Dynamic Changes of Treg and Th17 Cells and Related Cytokines Closely Correlate With the Virological and Biochemical Response in Chronic Hepatitis B Patients Undergoing Nucleos(t)ide Analogues Treatment
| Author | Xue-Ping Yu | en |
| Author | Ru-Yi Guo | en |
| Author | Mi-Long Su | en |
| Author | De-Song Ming | en |
| Author | Cheng-Zu Lin | en |
| Author | Yong Deng | en |
| Author | Zhen-Zhong Lin | en |
| Author | Zhi-Jun Su | en |
| Issued Date | 2013-12-01 | en |
| Abstract | Background: The restoration of HBV-specific T-cell response during antiviral therapy is associated with CD4+T-cell activity. Treg cells and Th17 cells are subtypes of CD4+T cell. However, it has remained unknown how the Treg and Th17 cells and their associated cytokines affect nucleos(t)ide analogues (NA) antiviral efficacy. Objectives: The aim of the present study was to provide a new insight to evaluate the NA antiviral therapy for patients with chronic hepatitis B (CHB). Patients and Methods: Forty-four CHB patients hospitalized between July 2010 and August 2011 were enrolled in this study. They were received NA (entecavir, lamivudine and adefovir) treatment for 14.42 ± 13.08 weeks, and the peripheral blood was collected. The frequencies of Treg and Th17 cells were detected by flow cytometric analysis, and the levels of IL-10, TGF-β1, IL-17 and IL-23 were measured by enzyme-linked immunosorbent assay (ELISA). Results: In complete and partial-responders, Treg cells frequencies and IL-10, TGF-β1, IL-23 levels were all decreased significantly after NA therapy, while Th17 cells and the IL-17 levels were increased slightly. Treg/Th17 ratio was only dramatically declined in complete-responders. But there was no significant difference in non-responders. Either HBV DNA decreased by at least 2 log copies /mL or ALT turned to normal level, Treg cells frequencies and IL-10, TGF-β1, IL-23 levels were significantly reduced. Meanwhile, Treg cells were positively correlated with HBV DNA and ALT. Conclusions: The changes of Treg and Th17 cells and their associated cytokines were related to virological and biochemical responses. | en |
| DOI | https://doi.org/10.5812/hepatmon.15332 | en |
| Keyword | Hepatitis B | en |
| Keyword | Chronic | en |
| Keyword | T-Lymphocytes | en |
| Keyword | Regulatory | en |
| Keyword | Th17 Cells | en |
| Keyword | Cytokines | en |
| Publisher | Brieflands | en |
| Title | Dynamic Changes of Treg and Th17 Cells and Related Cytokines Closely Correlate With the Virological and Biochemical Response in Chronic Hepatitis B Patients Undergoing Nucleos(t)ide Analogues Treatment | en |
| Type | Research Article | en |
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