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Th17 细胞在慢性丙型肝炎患者中随着肝脏炎症的严重程度而增加。

Th17 cells are increased with severity of liver inflammation in patients with chronic hepatitis C.

机构信息

Department of Gastroenterology, Southern Building, The Chinese People's Liberation Army General Hospital, Beijing, China.

出版信息

J Gastroenterol Hepatol. 2012 Feb;27(2):273-8. doi: 10.1111/j.1440-1746.2011.06782.x.

Abstract

BACKGROUND AND AIM

As a newly identified subset of T helper cells, T-helper 17 cells (Th17) are major mediators of inflammation-associated disease. Some reports have revealed significantly increased Th17 cells in hepatitis B virus-infected patients, and a recent study has demonstrated that hepatitis C virus (HCV)-specific Th17 cells can be induced in vitro and regulated by transforming growth factor-β. This study attempted to characterize the role of Th17 cells in the disease progression of chronic hepatitis C (CHC).

METHODS

The current study enrolled 53 patients with CHC and 23 healthy controls, in which the circulating and liver-infiltrating Th17 cells were monitored.

RESULTS

We found that CHC patients had increased proportions of both circulating and liver-infiltrating Th17 cells compared to healthy individuals, and both measures of Th17 cells were correlated with severity of liver inflammation. We further demonstrated that the HCV-specific Th17 cells were correlated with liver damage but not HCV viral replication.

CONCLUSIONS

Such a correlation between the severity of liver damage of CHC and Th17 cells illustrated in this study sheds some light on the understanding of the pathogenesis of CHC.

摘要

背景与目的

辅助性 T 细胞 17 (Th17)是新近鉴定的 T 辅助细胞亚群,是炎症相关疾病的主要介质。一些报告显示乙型肝炎病毒(HBV)感染者体内 Th17 细胞显著增加,最近的研究表明丙型肝炎病毒(HCV)特异性 Th17 细胞可在体外诱导,并受转化生长因子-β调节。本研究试图描述 Th17 细胞在慢性丙型肝炎(CHC)疾病进展中的作用。

方法

本研究纳入了 53 例 CHC 患者和 23 名健康对照者,监测其循环和肝内浸润的 Th17 细胞。

结果

我们发现与健康个体相比,CHC 患者的循环和肝内浸润 Th17 细胞比例均增加,且两种 Th17 细胞均与肝脏炎症严重程度相关。我们进一步证明,HCV 特异性 Th17 细胞与肝损伤相关,而与 HCV 病毒复制无关。

结论

本研究中观察到 CHC 患者肝损伤严重程度与 Th17 细胞之间的相关性,提示我们对 CHC 发病机制的理解有所深入。

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