Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1997-8-22
pubmed:abstractText
To elucidate the questions of why not all patients with hepatitis B virus (HBV) infection develop HBV membranous nephropathy (HBVMN), we first measured serum HBe circulating immune complex (CIC) during the acute nephrotic phase of HBVMN and in HBV carriers. We found that the level of HBe CIC was low in the HBVMN patients and absent either in HBsAg+/HBeAg+ patients without HBVMN or HBsAg+/HBeAg- asymptomatic carriers. Second, we needed to characterize the cellular immune response to HBV in patients with HBVMN. However, lack of a suitable autologous effector/target cell system makes a precise study of HBVMN pathogenesis difficult. In the present study, we established a model system by using autologous HBcAg-expressing Epstein-Barr-virus-immortalized lymphoblastoid cell lines (LCL) as stimulator/target cells. Both proliferative response after stimulation with HBcAg and cytotoxic activity against autologous HBcAg-expressing LCL of the peripheral blood T cells obtained from the HBVMN patients and HBsAg carriers could be measured. Using autologous HBcAg-expressing LCL as stimulator/target cells for the study of HBcAg-specific cytotoxic T lymphocytes, we found that HBVMN patients had lower cytotoxic activity than did both HBV carriers and HBsAg-/HBsAb+, HBeAg-/HBeAb+ children. From the in vitro cytokine production study of peripheral blood T cells after stimulation with HBcAg, we found that T-helper-cell-1-related IL-2 and IFN-gamma productions were very low in HBVMN patients but T-helper-cell-2-related IL-10 production was higher in HBsAg+/HBeAg+ patients with HBVMN than in those without HBVMN. Based on these findings, we conclude that HBVMN children seem to have an inadequate cellular immune response to HBcAg.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0028-2766
pubmed:author
pubmed:issnType
Print
pubmed:volume
76
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
176-85
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:9200409-Adolescent, pubmed-meshheading:9200409-Antigen-Antibody Complex, pubmed-meshheading:9200409-Biopsy, pubmed-meshheading:9200409-Carrier State, pubmed-meshheading:9200409-Cell Line, Transformed, pubmed-meshheading:9200409-Cells, Cultured, pubmed-meshheading:9200409-Child, pubmed-meshheading:9200409-Cytokines, pubmed-meshheading:9200409-Cytotoxicity, Immunologic, pubmed-meshheading:9200409-Glomerulonephritis, Membranous, pubmed-meshheading:9200409-Hepatitis B, pubmed-meshheading:9200409-Hepatitis B Surface Antigens, pubmed-meshheading:9200409-Hepatitis B e Antigens, pubmed-meshheading:9200409-Hepatitis B virus, pubmed-meshheading:9200409-Herpesvirus 4, Human, pubmed-meshheading:9200409-Humans, pubmed-meshheading:9200409-Immunity, Cellular, pubmed-meshheading:9200409-Kidney, pubmed-meshheading:9200409-Lymphocyte Activation, pubmed-meshheading:9200409-Nephrotic Syndrome, pubmed-meshheading:9200409-T-Lymphocytes
pubmed:year
1997
pubmed:articleTitle
Defect of cell-mediated immune response against hepatitis B virus: an indication for pathogenesis of hepatitis-B-virus-associated membranous nephropathy.
pubmed:affiliation
Department of Pediatrics, Veterans General Hospital-Taipei, Institute of Microbiology and Immunology, National Yang-Ming Medical University, Taiwan, Republic of China.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't