Impaired Function of Dendritic Cells Circulating in Patients Infected with Hepatitis C Virus Who Have Persistently Normal Alanine Aminotransferase Levels

Hepatitis C virus (HCV) induces chronic liver disease in hosts which can eventually progresses to liver cirrhosis and hepatocellular carcinoma. However, progression of liver disease is slower in patients with persistently normal levels of alanine aminotransferase (ALT) than in those with active hepa...

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Veröffentlicht in:Intervirology 2006, Vol.49 (1-2), p.58-63
Hauptverfasser: Kanto, Tatsuya, Inoue, Michiyo, Miyazaki, Masanori, Itose, Ichiyo, Miyatake, Hideki, Sakakibara, Mitsuru, Yakushijin, Takayuki, Kaimori, Aki, Oki, Chika, Hiramatsu, Naoki, Kasahara, Akinori, Hayashi, Norio
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container_end_page 63
container_issue 1-2
container_start_page 58
container_title Intervirology
container_volume 49
creator Kanto, Tatsuya
Inoue, Michiyo
Miyazaki, Masanori
Itose, Ichiyo
Miyatake, Hideki
Sakakibara, Mitsuru
Yakushijin, Takayuki
Kaimori, Aki
Oki, Chika
Hiramatsu, Naoki
Kasahara, Akinori
Hayashi, Norio
description Hepatitis C virus (HCV) induces chronic liver disease in hosts which can eventually progresses to liver cirrhosis and hepatocellular carcinoma. However, progression of liver disease is slower in patients with persistently normal levels of alanine aminotransferase (ALT) than in those with active hepatitis. Although distinct immune responses against HCV have been proposed in asymptomatic infection, the role of circulating dendritic cells (DC) in the pathogenesis of these patients remains obscure. To address this issue, we compared the number and function of myeloid DC (MDC) and plasmacytoid DC (PDC) between uninfected individuals and HCV-infected patients with or without elevated ALT levels. Numbers of DC and DC progenitors were significantly lower in patients with chronic active hepatitis than in control subjects. However, no differences were found in the number of DC between normal controls and HCV-infected patients with persistently normal ALT levels. MDC from patients with active hepatitis were less able to polarize naive CD4 T cells into the Th1 phenotype, while their MDC and PDC primed more CD4 T cells producing IL-10 than those from normal controls. Such dysfunction of DC was also observed in patients with persistently normal ALT levels. In conclusion, circulating DC decrease in number predominantly in HCV-infected patients with active hepatitis, and the function of DC is impaired even in those with normal ALT levels.
doi_str_mv 10.1159/000087264
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MDC from patients with active hepatitis were less able to polarize naive CD4 T cells into the Th1 phenotype, while their MDC and PDC primed more CD4 T cells producing IL-10 than those from normal controls. Such dysfunction of DC was also observed in patients with persistently normal ALT levels. 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subjects Alanine Transaminase - blood
CD4-Positive T-Lymphocytes - immunology
Cell Count
Cells, Cultured
Dendritic Cells - cytology
Dendritic Cells - immunology
Female
Hepatitis C - blood
Hepatitis C - immunology
Hepatitis C - physiopathology
Hepatitis C virus
Humans
Lymphocyte Activation
Male
Myeloid Cells - cytology
Pathophysiology
Plasma Cells - cytology
Stem Cells - cytology
Th1 Cells - immunology
Th2 Cells - immunology
title Impaired Function of Dendritic Cells Circulating in Patients Infected with Hepatitis C Virus Who Have Persistently Normal Alanine Aminotransferase Levels
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