PMID- 33529909 OWN - NLM STAT- MEDLINE DCOM- 20210528 LR - 20210528 IS - 1878-1705 (Electronic) IS - 1567-5769 (Linking) VI - 93 DP - 2021 Apr TI - IgE antibodies to hepatitis C virus core and nonstructural antigens in chronic hepatitis C patients before and after antiviral treatment. PG - 107405 LID - S1567-5769(21)00041-2 [pii] LID - 10.1016/j.intimp.2021.107405 [doi] AB - Few studies on the immunoglobulin E (IgE) immune response in chronic hepatitis C have been reported. In this study, we tested the antigenicity of commercial recombinant hepatitis C virus (HCV) core and nonstructural protein NS3, NS4, and NS5 antigens and the IgE immune response to these antigens in chronic hepatitis C patients before and after antiviral treatment with pegylated interferon (IFN)-alpha plus ribavirin for 12 weeks. The effects of antiviral treatment were investigated in 20 out of 35 participants. We developed amplified immunoassays using these antigens and IgG-depleted patient sera. Seropositivity for IgE antibodies was determined, and serum IgE and cytokine levels were measured. Anti-core, anti-NS3, and anti-NS4 IgE antibodies were observed in most patients, whereas anti-NS5 antibodies were less prevalent. Antiviral treatment decreased the production of anti-core, anti-NS3, and anti-NS4 IgE antibodies, but not anti-NS5 IgE antibodies. A significant decrease in the anti-NS3 and anti-NS4 IgE antibody levels was observed in patients who presented with an early sustained virological response, but no effects on anti-core and anti-NS5 IgE antibodies was observed. The serum levels of IFN-gamma, interleukin (IL)-2, IL-6, tumor necrosis factor-alpha, and IL-10, but not IL-4, were similar between patients before and after antiviral therapy. Thus, the immune response of IgE antibodies to HCV antigens was comparable to that of anti-HCV IgG antibodies. The usefulness of anti-NS3 IgE antibodies in diagnosing occult hepatitis C and monitoring antiviral treatment with directly acting antiviral medication must be investigated in future studies. CI - Copyright (c) 2021. Published by Elsevier B.V. FAU - Silva, Joao Paulo C G AU - Silva JPCG AD - Programa de Pos-Graduacao em Imunologia, Instituto de Ciencias da Saude, Universidade Federal da Bahia, Salvador, BA, Brazil. FAU - Jesus, Larissa S AU - Jesus LS AD - Programa de Pos-Graduacao em Farmacia, Faculdade de Farmacia, Universidade Federal da Bahia, Salvador, BA, Brazil. FAU - Isabel Schinoni, Maria AU - Isabel Schinoni M AD - Servico de Hepatites, Hospital Professor Edgard Santos, Faculdade de Medicina, Universidade Federal da Bahia, Salvador, BA, Brazil. FAU - Oliveira, Isabela S AU - Oliveira IS AD - Laboratorio de Pesquisa em Imunologia, Faculdade de Farmacia, Universidade Federal da Bahia, Salvador, BA, Brazil. FAU - Atta, Maria Luiza B S AU - Atta MLBS AD - Laboratorio de Pesquisa em Imunologia, Faculdade de Farmacia, Universidade Federal da Bahia, Salvador, BA, Brazil. FAU - Atta, Ajax M AU - Atta AM AD - Laboratorio de Pesquisa em Imunologia, Faculdade de Farmacia, Universidade Federal da Bahia, Salvador, BA, Brazil. Electronic address: ajaxmatta@gmail.com. LA - eng PT - Journal Article DEP - 20210130 PL - Netherlands TA - Int Immunopharmacol JT - International immunopharmacology JID - 100965259 RN - 0 (Antibodies, Viral) RN - 0 (Antiviral Agents) RN - 0 (Interferon-alpha) RN - 0 (Recombinant Proteins) RN - 0 (Viral Core Proteins) RN - 0 (Viral Nonstructural Proteins) RN - 0 (nucleocapsid protein, Hepatitis C virus) RN - 37341-29-0 (Immunoglobulin E) RN - 3WJQ0SDW1A (Polyethylene Glycols) RN - 49717AWG6K (Ribavirin) RN - Q46947FE7K (peginterferon alfa-2a) SB - IM MH - Adult MH - Aged MH - Antibodies, Viral/blood MH - Antiviral Agents/*therapeutic use MH - Female MH - Hepacivirus/*physiology MH - Hepatitis C, Chronic/*drug therapy/immunology MH - Humans MH - Immunoglobulin E/blood MH - Interferon-alpha/*therapeutic use MH - Male MH - Middle Aged MH - Polyethylene Glycols/*therapeutic use MH - Recombinant Proteins/therapeutic use MH - Ribavirin/*therapeutic use MH - Viral Core Proteins/*immunology MH - Viral Nonstructural Proteins/*immunology OTO - NOTNLM OT - Antiviral treatment OT - Cytokine OT - HCV antigen OT - Hepatitis C OT - IgE antibody EDAT- 2021/02/03 06:00 MHDA- 2021/05/29 06:00 CRDT- 2021/02/02 20:12 PHST- 2020/09/17 00:00 [received] PHST- 2021/01/09 00:00 [revised] PHST- 2021/01/13 00:00 [accepted] PHST- 2021/02/03 06:00 [pubmed] PHST- 2021/05/29 06:00 [medline] PHST- 2021/02/02 20:12 [entrez] AID - S1567-5769(21)00041-2 [pii] AID - 10.1016/j.intimp.2021.107405 [doi] PST - ppublish SO - Int Immunopharmacol. 2021 Apr;93:107405. doi: 10.1016/j.intimp.2021.107405. Epub 2021 Jan 30.