Immunologic characterization of posthepatitis cirrhosis caused by HBV and HCV infection.

J Biomed Biotechnol

Department of Hepatology, First Hospital, Jilin University, Changchun 130021, China.

Published: October 2010

AI Article Synopsis

  • The study investigates the immune response in cirrhosis caused by hepatitis B virus (HBV) and hepatitis C virus (HCV), focusing on lymphocyte subsets and cytokine levels.
  • It finds that cirrhotic patients exhibit a lower proportion of specific immune cells (like CD8+ T cells and NK cells) and an increase in others (like CD4+ T cells and Treg cells) compared to healthy individuals.
  • Additionally, while Th2 cytokine IL-6 levels are elevated in both HBV and HCV cirrhosis, only HBV patients show an increase in the Th1 cytokine IFN-gamma, indicating a shared immune deficiency regardless of the virus type.

Article Abstract

No specific treatment can reverse the liver injury in cirrhosis. This study aims to characterize immune status and correlations between cirrhosis induced by HBV and HCV. Phenotypes of peripheral blood lymphocyte subsets (T, NK, regulatory T cells) and Th cytokine secretion were analyzed using flow cytometry in 42 HBV-cirrhotic and 40 HCV-cirrhotic patients. Cirrhotic patients had a lower proportion of CD3(+)CD8(+)T cells and NK cells, while the proportion of CD3(+)CD4(+)T cells and Treg cells were higher than those of healthy controls. The levels of Th2 cytokine (IL-6) in cirrhotic patients were increased, while only the Th1 cytokine (IFN-gamma) increased in HBV-cirrhotic patients. These findings show that there is no difference between the cirrhotic groups except in the IFN-gamma level. In cirrhosis, defects in innate, adaptive immune cells are likely regardless of which virus is involved. A cytokine imbalance may play a role in the development of posthepatitic cirrhosis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2896621PMC
http://dx.doi.org/10.1155/2010/138237DOI Listing

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