ T cells and antibody-producing B cells specific for HEV were enumerated through intracellular cytokine staining and enzyme-linked immunosorbent spot assay, respectively.
RESULTS: Patients with fulminant hepatitis E had a less marked expansion of HEV-specific interferon-γ or tumor necrosis factor-a secreting CD4+ T cells than patients with uncomplicated hepatitis E and healthy controls. These patients also had fewer CD4+ T cells that produce γ-interferon or tumor necrosis factor-a upon in vitro polyclonal stimulation. In addition, patients with fulminant disease had a more marked expansion of B cells that can secrete immunoglobulin G anti-HEV than patients with uncomplicated infection and control patients.
CONCLUSION: These findings suggest that less-marked antiviral cellular immune responses and heightened antiviral humoral responses are associated with a more severe disease during HEV infection.
METHODS: Cytokine secreting CD4+ T cells and antibody-producing B cells specific for HEV were enumerated through intracellular cytokine staining and enzyme-linked immunosorbent spot assay, respectively.
RESULTS: Patients with fulminant hepatitis E had a less marked expansion of HEV-specific interferon-γ or tumor necrosis factor-a secreting CD4+ T cells than patients with uncomplicated hepatitis E and healthy controls. These patients also had fewer CD4+ T cells that produce γ-interferon or tumor necrosis factor-a upon in vitro polyclonal stimulation. In addition, patients with fulminant disease had a more marked expansion of B cells that can secrete immunoglobulin G anti-HEV than patients with uncomplicated infection and control patients.
CONCLUSION: These findings suggest that less-marked antiviral cellular immune responses and heightened antiviral humoral responses are associated with a more severe disease during HEV infection.
Предметные рубрики MeSH
Acute DiseaseAdaptive ImmunityAdolescentAdultB-LymphocytesCD4 Lymphocyte CountCD4-Positive T-LymphocytesCase-Control StudiesCell ProliferationCells, CulturedEnzyme-Linked Immunosorbent AssayFemaleHepatitis AntibodiesHepatitis EHepatitis E virusHumansImmunity, CellularImmunity, HumoralImmunoglobulin GInterferon-gammaIonomycinMaleMiddle AgedRecombinant ProteinsSeverity of Illness IndexTetradecanoylphorbol AcetateTumor Necrosis Factor-alphaViral ProteinsYoung Adult