2006
DOI: 10.2353/ajpath.2006.050875
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Kupffer Cell-Dependent Hepatitis Occurs during Influenza Infection

Abstract: Respiratory infections, including influenza in humans, are often accompanied by a hepatitis that is usually mild and self-limiting. The mechanism of this kind of liver damage is not well understood. In the present study, we show that influenza-associated hepatitis occurs due to the formation of inflammatory foci that include apoptotic hepatocytes, antigen-specific CD8(+) T cells, and Kupffer cells. Serum aminotransaminase levels were elevated, and both the histological and serum enzyme markers of hepatitis wer… Show more

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Cited by 139 publications
(132 citation statements)
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“…Furthermore, in several experiments, the percentage of IFN-␥ ϩ BAL cells exceeded the percentage of CD8 ϩ D b NP 366 tetramer ϩ cells, which may reflect pronounced TCR down-regulation, which in turn is indicative of a higher avidity interaction (74,75). The liver populations' reduced functional avidity or dampened sensitivity to peptide is consistent with the proposed tolerogenic role of the liver (23,25,26) and may help to protect against hepatic damage by activated CTL following influenza infection (20). Differences in the APC populations may have contributed to the reduced sensitivity to peptide recorded for the liver population.…”
Section: Discussionsupporting
confidence: 58%
See 1 more Smart Citation
“…Furthermore, in several experiments, the percentage of IFN-␥ ϩ BAL cells exceeded the percentage of CD8 ϩ D b NP 366 tetramer ϩ cells, which may reflect pronounced TCR down-regulation, which in turn is indicative of a higher avidity interaction (74,75). The liver populations' reduced functional avidity or dampened sensitivity to peptide is consistent with the proposed tolerogenic role of the liver (23,25,26) and may help to protect against hepatic damage by activated CTL following influenza infection (20). Differences in the APC populations may have contributed to the reduced sensitivity to peptide recorded for the liver population.…”
Section: Discussionsupporting
confidence: 58%
“…Early studies pointed to the liver as a site for T cell contraction (10 -13) that is essential for the immune system to maintain homeostasis (14). Despite this protective capacity, antiviral CD8 ϩ T cells can also promote tissue destruction and exacerbate disease (15)(16)(17)(18), including the induction of hepatitis during influenza infection though there is no detectable viral Ag in the liver (19,20). Accordingly, programmed contraction and exhaustion of Ag-specific CD8 ϩ T cells during chronic infection may circumvent possible immunopathology.…”
Section: Irus Infections Induce the Expansion And Differentiationmentioning
confidence: 99%
“…In a primary influenza infection, virus-specific T-and B-cell responses are difficult to detect until 5 days after viral inoculation (39,46). Assuming that the contributions of the adaptive antibody and cellular responses of the immune system are negligible during this period, we used model 2 to fit the viral titer data during the first 5 days of infection.…”
Section: Resultsmentioning
confidence: 99%
“…In the influenza model, we found a focal transient hepatitis that was the consequence of intrahepatic accumulation of influenza-specific CD8 ϩ T cells (13). CD8…”
mentioning
confidence: 99%