Owusu Sekyere Solomon, Suneetha Pothakamuri Venkata, Hardtke Svenja, Falk Christine Susanne, Hengst Julia, Manns Michael Peter, Cornberg Markus, Wedemeyer Heiner, Schlaphoff Verena
Department of Gastroenterology, Hepatology and Endocrinology, Hannover Medical School , Hannover , Germany.
TTU-Hepatitis, TTU-IICH, German Center for Infectious Diseases (DZIF) , Hannover-Braunschweig , Germany ; Institute of Transplantation Immunology (IFB-Tx), Hannover Medical School , Hannover , Germany.
Front Immunol. 2015 Jun 10;6:270. doi: 10.3389/fimmu.2015.00270. eCollection 2015.
Hepatitis C virus (HCV) readily sets up persistence in a large fraction of infected hosts. Mounting epidemiological and immunological evidence suggest that HCV's persistence could influence immune responses toward unrelated pathogens and vaccines. Nonetheless, the fundamental contribution of the inflammatory milieu during persistent HCV infection in impacting immune cells specific for common pathogens such as CMV and EBV has not been fully studied. As the co-regulatory receptors PD-1, Tim-3, and 2B4 have all been shown to be vital in regulating CD8(+) T cell function, we assessed their expression on CMV/EBV-specific CD8(+) T cells from patients with chronic hepatitis C (CHC) and healthy controls ex vivo and upon stimulation with virus-specific peptides in vitro. Total and CMV/EBV-specific CD8(+) T cells expressing PD-1, Tim-3, and 2B4 were highly enriched in patients with CHC compared to healthy individuals ex vivo. In vitro peptide stimulation further potentiated the differential co-regulatory receptor expression of PD-1, Tim-3, and 2B4, which then culminated in an enhanced functionality of CMV/EBV-specific CD8(+) T cells in CHC patients. Comprehensively analyzing plasma cytokines between the two cohorts, we observed that not only was IFNα-2a dominant among 21 other inflammatory mediators elevated in CHC patients but it also correlated with PD-1 and Tim-3 expressions ex vivo. Importantly, IFNα-2a further caused upregulation of these markers upon in vitro peptide stimulation. Finally, we could prospectively study patients receiving novel IFN-free antiviral therapy. Here, we observed that treatment-induced clearance of HCV resulted in a partial reversion of the phenotype of CMV/EBV-specific CD8(+) T cells in patients with CHC. These data reveal an alteration of the plasma concentrations of IFNα-2a together with other inflammatory mediators during CHC, which appeared to pervasively influence co-regulatory receptor expression on CMV/EBV-specific CD8(+) T cells.
丙型肝炎病毒(HCV)很容易在大部分受感染宿主中建立持续性感染。越来越多的流行病学和免疫学证据表明,HCV的持续性感染可能会影响针对无关病原体和疫苗的免疫反应。尽管如此,在持续性HCV感染期间,炎症环境对影响针对常见病原体(如巨细胞病毒和EB病毒)的免疫细胞的根本作用尚未得到充分研究。由于共调节受体PD-1、Tim-3和2B4在调节CD8(+) T细胞功能方面都至关重要,我们在体外评估了它们在慢性丙型肝炎(CHC)患者和健康对照者针对巨细胞病毒/EB病毒特异性CD8(+) T细胞上的表达,并在体外使用病毒特异性肽进行刺激后进行评估。与健康个体相比, CHC患者体内表达PD-1、Tim-3和2B4的总CD8(+) T细胞以及针对巨细胞病毒/EB病毒特异性的CD8(+) T细胞高度富集。体外肽刺激进一步增强了PD-1、Tim-3和2B4共调节受体表达的差异,最终导致CHC患者中针对巨细胞病毒/EB病毒特异性的CD8(+) T细胞功能增强。通过全面分析两个队列之间的血浆细胞因子,我们观察到,在CHC患者中升高的21种其他炎症介质中,不仅IFNα-2a占主导地位,而且它还与体外PD-1和Tim-3的表达相关。重要的是,IFNα-2a在体外肽刺激后进一步导致这些标志物的上调。最后,我们可以对接受新型无干扰素抗病毒治疗的患者进行前瞻性研究。在此,我们观察到治疗诱导的HCV清除导致CHC患者中针对巨细胞病毒/EB病毒特异性的CD8(+) T细胞表型部分逆转。这些数据揭示了CHC期间IFNα-2a以及其他炎症介质的血浆浓度变化,这似乎普遍影响了针对巨细胞病毒/EB病毒特异性的CD8(+) T细胞上共调节受体的表达。