Tracking virus-specific CD4+ T cells during and after acute hepatitis C virus infection.

BACKGROUND: CD4+ T cell help is critical in maintaining antiviral immune responses and such help has been shown to be sustained in acute resolving hepatitis C. In contrast, in evolving chronic hepatitis C CD4+ T cell helper responses appear to be absent or short-lived, using functional assays. METH...

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Main Authors: Lucas, M, Ulsenheimer, A, Pfafferot, K, Heeg, M, Gaudieri, S, Gruner, N, Rauch, A, Gerlach, J, Jung, M, Zachoval, R, Pape, G, Schraut, W, Santantonio, T, Nitschko, H, Obermeier, M, Phillips, R, Scriba, T, Semmo, N, Day, C, Weber, J, Fidler, S, Thimme, R, Haberstroh, A, Baumert, T, Klenerman, P, Diepolder, H
Format: Journal article
Language:English
Published: Public Library of Science 2007
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author Lucas, M
Ulsenheimer, A
Pfafferot, K
Heeg, M
Gaudieri, S
Gruner, N
Rauch, A
Gerlach, J
Jung, M
Zachoval, R
Pape, G
Schraut, W
Santantonio, T
Nitschko, H
Obermeier, M
Phillips, R
Scriba, T
Semmo, N
Day, C
Weber, J
Fidler, S
Thimme, R
Haberstroh, A
Baumert, T
Klenerman, P
Diepolder, H
author_facet Lucas, M
Ulsenheimer, A
Pfafferot, K
Heeg, M
Gaudieri, S
Gruner, N
Rauch, A
Gerlach, J
Jung, M
Zachoval, R
Pape, G
Schraut, W
Santantonio, T
Nitschko, H
Obermeier, M
Phillips, R
Scriba, T
Semmo, N
Day, C
Weber, J
Fidler, S
Thimme, R
Haberstroh, A
Baumert, T
Klenerman, P
Diepolder, H
author_sort Lucas, M
collection OXFORD
description BACKGROUND: CD4+ T cell help is critical in maintaining antiviral immune responses and such help has been shown to be sustained in acute resolving hepatitis C. In contrast, in evolving chronic hepatitis C CD4+ T cell helper responses appear to be absent or short-lived, using functional assays. METHODOLOGY/PRINCIPAL FINDINGS: Here we used a novel HLA-DR1 tetramer containing a highly targeted CD4+ T cell epitope from the hepatitis C virus non-structural protein 4 to track number and phenotype of hepatitis C virus specific CD4+ T cells in a cohort of seven HLA-DR1 positive patients with acute hepatitis C in comparison to patients with chronic or resolved hepatitis C. We observed peptide-specific T cells in all seven patients with acute hepatitis C regardless of outcome at frequencies up to 0.65% of CD4+ T cells. Among patients who transiently controlled virus replication we observed loss of function, and/or physical deletion of tetramer+ CD4+ T cells before viral recrudescence. In some patients with chronic hepatitis C very low numbers of tetramer+ cells were detectable in peripheral blood, compared to robust responses detected in spontaneous resolvers. Importantly we did not observe escape mutations in this key CD4+ T cell epitope in patients with evolving chronic hepatitis C. CONCLUSIONS/SIGNIFICANCE: During acute hepatitis C a CD4+ T cell response against this epitope is readily induced in most, if not all, HLA-DR1+ patients. This antiviral T cell population becomes functionally impaired or is deleted early in the course of disease in those where viremia persists.
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spelling oxford-uuid:0534d288-6b58-46f0-bf71-4817ddd17b562022-03-26T08:55:51ZTracking virus-specific CD4+ T cells during and after acute hepatitis C virus infection.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:0534d288-6b58-46f0-bf71-4817ddd17b56EnglishSymplectic Elements at OxfordPublic Library of Science2007Lucas, MUlsenheimer, APfafferot, KHeeg, MGaudieri, SGruner, NRauch, AGerlach, JJung, MZachoval, RPape, GSchraut, WSantantonio, TNitschko, HObermeier, MPhillips, RScriba, TSemmo, NDay, CWeber, JFidler, SThimme, RHaberstroh, ABaumert, TKlenerman, PDiepolder, H BACKGROUND: CD4+ T cell help is critical in maintaining antiviral immune responses and such help has been shown to be sustained in acute resolving hepatitis C. In contrast, in evolving chronic hepatitis C CD4+ T cell helper responses appear to be absent or short-lived, using functional assays. METHODOLOGY/PRINCIPAL FINDINGS: Here we used a novel HLA-DR1 tetramer containing a highly targeted CD4+ T cell epitope from the hepatitis C virus non-structural protein 4 to track number and phenotype of hepatitis C virus specific CD4+ T cells in a cohort of seven HLA-DR1 positive patients with acute hepatitis C in comparison to patients with chronic or resolved hepatitis C. We observed peptide-specific T cells in all seven patients with acute hepatitis C regardless of outcome at frequencies up to 0.65% of CD4+ T cells. Among patients who transiently controlled virus replication we observed loss of function, and/or physical deletion of tetramer+ CD4+ T cells before viral recrudescence. In some patients with chronic hepatitis C very low numbers of tetramer+ cells were detectable in peripheral blood, compared to robust responses detected in spontaneous resolvers. Importantly we did not observe escape mutations in this key CD4+ T cell epitope in patients with evolving chronic hepatitis C. CONCLUSIONS/SIGNIFICANCE: During acute hepatitis C a CD4+ T cell response against this epitope is readily induced in most, if not all, HLA-DR1+ patients. This antiviral T cell population becomes functionally impaired or is deleted early in the course of disease in those where viremia persists.
spellingShingle Lucas, M
Ulsenheimer, A
Pfafferot, K
Heeg, M
Gaudieri, S
Gruner, N
Rauch, A
Gerlach, J
Jung, M
Zachoval, R
Pape, G
Schraut, W
Santantonio, T
Nitschko, H
Obermeier, M
Phillips, R
Scriba, T
Semmo, N
Day, C
Weber, J
Fidler, S
Thimme, R
Haberstroh, A
Baumert, T
Klenerman, P
Diepolder, H
Tracking virus-specific CD4+ T cells during and after acute hepatitis C virus infection.
title Tracking virus-specific CD4+ T cells during and after acute hepatitis C virus infection.
title_full Tracking virus-specific CD4+ T cells during and after acute hepatitis C virus infection.
title_fullStr Tracking virus-specific CD4+ T cells during and after acute hepatitis C virus infection.
title_full_unstemmed Tracking virus-specific CD4+ T cells during and after acute hepatitis C virus infection.
title_short Tracking virus-specific CD4+ T cells during and after acute hepatitis C virus infection.
title_sort tracking virus specific cd4 t cells during and after acute hepatitis c virus infection
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