Department of Gastroenterology, Southern Building, The Chinese People's Liberation Army General Hospital, Beijing, China.
J Gastroenterol Hepatol. 2012 Feb;27(2):273-8. doi: 10.1111/j.1440-1746.2011.06782.x.
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).
The current study enrolled 53 patients with CHC and 23 healthy controls, in which the circulating and liver-infiltrating Th17 cells were monitored.
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.
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.
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。
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。
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。
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。