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IFN-γ facilitates liver fibrogenesis by CD161+CD4+ T cells through a regenerative IL-23/IL-17 axis in chronic hepatitis B virus infection.


ABSTRACT:

Objectives

This study aimed to determine the role of CD161+CD4+ T cells in chronic hepatitis B virus (HBV) infection.

Methods

A total of 94 patients with chronic hepatitis B (CHB), 73 with liver cirrhosis (LC) and 28 healthy controls were enrolled to determine frequency, cytokine production and chemokine receptor expression of circulating CD161+CD4+ T cells. Among these, 50 CHB and 34 LC patients were followed up for a period of 52-week entecavir monotherapy to assess the association of CD161+CD4+ T cells with seroconversion of HBV e antigen (HBeAg). In addition, 15 patients with hepatocellular carcinoma (HCC) and 15 with hepatic haemangioma (HHA) were enrolled to compare the paired circulating and intrahepatic CD161+CD4+ T cells.

Results

CD161+CD4+ T cells were found to accumulate in the circulation of HBV cohorts, which showed a significant correlation with the clinical parameters of disease progression. In addition, higher numbers of circulating CD161+CD4+ T cells were associated with an improved serological response of HBeAg to antiviral treatment. Moreover, CD161+CD4+ T cells as compared to homologous CD161-CD4+ T cells produced more pro-inflammatory cytokines including interleukin (IL)-17 and interferon (IFN)-γ and expressed higher levels of liver-homing chemokine receptors including CCR6, CXCR6 and CX3CR1. Notably, a significant enrichment of CD161+CD4+ T cell subsets co-expressing IFN-γ and IL-17 was observed in HBV-associated cirrhotic livers. During in vitro co-cultures, circulating CD161+CD4+ T cells in the chronic HBV setting exhibited prominent pro-fibrogenic effects by regulating primary hepatic stellate cells through a regenerative IFN-γ/IL-23/IL-17 axis.

Conclusions

In chronic HBV infection, CD161+CD4+ T cells play antiviral, pro-inflammatory and pro-fibrogenic roles.

SUBMITTER: Li J 

PROVIDER: S-EPMC8563156 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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Publications

IFN-γ facilitates liver fibrogenesis by CD161<sup>+</sup>CD4<sup>+</sup> T cells through a regenerative IL-23/IL-17 axis in chronic hepatitis B virus infection.

Li Jing J   Cheng Lisha L   Jia Haoyu H   Liu Chun C   Wang Siqi S   Liu Yun Y   Shen Yue Y   Wu Shengdi S   Meng Fanli F   Zheng Beishi B   Yang Changqing C   Jiang Wei W  

Clinical & translational immunology 20211102 11


<h4>Objectives</h4>This study aimed to determine the role of CD161<sup>+</sup>CD4<sup>+</sup> T cells in chronic hepatitis B virus (HBV) infection.<h4>Methods</h4>A total of 94 patients with chronic hepatitis B (CHB), 73 with liver cirrhosis (LC) and 28 healthy controls were enrolled to determine frequency, cytokine production and chemokine receptor expression of circulating CD161<sup>+</sup>CD4<sup>+</sup> T cells. Among these, 50 CHB and 34 LC patients were followed up for a period of 52-week  ...[more]

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