Immune regulation in chronic hepatitis C virus infection.

Abstract:

:The immunological result of infection with Hepatitis C virus (HCV) depends on the delicate balance between a vigorous immune response that may clear the infection, but with a risk of unspecific inflammation and, or a less inflammatory response that leads to chronic infection. In general, exhaustion and impairment of cytotoxic function of HCV-specific T cells and NK cells are found in patients with chronic HCV infection. In contrast, an increase in immune regulatory functions is found primarily in form of increased IL-10 production possibly due to increased level and function of anti-inflammatory Tregs. Thus, the major immune players during chronic HCV infection are characterized by a decrease of cytotoxic function and increase of inhibitory functions. This may be an approach to diminish intrahepatic and systemic inflammation. Finally, there has been increasing awareness of regulatory functions of epigenetic changes in chronic HCV infection. A vast amount of studies have revealed the complexity of immune regulation in chronic HCV infection, but the interplay between immune regulation in virus and host remains incompletely understood. This review provides an overview of regulatory functions of HCV-specific T cells, NK cells, Tregs, IL-10, and TGF-β, as well as epigenetic changes in the setting of chronic HCV infection.

journal_name

Scand J Gastroenterol

authors

Hartling HJ,Ballegaard VC,Nielsen NS,Gaardbo JC,Nielsen SD

doi

10.3109/00365521.2016.1170875

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

1387-97

issue

11

eissn

0036-5521

issn

1502-7708

journal_volume

51

pub_type

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