PMID- 27658394 OWN - NLM STAT- MEDLINE DCOM- 20170612 LR - 20190320 IS - 1936-0541 (Electronic) IS - 1936-0533 (Linking) VI - 10 IP - 6 DP - 2016 Nov TI - Functionally aberrant dendritic cell subsets and expression of DC-SIGN differentiate acute from chronic HBV infection. PG - 916-923 AB - BACKGROUND: Dendritic cells (DCs) promote pathogen recognition, uptake and presentation of antigen through DC-specific intercellular adhesion molecule 3-grabbing non-integrin (DC-SIGN) and toll-like receptors (TLRs). AIMS AND OBJECTIVES: We aimed to study temporal changes in DCs, TLRs and DC-SIGN during acute viral hepatitis B (AVHB) infection and compare them to chronic (CHB) and to investigate the earliest time point of activated pathogen recognition receptors in hepatitis B viral infection. METHODS: We measured the frequencies of circulating myeloid (mDC) and plasmacytoid (pDC) dendritic cells and IFN-alpha production along with the expression of DC-SIGN and Toll Like Receptors (TLR's) in HBV patients at different time points. Also investigated in healthy volunteers, the dynamic changes in TLRs expression after receiving hepatitis B vaccine. RESULTS: On follow-up of AVHB patients, we found the mDC population was significantly higher at week 4 and 6 (p < 0.02, 0.01), whereas the pDC population was unchanged at week 6 compared with week 0. Whereas frequencies of mDCs and pDCs were found to be elevated in AVHB and CHB patients than HC (p < 0.00 and 0.01, respectively) but was comparable among AVHB vs CHB. The DCs in CHB patients were functionally impaired with significantly low IFN-alpha production and low DCSIGN expression (p < 0.04 and 0.00, respectively). Even after stimulation by TLR agonists, no change was found in IFN-alpha production in CHB patients. MyD88 and IL-6, IFN-alpha mRNA levels were also found down-regulated. Interestingly, on follow-up after HBV vaccine, TLRs expression was found high at day 3 after vaccination. DISCUSSION: The initial events of immune activation might be responsible for modulating immune response. These novel observations would pave the way for the development of antiviral strategies for chronic HBV infection. FAU - Sukriti, Sukriti AU - Sukriti S AD - Department of Molecular and Cellular Medicine, Institute of Liver and Biliary Sciences, Delhi, India. FAU - Trehanpati, Nirupma AU - Trehanpati N AD - Department of Molecular and Cellular Medicine, Institute of Liver and Biliary Sciences, Delhi, India. FAU - Kumar, Manoj AU - Kumar M AD - Department of Hepatology, Institute of Liver and Biliary Sciences, Delhi, India. FAU - Pande, Chandana AU - Pande C AD - Department of Molecular and Cellular Medicine, Institute of Liver and Biliary Sciences, Delhi, India. FAU - Hissar, Syed S AU - Hissar SS AD - Department of Molecular and Cellular Medicine, Institute of Liver and Biliary Sciences, Delhi, India. FAU - Sarin, Shiv Kumar AU - Sarin SK AD - Department of Molecular and Cellular Medicine, Institute of Liver and Biliary Sciences, Delhi, India. sksarin@ilbs.in. AD - Department of Hepatology, Institute of Liver and Biliary Sciences, Delhi, India. sksarin@ilbs.in. LA - eng PT - Comparative Study PT - Journal Article DEP - 20160922 PL - United States TA - Hepatol Int JT - Hepatology international JID - 101304009 RN - 0 (Cell Adhesion Molecules) RN - 0 (DC-specific ICAM-3 grabbing nonintegrin) RN - 0 (Hepatitis B Vaccines) RN - 0 (IL6 protein, human) RN - 0 (Interferon-alpha) RN - 0 (Interleukin-6) RN - 0 (Lectins, C-Type) RN - 0 (MYD88 protein, human) RN - 0 (Myeloid Differentiation Factor 88) RN - 0 (Receptors, Cell Surface) RN - 0 (Toll-Like Receptors) SB - IM MH - Adult MH - Cell Adhesion Molecules/*metabolism MH - Dendritic Cells/*cytology/metabolism MH - Female MH - Gene Expression Regulation MH - Hepatitis B/*immunology MH - Hepatitis B Vaccines/administration & dosage/immunology MH - Hepatitis B, Chronic/*immunology MH - Humans MH - Interferon-alpha/blood/genetics MH - Interleukin-6/genetics MH - Lectins, C-Type/*metabolism MH - Male MH - Middle Aged MH - Myeloid Differentiation Factor 88/genetics MH - Receptors, Cell Surface/*metabolism MH - Toll-Like Receptors MH - Young Adult OTO - NOTNLM OT - DC-SIGN OT - Dendritic cell subsets OT - Hepatitis B OT - Toll-like receptors EDAT- 2016/10/28 06:00 MHDA- 2019/03/21 06:00 CRDT- 2016/09/24 06:00 PHST- 2015/10/21 00:00 [received] PHST- 2016/08/22 00:00 [accepted] PHST- 2016/10/28 06:00 [pubmed] PHST- 2019/03/21 06:00 [medline] PHST- 2016/09/24 06:00 [entrez] AID - 10.1007/s12072-016-9763-0 [pii] AID - 10.1007/s12072-016-9763-0 [doi] PST - ppublish SO - Hepatol Int. 2016 Nov;10(6):916-923. doi: 10.1007/s12072-016-9763-0. Epub 2016 Sep 22.