PMID- 22093032 OWN - NLM STAT- MEDLINE DCOM- 20120307 LR - 20181201 IS - 1365-2893 (Electronic) IS - 1352-0504 (Linking) VI - 18 IP - 12 DP - 2011 Dec TI - Chronic hepatitis C infection blocks the ability of dendritic cells to secrete IFN-alpha and stimulate T-cell proliferation. PG - 840-51 LID - 10.1111/j.1365-2893.2010.01384.x [doi] AB - Dendritic cells (DCs) are likely to play a key role in the compromised T-cell function associated with hepatitis C Virus (HCV) infection. However, studies of DC function in HCV-infected patients to date have yielded conflicting findings possibly because of patient and virus heterogeneity. Here, we report the characterization of monocyte-derived DCs obtained from a homogenous cohort of women who were infected with HCV genotype 1b following exposure to contaminated anti-D immunoglobulin from a single donor source. Patients included in the study had not received anti-viral therapy and all had mild liver disease. We show that phenotypically normal monocyte-derived dendritic cells (MDDCs) (CD11c(+) HLA(-) DR(+) CD1a(+) CD14(lo) ) can be obtained from these patients. These cells respond to both Poly(I:C) and LPS, by up-regulating expression of CD86. They secrete high levels of IL-8 and CCL5 in response to LPS, an indication that the MyD88-dependent and MyD88-independent signalling pathways downstream of TLR4 ligation are functioning normally. However, these cells are poor stimulators of T-cell proliferation in allogeneic mixed lymphocyte reactions. Furthermore, patient MDDCs fail to secrete IFN-alpha in response to poly(I:C) or IFN-beta stimulation. Altered DC function may contribute to impaired cellular immune responses and chronicity of disease following HCV infection in this cohort. An effective therapeutic vaccine for chronic HCV infection will most likely need to target DCs to elicit an appropriate cellular response; therefore, it is important to resolve how the DCs of different patient cohorts respond to stimulation via TLRs. CI - (c) 2011 Blackwell Publishing Ltd. FAU - Ryan, E J AU - Ryan EJ AD - School of Biochemistry and Immunology, Trinity College, Dublin 2 National Liver Transplantation Unit, St. Vincent's Hospital, Dublin 4, Ireland. Elizabeth.Ryan.1@ucdconnect.ie FAU - Stevenson, N J AU - Stevenson NJ FAU - Hegarty, J E AU - Hegarty JE FAU - O'Farrelly, C AU - O'Farrelly C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110314 PL - England TA - J Viral Hepat JT - Journal of viral hepatitis JID - 9435672 RN - 0 (Interferon-alpha) SB - IM MH - Aged MH - *Cell Proliferation MH - Dendritic Cells/*immunology MH - Female MH - Hepatitis C, Chronic/*immunology/*pathology MH - Humans MH - Immune Tolerance MH - Interferon-alpha/*metabolism MH - Male MH - Middle Aged MH - T-Lymphocytes/*immunology EDAT- 2011/11/19 06:00 MHDA- 2012/03/08 06:00 CRDT- 2011/11/19 06:00 PHST- 2011/11/19 06:00 [entrez] PHST- 2011/11/19 06:00 [pubmed] PHST- 2012/03/08 06:00 [medline] AID - 10.1111/j.1365-2893.2010.01384.x [doi] PST - ppublish SO - J Viral Hepat. 2011 Dec;18(12):840-51. doi: 10.1111/j.1365-2893.2010.01384.x. Epub 2011 Mar 14.