Department of Medicine II, University Medical Center Freiburg, Freiburg, Germany.
FEMS Microbiol Rev. 2012 May;36(3):663-83. doi: 10.1111/j.1574-6976.2011.00319.x. Epub 2012 Jan 4.
Effective innate and adaptive immune responses are essential for the control of hepatitis C virus (HCV) infection. Indeed, elimination of HCV during acute infection correlates with an early induction of innate and a delayed induction of adaptive immune responses. However, in the majority of acutely HCV-infected individuals, these responses are insufficient to clear the virus and persistence develops. In recent years, different mechanisms responsible for the failure of innate and adaptive immune responses have been identified. These include the proteolytic cleavage of molecules playing key roles in the induction of the interferon response, manipulation of interferon-induced effector proteins, interference with CD8+ T-cell function or immune escape in T- and B-cell epitopes. In this review, we discuss the possible roles of innate and adaptive immune responses in HCV clearance and the different evasion strategies used by the virus to escape these immune responses.
有效的先天和适应性免疫反应对于控制丙型肝炎病毒 (HCV) 感染至关重要。事实上,急性感染期间 HCV 的消除与先天免疫的早期诱导和适应性免疫的延迟诱导相关。然而,在大多数急性 HCV 感染个体中,这些反应不足以清除病毒,从而导致持续性感染。近年来,已确定导致先天和适应性免疫反应失败的不同机制。这些机制包括在诱导干扰素反应中起关键作用的分子的蛋白水解切割、干扰素诱导效应蛋白的操纵、干扰 CD8+T 细胞功能或 T 细胞和 B 细胞表位的免疫逃逸。在这篇综述中,我们讨论了先天和适应性免疫反应在 HCV 清除中的可能作用,以及病毒用来逃避这些免疫反应的不同逃逸策略。