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Effect of HLA class II genotype on T helper lymphocyte responses and viral control in hepatitis C virus infection
Journal article   Peer reviewed

Effect of HLA class II genotype on T helper lymphocyte responses and viral control in hepatitis C virus infection

G. Harcourt, S. Hellier, M. Bunce, J. Satsangi, J. Collier, R. Chapman, R. Phillips and P. Klenerman
Journal of Viral Hepatitis, Vol.8(3), pp.174-179
2001
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Abstract

Hepatitis C virus (HCV) infection is very common worldwide, but has a broad range of outcomes. A minority of patients are able to clear infection spontaneously, and this is thought to be due to the emergence and maintenance of effective cell-mediated immunity, particularly CD4+ T lymphocyte responses. Furthermore, genetic studies have indicated that HLA class II genotype strongly influences the outcome of infection. We have therefore investigated the influence of the protective HLA class II haplotype (DQB1*0301, which is in tight linkage disequilibrium with DRB1*1101) on the CD4+ T lymphocyte responses to HCV. We observe a strong association between this genotype and maintenance of a multispecific CD4+ T helper response. The effect on T helper responses was also maintained after combination interferon-α/ribavirin therapy, although the latter influenced the pattern of viral antigens to which patients responded. This is the first disease in which an association of HLA genotype with clinical outcome has been linked to an alteration of the immunological phenotype. The selection of protective peptides in those with the favourable HLA class II genotype may point in the direction of suitable vaccine candidates.

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Citation topics
1 Clinical & Life Sciences
1.125 Hepatitis
1.125.83 HCV
Web Of Science research areas
Gastroenterology & Hepatology
Infectious Diseases
Virology
ESI research areas
Immunology
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