Difference in T helper responses during hepatitis flares in hepatitis B e antigen (HBeAg)-positive patients with genotypes B and C: implication for early HBeAg seroconversion

The underlying mechanisms for earlier hepatitis B e antigen (HBeAg) seroconversion in patients with chronic hepatitis B virus (HBV) genotype B when compared with genotype C are unknown. We aimed to determine whether there were any differences in the T helper (Th) responses during hepatitis flares in...

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Veröffentlicht in:Journal of viral hepatitis 2007-04, Vol.14 (4), p.269-275
Hauptverfasser: Yuen, M.-F., Wong, D.K-.H, Zheng, B.-J., Chan, C.C-.S., Yuen, J.C-.H., Wong, B.C-.Y., Lai, C.-L.
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container_end_page 275
container_issue 4
container_start_page 269
container_title Journal of viral hepatitis
container_volume 14
creator Yuen, M.-F.
Wong, D.K-.H
Zheng, B.-J.
Chan, C.C-.S.
Yuen, J.C-.H.
Wong, B.C-.Y.
Lai, C.-L.
description The underlying mechanisms for earlier hepatitis B e antigen (HBeAg) seroconversion in patients with chronic hepatitis B virus (HBV) genotype B when compared with genotype C are unknown. We aimed to determine whether there were any differences in the T helper (Th) responses during hepatitis flares in HBeAg‐positive patients with genotypes B and C. Proliferative response measured by 3H‐thymidine uptake and Th responses measured by Enzyme‐Linked Immunosorbent Spot assays for interleukin (IL)‐2, interferon‐gamma (IFN‐γ), IL‐4, IL‐5 and IL‐10 were performed in 10 patients with genotype B and 10 with genotype C with hepatitis flares. HBV genotypes, core promoter, precore mutations, sequence of HBV core region and HBV DNA levels were determined. There was no difference in the HBV DNA levels during hepatitis flares between patients with genotypes B and C. Patients with genotype B had a significantly higher number of IFN‐γ producing cells [with hepatitis B core antigen (HBcAg) stimulation] and lower number of IL‐10 producing cells (with HBcAg and HBeAg stimulation) compared with patients with genotype C (P = 0.011, =0.043,
doi_str_mv 10.1111/j.1365-2893.2006.00799.x
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We aimed to determine whether there were any differences in the T helper (Th) responses during hepatitis flares in HBeAg‐positive patients with genotypes B and C. Proliferative response measured by 3H‐thymidine uptake and Th responses measured by Enzyme‐Linked Immunosorbent Spot assays for interleukin (IL)‐2, interferon‐gamma (IFN‐γ), IL‐4, IL‐5 and IL‐10 were performed in 10 patients with genotype B and 10 with genotype C with hepatitis flares. HBV genotypes, core promoter, precore mutations, sequence of HBV core region and HBV DNA levels were determined. There was no difference in the HBV DNA levels during hepatitis flares between patients with genotypes B and C. Patients with genotype B had a significantly higher number of IFN‐γ producing cells [with hepatitis B core antigen (HBcAg) stimulation] and lower number of IL‐10 producing cells (with HBcAg and HBeAg stimulation) compared with patients with genotype C (P = 0.011, =0.043, &lt;0.001 respectively). There was a trend (P = 0.058) that patients with genotype B had a higher cumulative rate of HBeAg seroconversion. Patients with precore mutants also had a significantly higher number of IFN‐γ producing cells (with HBcAg stimulation) and lower number of IL‐10 producing cells (with HBeAg stimulation) compared to patients without precore mutant (P = 0.038, =0.016 respectively). HBV genotype B induces a greater Th1 and lesser Th2 response than genotype C. 