title: CD8+ T lymphocyte responses are induced during acute hepatitis C virus infection but are not sustained.
abstract: Cellular immune responses are likely to play a key role in determining the clinical outcome in acute infection with hepatitis C virus (HCV), but the dynamics of such responses and their relationship to viral clearance are poorly understood. In a previous study we have shown highly activated, multispecific cytotoxic T lymphocyte responses arising early and persisting in an individual who subsequently cleared the virus. In this study the HCV-specific CD8+ lymphocytes response has been similarly analyzed, using peptide-HLA class I tetramers, in a further nine individuals with documented acute HCV infection, six of whom failed to clear the virus. Significant populations of virus-specific CD8+ lymphocytes were detected at the peak of acute hepatic illness (maximally 3.5% of CD8+ lymphocytes). Frequencies were commonly lower than those seen previously and were generally not sustained. Early HCV-specific CD8+ lymphocytes showed an activated phenotype in all patients (CD38+ and HLA class II+), but this activation was short-lived. Failure to sustain sufficient numbers of activated virus-specific CD8+ lymphocytes may contribute to persistence of HCV.
authors.affiliation: Nuffield Department of Clinical Medicine, John Radcliffe Hospital, University of Oxford, GB.
authors.forename: F
authors.initials: F
authors.lastname: Lechner
authors.forename: N H
authors.initials: NH
authors.lastname: Gruener
authors.forename: S
authors.initials: S
authors.lastname: Urbani
authors.forename: J
authors.initials: J
authors.lastname: Uggeri
authors.forename: T
authors.initials: T
authors.lastname: Santantonio
authors.forename: A R
authors.initials: AR
authors.lastname: Kammer
authors.forename: A
authors.initials: A
authors.lastname: Cerny
authors.forename: R
authors.initials: R
authors.lastname: Phillips
authors.forename: C
authors.initials: C
authors.lastname: Ferrari
authors.forename: G R
authors.initials: GR
authors.lastname: Pape
authors.forename: P
authors.initials: P
authors.lastname: Klenerman
mesh_terms: D000208:Acute Disease; D000328:Adult; D000410:Alanine Transaminase / Q000097:blood; D018414:CD8-Positive T-Lymphocytes / Q000276:immunology*; D005260:Female; D015789:HLA-A2 Antigen / Q000502:physiology; D006526:Hepatitis C / Q000276:immunology*; D006801:Humans; D008297:Male; D008875:Middle Aged
chemical_list: D015789:HLA-A2 Antigen; D000410:Alanine Transaminase