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Magnitude of CD8+ T-cell responses against hepatitis C virus and severity of hepatitis do not necessarily determine outcomes in acute hepatitis C virus infection (from Hepatology Research 2009, 39, 256-265)
Bibliografi
Author:
Doi, Hiroyoshi
;
Hiroishi, Kazumasa
;
Shimazaki, Tomoe
;
Eguchi, Junichi
;
Baba, Toshiyuki
;
Ito, Takayoshi
;
Matsumura, Takuya
;
Nozawa, Hisako
;
Morikawa, Kenichi
;
Ishii, Shigeaki
;
Hiraide, Ayako
;
Sakaki, Masashi
;
Imawari, Michio
Topik:
Acute hepatitis C
;
CD8+ T-cell response
;
Cytotoxic T lymphocyte
;
ELISpot assay
;
Hepatitis C virus
;
Interferon therapy
;
Validation ref - 40
Bahasa:
(EN )
Penerbit:
The Japan Society of Hepatology
Tahun Terbit:
2009
Jenis:
Article - diterbitkan di jurnal ilmiah internasional
Fulltext:
doi2009.pdf
(209.35KB;
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)
Abstract
Aim: We investigated the relationship between the magnitude of comprehensive hepatitis C virus (HCV)-specific CD8+ T-cell responses and the clinical course of acute HCV infection.
Methods: Six consecutive patients with acute HCV infection were studied. Analysis of HCV-specific CD8+ T-cell responses was performed using an interferon-g-based enzyme-linked immunospot assay using peripheral CD8+ T-cells, monocytes and 297 20-mer synthetic peptides overlapping by 10 residues and spanning the entire HCV sequence of genotype 1b.
Results: Five patients presented detectable HCV-specific CD8+ T-cell responses against a single and different peptide, whereas 1 patient showed responses against three different peptides. Neither the magnitude of HCV-specific CD8+ T-cell responses nor the severity of hepatitis predicts the outcome of acute hepatitis. The maximum number of HCV-specific CD8+ T-cells correlated with maximum serum alanine aminotransferase level during the course (r = 0.841, P = 0.036).
Conclusions: HCV-specific CD8+ T-cell responses were detectable in all 6 patients with acute HCV infection, and 6 novel HCV-specific CTL epitopes were identified. Acute HCV infection can resolve with detectable HCV-specific CD8+ T-cell responses, but without development of antibody against HCV.
[validation ref - 40]
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