Increased expression of regulatory Tr1 cells in recurrent hepatitis C after liver transplantation

Am J Transplant. 2009 Sep;9(9):2102-12. doi: 10.1111/j.1600-6143.2009.02743.x. Epub 2009 Jul 16.

Abstract

Immune response failure during HCV infection has been associated with the activity of regulatory T cells. Hepatitis C-related cirrhosis is the main reason for liver transplantation. However, 80% of transplanted patients present an accelerated recurrence of the disease. This study assessed the involvement of regulatory T-cell subsets (CD4+CD25+ cells: 'Treg' and CD49b+CD18+ cells: 'T regulatory-1' cells), in the recurrence of HCV after liver transplantation, using transcriptomic analysis, ELISA assays on serum samples and immunohistochemistry on liver biopsies from liver recipients 1 and 5 years after transplantation. Three groups of patients were included: stable HCV-negative recipients and those with mild and severe hepatitis C recurrence. At 5 years, Treg markers were overexpressed in all HCV+ recipients. By contrast, Tr1 markers were only overexpressed in patients with severe recurrence. At 1 year, a trend toward the overexpression of Tr1 was noted in patients evolving toward severe recurrence. IL-10 production, a characteristic of the Tr1 subset, was enhanced in severe recurrence at both 1 and 5 years. These results suggest that Tr1 are enhanced during severe HCV recurrence after liver transplantation and could be predictive of HCV recurrence. High levels of IL-10 at 1 year could be predictive of severe recurrence, and high IL-10 producers might warrant more intensive management.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • CD18 Antigens / biosynthesis
  • CD4-Positive T-Lymphocytes / immunology
  • Female
  • Gene Expression Regulation, Viral*
  • Hepatitis C / immunology*
  • Hepatitis C / metabolism
  • Humans
  • Integrin alpha2 / biosynthesis
  • Interleukin-10 / biosynthesis
  • Interleukin-2 Receptor alpha Subunit / biosynthesis
  • Liver Transplantation / methods*
  • Male
  • Middle Aged
  • Recurrence
  • T-Lymphocytes, Regulatory / immunology*
  • T-Lymphocytes, Regulatory / metabolism*

Substances

  • CD18 Antigens
  • Integrin alpha2
  • Interleukin-2 Receptor alpha Subunit
  • Interleukin-10