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A study of some hepatic immunological markers, iron load and virus genotype in chronic hepatitis C

Title
A study of some hepatic immunological markers, iron load and virus genotype in chronic hepatitis C
Type
Article in International Scientific Journal
Year
2004
Authors
Cardoso, EM
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Duarte, MA
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Ribeiro, E
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Rodrigues, P
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Hultcrantz, R
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Sampaio, P
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Ehrlich, R
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Carvalho, J
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Fraga, J
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de Sousa, M
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Journal
Title: Journal of HepatologyImported from Authenticus Search for Journal Publications
Vol. 41
Pages: 319-326
ISSN: 0168-8278
Publisher: Elsevier
Scientific classification
FOS: Medical and Health sciences > Clinical medicine
Other information
Authenticus ID: P-000-977
Abstract (EN): Background/Aims: Host factors that may influence progression of hepatitis C infection to chronic hepatitis include T-cell responses and iron accumulation. We evaluated the hepatic expression of immunological markers relevant for a cytotoxic response in relation to viral and HFE genotype. Methods: Frozen liver biopsies were obtained at diagnosis from 28 HFE genotyped patients. Sections stained for CD8, MHC-1, beta(2)m, HFE and CD68 were analyzed blind by morphometry. Response to therapy was available in 12 cases. Results: A negative correlation was found between the number of CD8(+) cells and fibrosis. CD8(+) cells localized as clusters in portal tracts and sinusoids and were seen interacting with MHC-1 positive lining cells. MHC-I and beta(2)M were expressed mainly in the endothelial and Kupffer cells. HFE was expressed in most, but not all, round and dendritic CD68(+) cells. Patients with virus genotype 3a had higher hepatic MHC-I and HFE expression, and a better-sustained response to IFN therapy than other patients. Conclusions: In chronic hepatitis C virus infection MHC-1 expression in the liver seems to relate to viral-genotype. In addition, the expression of MHC-I molecules by Kupffer cells places them as probable important players in the host response to HCV.
Language: English
Type (Professor's evaluation): Scientific
Contact: mdesousa@ibmc.up.pt
No. of pages: 8
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