Effects of Telbivudine Treatment on the Circulating CD4+ T-Cell Subpopulations in Chronic Hepatitis B Patients

CD4+ T cells serve as master regulators of the adaptive immune response to HBV. However, CD4+ T-cell subsets are heterogeneous, and it remains unknown how the antiviral agents affect the different CD4+ T cell subtypes. To this end, the expressions of signature transcription factors and cytokines of...

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Main Authors: Yanhua Zheng, Zemin Huang, Xianhua Chen, Yi Tian, Jun Tang, Yi Zhang, Xiaomin Zhang, Jijun Zhou, Qing Mao, Bing Ni, Qinghong Wang, Yuzhang Wu
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2012/789859
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author Yanhua Zheng
Zemin Huang
Xianhua Chen
Yi Tian
Jun Tang
Yi Zhang
Xiaomin Zhang
Jijun Zhou
Qing Mao
Bing Ni
Qinghong Wang
Yuzhang Wu
author_facet Yanhua Zheng
Zemin Huang
Xianhua Chen
Yi Tian
Jun Tang
Yi Zhang
Xiaomin Zhang
Jijun Zhou
Qing Mao
Bing Ni
Qinghong Wang
Yuzhang Wu
author_sort Yanhua Zheng
collection DOAJ
description CD4+ T cells serve as master regulators of the adaptive immune response to HBV. However, CD4+ T-cell subsets are heterogeneous, and it remains unknown how the antiviral agents affect the different CD4+ T cell subtypes. To this end, the expressions of signature transcription factors and cytokines of CD4+ T-cell subtypes were examined in hepatitis B patients before and after treatment with telbivudine. Results showed that, upon the rapid HBV copy decrease induced by telbivudine treatment, the frequencies and related cytokines of Th17 and Treg cells were dramatically decreased, while those for Th2 cells were dramatically increased. No obvious changes were observed in Th1 cell frequencies; although, IFN-γ expression was upregulated in response to telbivudine treatment, suggesting another cell source of IFN-γ in CHB patients. Statistical analyses indicated that Th17 and Tr1 (a Treg subtype) cells were the most sensitive subpopulations of the peripheral blood CD4+ T cells to telbivudine treatment over 52 weeks. Thus, Th17 and Tr1 cells may represent a suitable and effective predictor of responsiveness during telbivudine therapy. These findings not only improve our understanding of hepatitis pathogenesis but also can aid in future development of appropriate therapeutic strategies to control viral hepatitis.
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institution Kabale University
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publishDate 2012-01-01
publisher Wiley
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series Mediators of Inflammation
spelling doaj-art-84095d0e2c114dbd877e1ec8f4b1e9572025-02-03T01:02:01ZengWileyMediators of Inflammation0962-93511466-18612012-01-01201210.1155/2012/789859789859Effects of Telbivudine Treatment on the Circulating CD4+ T-Cell Subpopulations in Chronic Hepatitis B PatientsYanhua Zheng0Zemin Huang1Xianhua Chen2Yi Tian3Jun Tang4Yi Zhang5Xiaomin Zhang6Jijun Zhou7Qing Mao8Bing Ni9Qinghong Wang10Yuzhang Wu11Institute of Immunology, Third Military Medical University, PLA, Chongqing 400038, ChinaInstitute of Immunology, Third Military Medical University, PLA, Chongqing 400038, ChinaDepartment of Health Care, Southwest Hospital, Third Military Medical University, Chongqing 400038, ChinaInstitute of Immunology, Third Military Medical University, PLA, Chongqing 400038, ChinaDepartment of Dermatology, 105th Hospital, PLA, Hefei 230001, ChinaInstitute of Immunology, Third Military Medical University, PLA, Chongqing 400038, ChinaDepartment of Infectious Diseases, Southwest Hospital, Third Military Medical University, Chongqing 400038, ChinaDepartment of Infectious Diseases, Southwest Hospital, Third Military Medical University, Chongqing 400038, ChinaDepartment of Infectious Diseases, Southwest Hospital, Third Military Medical University, Chongqing 400038, ChinaInstitute of Immunology, Third Military Medical University, PLA, Chongqing 400038, ChinaMinistry of Education Key Laboratory of Child Development and Disorders, Pediatric Research Institute, Children's Hospital of Chongqing Medical University, Chongqing 400014, ChinaInstitute of Immunology, Third Military Medical University, PLA, Chongqing 400038, ChinaCD4+ T cells serve as master regulators of the adaptive immune response to HBV. However, CD4+ T-cell subsets are heterogeneous, and it remains unknown how the antiviral agents affect the different CD4+ T cell subtypes. To this end, the expressions of signature transcription factors and cytokines of CD4+ T-cell subtypes were examined in hepatitis B patients before and after treatment with telbivudine. Results showed that, upon the rapid HBV copy decrease induced by telbivudine treatment, the frequencies and related cytokines of Th17 and Treg cells were dramatically decreased, while those for Th2 cells were dramatically increased. No obvious changes were observed in Th1 cell frequencies; although, IFN-γ expression was upregulated in response to telbivudine treatment, suggesting another cell source of IFN-γ in CHB patients. Statistical analyses indicated that Th17 and Tr1 (a Treg subtype) cells were the most sensitive subpopulations of the peripheral blood CD4+ T cells to telbivudine treatment over 52 weeks. Thus, Th17 and Tr1 cells may represent a suitable and effective predictor of responsiveness during telbivudine therapy. These findings not only improve our understanding of hepatitis pathogenesis but also can aid in future development of appropriate therapeutic strategies to control viral hepatitis.http://dx.doi.org/10.1155/2012/789859
spellingShingle Yanhua Zheng
Zemin Huang
Xianhua Chen
Yi Tian
Jun Tang
Yi Zhang
Xiaomin Zhang
Jijun Zhou
Qing Mao
Bing Ni
Qinghong Wang
Yuzhang Wu
Effects of Telbivudine Treatment on the Circulating CD4+ T-Cell Subpopulations in Chronic Hepatitis B Patients
Mediators of Inflammation
title Effects of Telbivudine Treatment on the Circulating CD4+ T-Cell Subpopulations in Chronic Hepatitis B Patients
title_full Effects of Telbivudine Treatment on the Circulating CD4+ T-Cell Subpopulations in Chronic Hepatitis B Patients
title_fullStr Effects of Telbivudine Treatment on the Circulating CD4+ T-Cell Subpopulations in Chronic Hepatitis B Patients
title_full_unstemmed Effects of Telbivudine Treatment on the Circulating CD4+ T-Cell Subpopulations in Chronic Hepatitis B Patients
title_short Effects of Telbivudine Treatment on the Circulating CD4+ T-Cell Subpopulations in Chronic Hepatitis B Patients
title_sort effects of telbivudine treatment on the circulating cd4 t cell subpopulations in chronic hepatitis b patients
url http://dx.doi.org/10.1155/2012/789859
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