Department of Medical Sciences, Toshiba General Hospital, Higashi Oi 6-3-22, Shinagawa, Tokyo 140-8522, Japan.
Antiviral Res. 2012 Oct;96(1):59-64. doi: 10.1016/j.antiviral.2012.07.011. Epub 2012 Aug 1.
Experimental evidence suggests that hepatitis B core antigen (HBcAg)-specific cytotoxic T lymphocytes (CTL) are essential for the control of hepatitis B virus (HBV) replication and prevention of liver damage in patients with chronic hepatitis B (CHB). However, most immune therapeutic approaches in CHB patients have been accomplished with hepatitis B surface antigen (HBsAg)-based prophylactic vaccines with unsatisfactory clinical outcomes. In this study, we prepared HBsAg-pulsed dendritic cells (DC) and HBcAg-pulsed DC by culturing spleen DC from HBV transgenic mice (HBV TM) and evaluated the immunomodulatory capabilities of these antigens, which may serve as a better therapy for CHB. The kinetics of HBsAg, antibody levels against HBsAg (anti-HBs), proliferation of HBsAg- and HBcAg-specific lymphocytes, production of antigen-specific CTL, and activation of endogenous DC were compared between HBV TM vaccinated with either HBsAg- or HBcAg-pulsed DC. Vaccination with HBsAg-pulsed DC induced HBsAg-specific immunity, but failed to induce HBcAg-specific immunity in HBV TM. However, immunization of HBV TM with HBcAg-pulsed DC resulted in: (1) HBsAg negativity, (2) production of anti-HBs, and (3) development of HBsAg- and HBcAg-specific T cells and CTL in the spleen and the liver. Additionally, significantly higher levels of activated endogenous DC were detected in HBV TM immunized with HBcAg-pulsed DC compared to HBsAg-pulsed DC (p<0.05). The capacity of HBcAg to modulate both HBsAg- and HBcAg-specific immunity in HBV TM, and activation of endogenous DC in HBV TM without inducing liver damage suggests that HBcAg should be an integral component of the therapeutic vaccine against CHB.
实验证据表明,乙型肝炎核心抗原(HBcAg)特异性细胞毒性 T 淋巴细胞(CTL)对于控制乙型肝炎病毒(HBV)复制和预防慢性乙型肝炎(CHB)患者的肝损伤至关重要。然而,CHB 患者的大多数免疫治疗方法都是使用乙型肝炎表面抗原(HBsAg)为基础的预防性疫苗,但临床效果并不理想。在这项研究中,我们通过培养 HBV 转基因小鼠(HBV TM)的脾树突状细胞(DC)制备了 HBsAg 脉冲的 DC 和 HBcAg 脉冲的 DC,并评估了这些抗原的免疫调节能力,它们可能成为 CHB 的更好治疗方法。比较了 HBV TM 接种 HBsAg 或 HBcAg 脉冲的 DC 后 HBsAg、抗 HBsAg 抗体水平、HBsAg 和 HBcAg 特异性淋巴细胞增殖、抗原特异性 CTL 的产生以及内源性 DC 的激活的动力学。HBsAg 脉冲的 DC 接种诱导了 HBsAg 特异性免疫,但未能在 HBV TM 中诱导 HBcAg 特异性免疫。然而,HBcAg 脉冲的 DC 免疫接种导致:(1)HBsAg 阴性,(2)抗-HBs 的产生,以及(3)在脾和肝中产生 HBsAg 和 HBcAg 特异性 T 细胞和 CTL。此外,与 HBsAg 脉冲的 DC 相比,HBcAg 脉冲的 DC 免疫接种的 HBV TM 中激活的内源性 DC 水平显著更高(p<0.05)。HBcAg 能够调节 HBV TM 中的 HBsAg 和 HBcAg 特异性免疫,并且在不引起肝损伤的情况下激活 HBV TM 中的内源性 DC,这表明 HBcAg 应该是 CHB 治疗性疫苗的一个组成部分。