Suppression of hepatitis B virus replication mediated by hepatitis A-induced cytokine production

: Background: Acute hepatitis A virus (HAV) infection can cause severe hepatitis especially in patients with underlying chronic liver disease. In patients with pre‐existing chronic hepatitis B (HBV) acute HAV infection can suppress HBV replication. The exact mechanism of HBV suppression during acute...

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Veröffentlicht in:Liver (Copenhagen) 2001-02, Vol.21 (1), p.45-49
Hauptverfasser: Van Nunen, Andeltje B., Pontesilli, Oscar, Uytdehaag, Fons, Osterhaus, Albert D. M. E., De Man, Robert A.
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container_end_page 49
container_issue 1
container_start_page 45
container_title Liver (Copenhagen)
container_volume 21
creator Van Nunen, Andeltje B.
Pontesilli, Oscar
Uytdehaag, Fons
Osterhaus, Albert D. M. E.
De Man, Robert A.
description : Background: Acute hepatitis A virus (HAV) infection can cause severe hepatitis especially in patients with underlying chronic liver disease. In patients with pre‐existing chronic hepatitis B (HBV) acute HAV infection can suppress HBV replication. The exact mechanism of HBV suppression during acute HAV infection is still a subject of debate. One mechanism may be the production of HAV infection‐induced cytokines leading to suppression of HBV replication and viral clearance. Aim: To evaluate cytokine production and HBV‐specific lympho‐proliferative responses (LPR) during acute HAV infection in a patient with chronic HBV infection‐clearing markers of active HBV replication. Design: Early detection of a case of acute HAV infection in an HBeAg‐positive, HBV DNA‐positive chronic HBV patient treated with lamivudine. Results: At the time of HAV infection a sharp peak in the gamma‐interferon (IFN‐γ) level occurred just before the rise in serum transaminase activity. This was subsequently followed by a decrease in HBV DNA and HBeAg below the limit of detection of the assay. However the HBV‐specific T‐cell response was not modified. After resolution of the acute HAV infection and withdrawal of antiviral therapy HBV replication relapsed. Conclusion: The sharp rise in IFN‐γ production mediated by the acute HAV infection may be pivotal in the suppression of HBV replication in chronic hepatitis B.
doi_str_mv 10.1034/j.1600-0676.2001.210107.x
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Design: Early detection of a case of acute HAV infection in an HBeAg‐positive, HBV DNA‐positive chronic HBV patient treated with lamivudine. Results: At the time of HAV infection a sharp peak in the gamma‐interferon (IFN‐γ) level occurred just before the rise in serum transaminase activity. This was subsequently followed by a decrease in HBV DNA and HBeAg below the limit of detection of the assay. However the HBV‐specific T‐cell response was not modified. After resolution of the acute HAV infection and withdrawal of antiviral therapy HBV replication relapsed. 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M. E.</creatorcontrib><creatorcontrib>De Man, Robert A.</creatorcontrib><title>Suppression of hepatitis B virus replication mediated by hepatitis A-induced cytokine production</title><title>Liver (Copenhagen)</title><addtitle>Liver</addtitle><description>: Background: Acute hepatitis A virus (HAV) infection can cause severe hepatitis especially in patients with underlying chronic liver disease. In patients with pre‐existing chronic hepatitis B (HBV) acute HAV infection can suppress HBV replication. The exact mechanism of HBV suppression during acute HAV infection is still a subject of debate. One mechanism may be the production of HAV infection‐induced cytokines leading to suppression of HBV replication and viral clearance. Aim: To evaluate cytokine production and HBV‐specific lympho‐proliferative responses (LPR) during acute HAV infection in a patient with chronic HBV infection‐clearing markers of active HBV replication. Design: Early detection of a case of acute HAV infection in an HBeAg‐positive, HBV DNA‐positive chronic HBV patient treated with lamivudine. Results: At the time of HAV infection a sharp peak in the gamma‐interferon (IFN‐γ) level occurred just before the rise in serum transaminase activity. This was subsequently followed by a decrease in HBV DNA and HBeAg below the limit of detection of the assay. However the HBV‐specific T‐cell response was not modified. After resolution of the acute HAV infection and withdrawal of antiviral therapy HBV replication relapsed. Conclusion: The sharp rise in IFN‐γ production mediated by the acute HAV infection may be pivotal in the suppression of HBV replication in chronic hepatitis B.