title: Intrahepatic cytotoxic T lymphocytes specific for hepatitis C virus in persons with chronic hepatitis.
abstract: Hepatitis C virus (HCV) is a major cause of post-transfusion and sporadic hepatitis worldwide, leading to chronic liver disease in at least 50% of infected individuals. The pathogenic mechanisms that result in chronic hepatitis are unknown. Lymphocytes are typically observed within the hepatic parenchyma, but the functional characteristics of these cells have not been defined. In this study, liver-infiltrating lymphocytes from two subjects with chronic HCV hepatitis were cloned at limiting dilution and tested for HCV-specific cytolytic activity using autologous target cells infected with vaccinia viruses expressing recombinant HCV Ag or sensitized with synthetic HCV peptides. In both subjects, HCV-specific, HLA class I-restricted CTL were identified that recognized epitopes in variable regions of either the envelope or nonstructural proteins. These results demonstrate the presence of HCV-specific CTL at the site of tissue damage in persons with chronic HCV hepatitis, and provide a means to evaluate the possible pathogenic role of these cells in HCV infection.
authors.affiliation: Infectious Disease Unit, Massachusetts General Hospital, Boston 02114.
authors.forename: M J
authors.initials: MJ
authors.lastname: Koziel
authors.forename: D
authors.initials: D
authors.lastname: Dudley
authors.forename: J T
authors.initials: JT
authors.lastname: Wong
authors.forename: J
authors.initials: J
authors.lastname: Dienstag
authors.forename: M
authors.initials: M
authors.lastname: Houghton
authors.forename: R
authors.initials: R
authors.lastname: Ralston
authors.forename: B D
authors.initials: BD
authors.lastname: Walker
mesh_terms: D000595:Amino Acid Sequence; D017252:CD3 Complex / Q000502:physiology; D002908:Chronic Disease; D000939:Epitopes / Q000032:analysis; D016174:Hepacivirus / Q000276:immunology*; D006526:Hepatitis C / Q000276:immunology*; D015395:Histocompatibility Antigens Class I / Q000502:physiology; D006801:Humans; D008099:Liver / Q000276:immunology*; D008969:Molecular Sequence Data; D013602:T-Lymphocytes, Cytotoxic / Q000276:immunology*; D017361:Viral Nonstructural Proteins / Q000276:immunology
chemical_list: D017252:CD3 Complex; D000939:Epitopes; D015395:Histocompatibility Antigens Class I; D017361:Viral Nonstructural Proteins