POSSIBLE MECHANISM INVOLVING T-LYMPHOCYTE RESPONSE TO NONSTRUCTURAL PROTEIN-3 IN VIRAL CLEARANCE IN ACUTE HEPATITIS-C VIRUS-INFECTION

被引:630
作者
DIEPOLDER, HM
ZACHOVAL, R
HOFFMANN, RM
WIERENGA, EA
SANTANTONIO, T
JUNG, MC
EICHENLAUB, D
PAPE, GR
机构
[1] UNIV MUNICH,KLINIKUM GROSSHADERN,DEPT MED 2,D-81377 MUNICH,GERMANY
[2] UNIV AMSTERDAM,CELL BIOL & HISTOL LAB,1105 AZ AMSTERDAM,NETHERLANDS
[3] UNIV BARI,MALATTIE INFETT CLIN,BARI,ITALY
[4] HOSP SCHWABING,DEPT INTERNAL MED 4,MUNICH,GERMANY
来源
LANCET | 1995年 / 346卷 / 8981期
关键词
D O I
10.1016/S0140-6736(95)91691-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In acute hepatitis C virus (HCV) infection only 20-50% of patients spontaneously clear the virus. To characterise the immune reaction during that phase we studied the response of peripheral blood mononuclear cells (PBMC) to the recombinant HCV proteins core, non-structural protein 3 (NS3), NS4, and NS5 in 14 patients with acute hepatitis C. All eight patients with self-limited disease compared with two of six with evolving chronic infection showed an NS3- specific PBMC response (p=0.015). Of 65 patients with established chronic hepatitis C, five showed a PBMC response to NS3. NS3-specific CD4 T-cell clones from patients with self-limited infection predominantly produced interferon-gamma and may thus support cytotoxic effector mechanisms important for viral clearance.
引用
收藏
页码:1006 / 1007
页数:2
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