</description><subject>Acute Disease</subject><subject>acute hepatitis A</subject><subject>alpha interferon</subject><subject>Antiviral Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Cells, Cultured</subject><subject>chronic hepatitis B</subject><subject>DNA, Viral - analysis</subject><subject>gamma-interferon</subject><subject>Hepatitis A - blood</subject><subject>Hepatitis A - immunology</subject><subject>Hepatitis B Core Antigens - blood</subject><subject>Hepatitis B virus - genetics</subject><subject>Hepatitis B virus - growth &amp; development</subject><subject>Hepatitis B virus - immunology</subject><subject>Hepatitis B virus - isolation &amp; purification</subject><subject>Hepatitis B, Chronic - drug therapy</subject><subject>Hepatitis B, Chronic - immunology</subject><subject>Hepatovirus - immunology</subject><subject>Hepatovirus - isolation &amp; purification</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>IL-10</subject><subject>IL-12</subject><subject>Infectious diseases</subject><subject>Interferon-gamma - biosynthesis</subject><subject>Lamivudine - therapeutic use</subject><subject>lympho-proliferative response</subject><subject>Lymphocyte Activation - immunology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Superinfection - immunology</subject><subject>TNF-alpha</subject><subject>Viral diseases</subject><subject>Viral hepatitis</subject><subject>Viral Interference - immunology</subject><subject>Virus Replication</subject><issn>0106-9543</issn><issn>1600-0676</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM1u1DAURq0K1E4Lr1AFIXWX4Bs7_tnRljJUmpYF0C5dx3GEp5kktROYeXscZTSwZGXru-d-VzoIvQOcASb0wzoDhnGKGWdZjjFkOWDAPNseocVh8gotYshSWVBygk5DWEeSUV4coxMAYBLzfIGevo19720IrmuTrk5-2l4PbnAhuUp-OT-GxNu-cSaGEdjYyunBVkm5-4e8TF1bjSbGZjd0z661Se-7mEw7b9DrWjfBvt2_Z-jH55vv11_S1dfl7fXlKjVUcJ7WUJW0kKaWQHMDVNdSU6yJlhKkrgTRUOSsJjEzuRWlEaZkEGeiFEJqTc7QxdwbT7-MNgxq44KxTaNb241BcVwIJgVEUM6g8V0I3taq926j_U4BVpNetVaTRDVJVJNeNetV27h7vj8yltHF3829zwi83wM6GN3UXrfGhQMnClJIHKmPM_XbNXb3__fV6vZh_seKdK5wYbDbQ4X2z4pxwgv1eL9U-fLTw93yUShK_gDDpaZN</recordid><startdate>200102</startdate><enddate>200102</enddate><creator>Van Nunen, Andeltje B.</creator><creator>Pontesilli, Oscar</creator><creator>Uytdehaag, Fons</creator><creator>Osterhaus, Albert D. 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E.</au><au>De Man, Robert A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Suppression of hepatitis B virus replication mediated by hepatitis A-induced cytokine production</atitle><jtitle>Liver (Copenhagen)</jtitle><addtitle>Liver</addtitle><date>2001-02</date><risdate>2001</risdate><volume>21</volume><issue>1</issue><spage>45</spage><epage>49</epage><pages>45-49</pages><issn>0106-9543</issn><eissn>1600-0676</eissn><coden>LIVEDR</coden><abstract>: Background: Acute hepatitis A virus (HAV) infection can cause severe hepatitis especially in patients with underlying chronic liver disease. In patients with pre‐existing chronic hepatitis B (HBV) acute HAV infection can suppress HBV replication. The exact mechanism of HBV suppression during acute HAV infection is still a subject of debate. One mechanism may be the production of HAV infection‐induced cytokines leading to suppression of HBV replication and viral clearance. Aim: To evaluate cytokine production and HBV‐specific lympho‐proliferative responses (LPR) during acute HAV infection in a patient with chronic HBV infection‐clearing markers of active HBV replication. Design: Early detection of a case of acute HAV infection in an HBeAg‐positive, HBV DNA‐positive chronic HBV patient treated with lamivudine. Results: At the time of HAV infection a sharp peak in the gamma‐interferon (IFN‐γ) level occurred just before the rise in serum transaminase activity. This was subsequently followed by a decrease in HBV DNA and HBeAg below the limit of detection of the assay. However the HBV‐specific T‐cell response was not modified. After resolution of the acute HAV infection and withdrawal of antiviral therapy HBV replication relapsed. 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subjects Acute Disease
acute hepatitis A
alpha interferon
Antiviral Agents - therapeutic use
Biological and medical sciences
Cells, Cultured
chronic hepatitis B
DNA, Viral - analysis
gamma-interferon
Hepatitis A - blood
Hepatitis A - immunology
Hepatitis B Core Antigens - blood
Hepatitis B virus - genetics
Hepatitis B virus - growth & development
Hepatitis B virus - immunology
Hepatitis B virus - isolation & purification
Hepatitis B, Chronic - drug therapy
Hepatitis B, Chronic - immunology
Hepatovirus - immunology
Hepatovirus - isolation & purification
Human viral diseases
Humans
IL-10
IL-12
Infectious diseases
Interferon-gamma - biosynthesis
Lamivudine - therapeutic use
lympho-proliferative response
Lymphocyte Activation - immunology
Male
Medical sciences
Superinfection - immunology
TNF-alpha
Viral diseases
Viral hepatitis
Viral Interference - immunology
Virus Replication
title Suppression of hepatitis B virus replication mediated by hepatitis A-induced cytokine production
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