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We aimed to determine whether there were any differences in the T helper (Th) responses during hepatitis flares in HBeAg‐positive patients with genotypes B and C. Proliferative response measured by 3H‐thymidine uptake and Th responses measured by Enzyme‐Linked Immunosorbent Spot assays for interleukin (IL)‐2, interferon‐gamma (IFN‐γ), IL‐4, IL‐5 and IL‐10 were performed in 10 patients with genotype B and 10 with genotype C with hepatitis flares. HBV genotypes, core promoter, precore mutations, sequence of HBV core region and HBV DNA levels were determined. There was no difference in the HBV DNA levels during hepatitis flares between patients with genotypes B and C. Patients with genotype B had a significantly higher number of IFN‐γ producing cells [with hepatitis B core antigen (HBcAg) stimulation] and lower number of IL‐10 producing cells (with HBcAg and HBeAg stimulation) compared with patients with genotype C (P = 0.011, =0.043, &lt;0.001 respectively). There was a trend (P = 0.058) that patients with genotype B had a higher cumulative rate of HBeAg seroconversion. Patients with precore mutants also had a significantly higher number of IFN‐γ producing cells (with HBcAg stimulation) and lower number of IL‐10 producing cells (with HBeAg stimulation) compared to patients without precore mutant (P = 0.038, =0.016 respectively). HBV genotype B induces a greater Th1 and lesser Th2 response than genotype C. 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We aimed to determine whether there were any differences in the T helper (Th) responses during hepatitis flares in HBeAg‐positive patients with genotypes B and C. Proliferative response measured by 3H‐thymidine uptake and Th responses measured by Enzyme‐Linked Immunosorbent Spot assays for interleukin (IL)‐2, interferon‐gamma (IFN‐γ), IL‐4, IL‐5 and IL‐10 were performed in 10 patients with genotype B and 10 with genotype C with hepatitis flares. HBV genotypes, core promoter, precore mutations, sequence of HBV core region and HBV DNA levels were determined. There was no difference in the HBV DNA levels during hepatitis flares between patients with genotypes B and C. Patients with genotype B had a significantly higher number of IFN‐γ producing cells [with hepatitis B core antigen (HBcAg) stimulation] and lower number of IL‐10 producing cells (with HBcAg and HBeAg stimulation) compared with patients with genotype C (P = 0.011, =0.043, &lt;0.001 respectively). There was a trend (P = 0.058) that patients with genotype B had a higher cumulative rate of HBeAg seroconversion. Patients with precore mutants also had a significantly higher number of IFN‐γ producing cells (with HBcAg stimulation) and lower number of IL‐10 producing cells (with HBeAg stimulation) compared to patients without precore mutant (P = 0.038, =0.016 respectively). HBV genotype B induces a greater Th1 and lesser Th2 response than genotype C. This provides immunologic evidence for the higher chance of HBeAg seroconversion in patients with genotype B.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17381719</pmid><doi>10.1111/j.1365-2893.2006.00799.x</doi><tpages>7</tpages></addata></record>
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subjects Adult
Female
Genetic Predisposition to Disease
Genotype
Hepatitis B Core Antigens - genetics
Hepatitis B Core Antigens - immunology
hepatitis B e antigen seroconversion
Hepatitis B e Antigens - biosynthesis
Hepatitis B e Antigens - genetics
Hepatitis B e Antigens - immunology
hepatitis B virus
Hepatitis B virus - genetics
Hepatitis B virus - immunology
Hepatitis B, Chronic - genetics
Hepatitis B, Chronic - immunology
Hepatitis B, Chronic - virology
Humans
immune response
Interferon-gamma - biosynthesis
Interferon-gamma - immunology
Interleukin-10 - immunology
Interleukin-2 - immunology
Interleukin-4 - immunology
Interleukin-5 - immunology
Lymphocyte Activation
Male
Middle Aged
Mutation
Promoter Regions, Genetic
T helper response
Th1 Cells - immunology
Th2 Cells - immunology
title Difference in T helper responses during hepatitis flares in hepatitis B e antigen (HBeAg)-positive patients with genotypes B and C: implication for early HBeAg seroconversion
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