Transfusion of autologous cytokine-induced killer cells inhibits viral replication in patients with chronic hepatitis B virus infection

Abstract Adoptive immune transfer plays an important role in clearance of hepatitis B virus (HBV) in chronic hepatitis B (CHB) patients. However, it is unclear whether cytokine-induced killer (CIK) cells could suppress HBV replication in CHB patients, especially if drug resistance develops. In this...

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Veröffentlicht in:Clinical immunology (Orlando, Fla.) Fla.), 2009-07, Vol.132 (1), p.43-54
Hauptverfasser: Shi, Ming, Fu, Junliang, Shi, Feng, Zhang, Bin, Tang, Zirong, Jin, Lei, Fan, Zhenping, Zhang, Zheng, Chen, Liming, Wang, Huifeng, Lau, George K.K, Wang, Fu-Sheng
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container_issue 1
container_start_page 43
container_title Clinical immunology (Orlando, Fla.)
container_volume 132
creator Shi, Ming
Fu, Junliang
Shi, Feng
Zhang, Bin
Tang, Zirong
Jin, Lei
Fan, Zhenping
Zhang, Zheng
Chen, Liming
Wang, Huifeng
Lau, George K.K
Wang, Fu-Sheng
description Abstract Adoptive immune transfer plays an important role in clearance of hepatitis B virus (HBV) in chronic hepatitis B (CHB) patients. However, it is unclear whether cytokine-induced killer (CIK) cells could suppress HBV replication in CHB patients, especially if drug resistance develops. In this study, functional CIK cells were efficiently generated from 21 CHB patients and were transfused in an autologous manner. We found that CIK cells from the CHB patients displayed substantial proliferation and function. Administration of the CIK cells closely correlated with the decrease in the serum HBV load and improvement in liver function in some patients. The virological response rate in patients with baseline serum alanine aminotransferase (ALT) levels of > 40 U/L was higher than that in patients with baseline serum ALT levels of ≤ 40 U/L. Moreover, patients who had HBeAg loss or showed seroconversion generally had baseline serum ALT levels of > 40 U/L. No serious side effects were observed. This protocol represents an alternative immune therapeutic strategy for the disease.
doi_str_mv 10.1016/j.clim.2009.03.001
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However, it is unclear whether cytokine-induced killer (CIK) cells could suppress HBV replication in CHB patients, especially if drug resistance develops. In this study, functional CIK cells were efficiently generated from 21 CHB patients and were transfused in an autologous manner. We found that CIK cells from the CHB patients displayed substantial proliferation and function. Administration of the CIK cells closely correlated with the decrease in the serum HBV load and improvement in liver function in some patients. The virological response rate in patients with baseline serum alanine aminotransferase (ALT) levels of &gt; 40 U/L was higher than that in patients with baseline serum ALT levels of ≤ 40 U/L. Moreover, patients who had HBeAg loss or showed seroconversion generally had baseline serum ALT levels of &gt; 40 U/L. No serious side effects were observed. 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However, it is unclear whether cytokine-induced killer (CIK) cells could suppress HBV replication in CHB patients, especially if drug resistance develops. In this study, functional CIK cells were efficiently generated from 21 CHB patients and were transfused in an autologous manner. We found that CIK cells from the CHB patients displayed substantial proliferation and function. Administration of the CIK cells closely correlated with the decrease in the serum HBV load and improvement in liver function in some patients. The virological response rate in patients with baseline serum alanine aminotransferase (ALT) levels of &gt; 40 U/L was higher than that in patients with baseline serum ALT levels of ≤ 40 U/L. Moreover, patients who had HBeAg loss or showed seroconversion generally had baseline serum ALT levels of &gt; 40 U/L. No serious side effects were observed. 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However, it is unclear whether cytokine-induced killer (CIK) cells could suppress HBV replication in CHB patients, especially if drug resistance develops. In this study, functional CIK cells were efficiently generated from 21 CHB patients and were transfused in an autologous manner. We found that CIK cells from the CHB patients displayed substantial proliferation and function. Administration of the CIK cells closely correlated with the decrease in the serum HBV load and improvement in liver function in some patients. The virological response rate in patients with baseline serum alanine aminotransferase (ALT) levels of &gt; 40 U/L was higher than that in patients with baseline serum ALT levels of ≤ 40 U/L. Moreover, patients who had HBeAg loss or showed seroconversion generally had baseline serum ALT levels of &gt; 40 U/L. No serious side effects were observed. This protocol represents an alternative immune therapeutic strategy for the disease.</abstract><cop>Amsterdam</cop><pub>Elsevier Inc</pub><pmid>19328038</pmid><doi>10.1016/j.clim.2009.03.001</doi><tpages>12</tpages></addata></record>
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subjects Adoptive Transfer - methods
Adult
Aged
Alanine transaminase
Allergy and Immunology
Biological and medical sciences
Cell proliferation
Chronic hepatitis B
Chronic infection
Cytokine-induced killer cell
Cytokine-Induced Killer Cells - cytology
Cytokine-Induced Killer Cells - immunology
Cytokine-Induced Killer Cells - transplantation
Drug resistance
Efficacy
Female
Flow Cytometry
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Hepatitis B
hepatitis B e antigen
Hepatitis B virus
Hepatitis B virus - immunology
Hepatitis B, Chronic - immunology
Hepatitis B, Chronic - therapy
Hepatitis B, Chronic - virology
Human viral diseases
Humans
Infectious diseases
Interferon-gamma - immunology
Killer cells
Liver
Male
Medical sciences
Middle Aged
Replication
Safety
Seroconversion
Side effects
Transfusion
Transplantation, Autologous
Treatment Outcome
Viral diseases
Viral hepatitis
Virus Replication - immunology
Young Adult
title Transfusion of autologous cytokine-induced killer cells inhibits viral replication in patients with chronic hepatitis B virus infection
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