“…Cellular immune responses play an important role in the pathogenesis of chronic hepatitis C [ 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 93 ]. The secretion of cytokines such as interleukin (IL)-2, interferon (IFN)-γ, and tumor necrosis factor (TNF)-α by CD4 + and CD8 + T lymphocytes activates antiviral mechanisms [ 76 ].…”