Article ; Online: Hepatitis B core-specific memory B cell responses associate with clinical parameters in patients with chronic HBV.
2020 Volume 73, Issue 1, Page(s) 52–61
Abstract: Background & aims: Little is known about the frequency, phenotype and function of HBV-specific B cells during chronic infection. Here we study HBcAg and HBsAg-specific B cells in different clinical phases of a chronic HBV infection.: Methods: We ... ...
Abstract | Background & aims: Little is known about the frequency, phenotype and function of HBV-specific B cells during chronic infection. Here we study HBcAg and HBsAg-specific B cells in different clinical phases of a chronic HBV infection. Methods: We included 118 treatment naïve and 34 nucleos(t)ide analogue-treated patients with chronic HBV and 23 healthy HBsAg-vaccinated controls. Global and HBV-specific B lymphocytes were examined by FACS using fluorescently labeled HBsAg and HBcAg as baits. Functional HBV-specific B cell responses were quantified in B cell ELISPOT assays. Anti-HBs and anti-HBc antibodies were measured in serum and in ELISPOT supernatant by ELISA. Results: Higher HBcAg-directed B cell responses were found in HBV clinical phases with elevated vs. low serum alanine aminotransferase (ALT) levels, irrespective of the HBeAg-status. In contrast, HBsAg-directed responses were lower and did not significantly fluctuate. In individual patients a mean 17.8-fold more circulating B cells target HBcAg than HBsAg baits. These HBcAg-specific B cells present a classical memory B cell profile and have slightly higher CD69 expression levels compared to global memory B cells. Viral suppression and ALT normalization upon treatment led to a numeric and functional reduction of HBcAg-specific B cell responses, accompanied by progressive decreases in serum anti-HBc antibodies. Conclusion: HBcAg-specific memory B cells present a classical memory B cell phenotype, vary in number and function throughout HBV's natural history and are significantly reduced during antiviral treatment. Lay summary: In recent years, studies examining the role of B cells during chronic hepatitis B virus infection have regained interest. We show that circulating B cells more often target the hepatitis B core antigen than the hepatitis surface antigen. Moreover, these hepatitis B core-specific B cells associate with the natural history of chronic HBV, and their responses decline during effective antiviral treatment. |
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MeSH term(s) | Adult ; Antibody Formation/drug effects ; Antibody Formation/immunology ; Antiviral Agents/pharmacology ; B-Lymphocyte Subsets/classification ; B-Lymphocyte Subsets/drug effects ; B-Lymphocyte Subsets/virology ; Female ; Hepatitis B Core Antigens/immunology ; Hepatitis B Surface Antigens/immunology ; Hepatitis B virus/genetics ; Hepatitis B virus/immunology ; Hepatitis B, Chronic/blood ; Hepatitis B, Chronic/drug therapy ; Hepatitis B, Chronic/immunology ; Hepatitis B, Chronic/virology ; Humans ; Immunologic Memory/drug effects ; Immunologic Memory/immunology ; Male |
Chemical Substances | Antiviral Agents ; Hepatitis B Core Antigens ; Hepatitis B Surface Antigens |
Language | English |
Publishing date | 2020-02-13 |
Publishing country | Netherlands |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 605953-3 |
ISSN | 1600-0641 ; 0168-8278 |
ISSN (online) | 1600-0641 |
ISSN | 0168-8278 |
DOI | 10.1016/j.jhep.2020.01.024 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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