PMID- 12858406 OWN - NLM STAT- MEDLINE DCOM- 20031007 LR - 20181130 IS - 0146-6615 (Print) IS - 0146-6615 (Linking) VI - 71 IP - 1 DP - 2003 Sep TI - Hepatitis B core antigen is a potent inductor of interleukin-18 in peripheral blood mononuclear cells of healthy controls and patients with hepatitis B infection. PG - 31-40 AB - Clearance of hepatitis B virus infection (HBV) infection implies a polyclonal vigorous T-helper 1 (Th1) and cytotoxic T-lymphocyte (CTL) response. Interleukin-18 (IL-18), a monokine that shares functional abilities with IL-12, is a potent inductor of interferon-gamma (IFN-gamma) by Th1 and natural killer (NK) cells. However, the role and regulation in HBV infection of IFN-gamma have not been defined. This study therefore sought to determine hepatitis B core antigen (HBcAg)-mediated regulation of IL-18 production in peripheral blood mononuclear cells (PBMCs) from healthy controls (HC) and patients with chronic hepatitis B (CHB) or acute hepatitis B (AHB); 31 HC, 27 patients with CHB and 8 patients with AHB infection were included in the study. HBcAg-mediated induction of IL-18 was determined by quantitative reverse transcription-polymerase chain reaction (RT-PCR) and specific enzyme-linked immunosorbent assay (ELISA). HBcAg induced IL-18 gene transcription and dose-dependent secretion of mature IL-18 protein in HC, CHB, and AHB. HBcAg-dependent IL-18 levels were abrogated by inhibition of Caspase-1, but not by blockade of CD40-CD154 interaction. Serum levels of IFN-gamma correlated inversely with viremia in patients with CHB (rho = - 0.54, P < 0.05), but not with serum levels of IL-12 or IL-18. Interestingly, in PBMCs of HBeAg-negative patients, HBcAg induced significantly higher amounts of IL-18 than in those of HBeAg-positive patients. A variant, lacking the histone-like arginine-rich domain, did not induce IL-18 in either HC or CHB in vitro. Taken together, these results indicate that HBcAg induces IL-18 secretion by induction of Caspase-1. Differential regulation in HBeAg-negative and positive patients suggests an important role of IL-18 in CHB infection. CI - Copyright 2003 Wiley-Liss, Inc. FAU - Manigold, Tobias AU - Manigold T AD - Department of Medicine II, Gastroenterology/Hepatology/Infectious Diseases, University Hospital Mannheim, Mannheim, Germany. manigold@nih.gov FAU - Bocker, Ulrich AU - Bocker U FAU - Chen, Jingsan AU - Chen J FAU - Gundt, Jutta AU - Gundt J FAU - Traber, Petra AU - Traber P FAU - Singer, Manfred V AU - Singer MV FAU - Rossol, Siegbert AU - Rossol S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Med Virol JT - Journal of medical virology JID - 7705876 RN - 0 (Hepatitis B Core Antigens) RN - 0 (Hepatitis B e Antigens) RN - 0 (Interleukin-18) RN - 187348-17-0 (Interleukin-12) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Adult MH - Female MH - Gene Expression Regulation MH - Hepatitis B/*immunology MH - Hepatitis B Core Antigens/*immunology MH - Hepatitis B e Antigens/immunology MH - Hepatitis B virus/*immunology MH - Humans MH - Interferon-gamma/blood MH - Interleukin-12/blood MH - Interleukin-18/*blood/genetics/immunology/metabolism MH - Leukocytes, Mononuclear/immunology/*metabolism MH - Male MH - Middle Aged MH - Transcription, Genetic EDAT- 2003/07/15 05:00 MHDA- 2003/10/08 05:00 CRDT- 2003/07/15 05:00 PHST- 2003/07/15 05:00 [pubmed] PHST- 2003/10/08 05:00 [medline] PHST- 2003/07/15 05:00 [entrez] AID - 10.1002/jmv.10445 [doi] PST - ppublish SO - J Med Virol. 2003 Sep;71(1):31-40. doi: 10.1002/jmv.10445.