2007
DOI: 10.1002/hep.21761
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Tumor necrosis factor alpha inhibits the suppressive effect of regulatory T cells on the hepatitis B virus–specific immune response

Abstract: Chronicity of hepatitis B virus (HBV) infection is characterized by

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Cited by 49 publications
(33 citation statements)
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“…Our results also do not reveal altered functions of CD4 + regulatory IL-10-producing T cells in the absence of p75-mediated signaling during LZT, which is in line with earlier work showing normal suppressive effects on T cell proliferation of regulatory CD4 + CD25 + T cells from p75-deficient mice (37). In contrast, other studies demonstrate that TNF induces a reduction or, in long term culture, an enhancement of number and function of naturally occurring CD4 + CD25 + regulatory T cells (12,(38)(39)(40)(41)(42).…”
Section: Discussionsupporting
confidence: 87%
“…Our results also do not reveal altered functions of CD4 + regulatory IL-10-producing T cells in the absence of p75-mediated signaling during LZT, which is in line with earlier work showing normal suppressive effects on T cell proliferation of regulatory CD4 + CD25 + T cells from p75-deficient mice (37). In contrast, other studies demonstrate that TNF induces a reduction or, in long term culture, an enhancement of number and function of naturally occurring CD4 + CD25 + regulatory T cells (12,(38)(39)(40)(41)(42).…”
Section: Discussionsupporting
confidence: 87%
“…Haplotype -318C?49G may lead to downregulation of CTLA-4 and thereby increased T cell response [25]. Because CTLA-4 engagement by B7-1 or B7-2 molecules plays a regulating role in the process of Th1/Th2 proliferation and differentiation in autoimmune disorders [17,22,23], CTLA4 gene polymorphism may lead to Th1/Th2 shift and imbalance. It is speculated that in chronic HBV infection, the composition of haplotypes from two loci affects cytokines.…”
Section: Discussionmentioning
confidence: 99%
“…Cytotoxic T lymphocyte-associated antigen 4 (CTLA-4), expressed on activated and regulatory T cells, regulates T cell activation and tolerance [14,15] as well as Th1/Th2 differentiation and cytokine production [16][17][18][19][20] upon B7 engagement. Cytokines such as TNF-a and IFN-c are critical for not only viral clearance but also immunopathogenesis of HBV infection [21][22][23][24]. Therefore, the interaction of CTLA-4 with B7 molecules in regulating T cell activation and Th1/Th2 cytokines production is involved in the immune response to HBV infection.…”
Section: Introductionmentioning
confidence: 99%
“…Several theories exist regarding how TNF inhibitors reactivate hepatitis B. Elevated TNF levels are seen in both the serum and hepatocytes of patients with chronic hepatitis B [26], and are secreted by HBV-specific CTL [27]. TNF has biological activity and an amino acid sequence similar to lymphotoxin, which inhibits HBV replication [28]. Infected cells are also reported to be selectively killed by TNF [33].…”
Section: Resultsmentioning
confidence: 99%