免疫系统在慢性乙型肝炎疾病进展中的价值
The Value of Immune System in the Progression of Chronic Hepatitis B
DOI: 10.12677/ACM.2021.1111796, PDF,   
作者: 武甜甜:青海大学,青海 西宁;张 翔*:青海大学附属医院检验科,青海 西宁
关键词: 乙型肝炎发病机制CD8+T细胞CD4+T细胞Hepatitis B Pathogenesis CD8+T Cells CD4+T Cells
摘要: 乙型病毒性肝炎的发展与免疫系统密切相关,患者确诊慢性乙型病毒性肝炎(CHB)后,体内乙型肝炎病毒(HBV)与多种免疫细胞及免疫因子相互作用,继而影响机体的免疫状态及治疗效果,这个过程可持续数十年,最终对患者造成不同的临床结局。其中CD4+T细胞及CD8+T细胞对HBV感染者免疫状态的影响已被众多研究者认可,但临床医师依然忽略了它的检测价值,因此详述其在CHB病程中的变化及作用对推广其在临床上的应用是尤为重要的。
Abstract: The development of viral hepatitis B is closely related to the immune system. After patients are diagnosed with chronic viral hepatitis B, HBV interacts with a variety of immune cells and immune factors, and then affects the immune state and treatment effect of the body. This process can last for decades, and finally leads to different clinical outcomes for patients. The effects of CD4+T cells and CD8+T cells on the immune status of HBV infected persons have been recognized by many researchers, but clinicians still ignore its detection value. Therefore, it is particularly important to detail the changes and effects in the course of CHB disease to promote its clinical application.
文章引用:武甜甜, 张翔. 免疫系统在慢性乙型肝炎疾病进展中的价值[J]. 临床医学进展, 2021, 11(11): 5386-5390. https://doi.org/10.12677/ACM.2021.1111796

参考文献

[1] Janahi, E.M., Ilyas, Z., Al-Othman, S., Darwish, A, Sanad, S.J., Almusaifer, B., et al. (2019) Hepatitis B Virus Genotypes in the Kingdom of Bahrain: Prevalence, Gender Distribution and Impact on Hepatic Biomarkers. Medicina, 55, Article No. 622.
[Google Scholar] [CrossRef] [PubMed]
[2] Chen, Y. and Tian, Z. (2019) HBV-Induced Immune Imbalance in the Development of HCC. Frontiers in Immunology, 10, Article No. 2048.
[Google Scholar] [CrossRef] [PubMed]
[3] Cho, H.-J. and Cheong, J.-Y. (2021) Role of Immune Cells in Patients with Hepatitis B Virus-Related Hepatocellular Carcinoma. International Journal of Molecular Sciences, 22, Article No. 8011.
[Google Scholar] [CrossRef] [PubMed]
[4] 谢容根, 张丽华, 毕玉珍. 慢性乙型肝炎患者在不同肝功能情况下外周血中的T淋巴细胞亚群、补体C3、补体C4及HBV-DNA的比较[J]. 国际检验医学杂志,2017, 38(14): 1882-1884.
[5] Zhang, L., Hao, C.Q., Miao, L. and Dou, X.G. (2014) Role of Th1/Th2 Cytokines in Serum on the Pathogenesis of Chronic Hepatitis C and the Outcome of Interferon Therapy. Genetics and Molecular Research, 13, 9747-9755.
[Google Scholar] [CrossRef
[6] 侯丽, 赖辉, 何兴, 等. 慢性乙型肝炎不同临床分型患者IL-12水平及Th1/Th2细胞平衡的相关性研究[J]. 中华医院感染学杂志, 2020, 30(9): 1311-1314.
[7] 强占荣, 易彩霞, 刘颖, 等. 慢性HBV感染者外周血淋巴细胞亚群及血清IgG和补体检测的临床意义[J]. 内科, 2016, 11(1): 1-3.
[8] 何丽杰, 王静, 笪宇蓉. 维生素D对慢性乙型肝炎患者免疫功能及抗病毒疗效的影响[J]. 中国免疫学杂志, 2016, 32(5): 729-733.
[9] Boeijen, L.L., Hoogeveen, R.C., Boonstra, A. and Lauer, G.M. (2017) Hepatitis B Virus Infection and the Immune Response: The Big Questions. Best Practice & Research Clinical Gastroenterology, 31, 265-272.
[Google Scholar] [CrossRef] [PubMed]
[10] Iannacone, M. and Guidotti, L.G. (2021) Immunobiology and Pathogenesis of Hepatitis B Virus Infection. Nature Reviews Immunology.
[Google Scholar] [CrossRef] [PubMed]
[11] Baudi, I., Kawashima, K. and Isogawa, M. (2021) HBV-Specific CD8+ T-Cell Tolerance in the Liver. Frontiers in Immunology, 12, Article No. 721975.
[Google Scholar] [CrossRef] [PubMed]
[12] Fioravanti, J., Di Lucia, P., Magini, D., Moalli, F., Boni, C., Benechet, A.P., et al. (2017) Effector CD8+T Cell-Derived Interleukin-10 Enhances Acute Liver Immunopathology. Journal of Hepatology, 67, 543-548.
[Google Scholar] [CrossRef] [PubMed]
[13] Buschow, S.I. and Jansen, D.T.S.L. (2021) CD4+T Cells in Chronic Hepatitis B and T Cell-Directed Immunotherapy. Cells, 10, Article No. 1114.
[Google Scholar] [CrossRef] [PubMed]
[14] Hoogeveen, R.C., Robidoux, M.P., Schwarz, T., Heydmann, L., Cheney, J.A., Kvistad, D., et al. (2018) Phenotype and Function of HBV-Specific T Cells Is Determined by the Targeted Epitope in Addition to the Stage of Infection. Gut, 68, 893-904.
[Google Scholar] [CrossRef] [PubMed]
[15] Zheng, J., Ou, Z., Xu, Y., Xia, Z., Lin, X., Jin, S., et al. (2019) Hepatitis B Virus-Specific Effector CD8+T Cells Are an Important Determinant of Disease Prognosis: A Meta-Analysis. Vaccine, 37, 2439-2446.
[Google Scholar] [CrossRef] [PubMed]
[16] Benechet, A.P. and Iannacone, M. (2017) Determinants of Hepatic Effector CD8+T Cell Dynamics. Journal of Hepatology, 66, 228-233.
[Google Scholar] [CrossRef] [PubMed]
[17] Kosinska, A.D., Pishraft-Sabet, L., Wu, W., Fang, Z., Lenart, M., Chen, J., et al. (2017) Low Hepatitis B Virus-Specific T-Cell Response in Males Correlates with High Regulatory T-Cell Numbers in Murine Models. Hepatology, 66, 69-83.
[Google Scholar] [CrossRef] [PubMed]
[18] Wisskirchen, K., Metzger, K., Schreiber, S., Asen, T., Weigand, L., Dargel, C., et al. (2017) Isolation and Functional Characterization of Hepatitis B Virus-Specific T-Cell Receptors as New Tools for Experimental and Clinical Use. PLoS ONE, 12, Article ID: e0182936.
[Google Scholar] [CrossRef] [PubMed]
[19] Trandem, K., Zhao, J., Fleming, E. and Perlman, S. (2011) Highly Activated Cytotoxic CD8 T Cells Express Protective IL-10 at the Peak of Coronavirus-Induced Encephalitis. Journal of Immunology, 186, 3642-3652.
[Google Scholar] [CrossRef] [PubMed]
[20] Dinney, C.M., Zhao, L.D., Conrad, C.D., Duker, J.M., Karas, R.O., Hu, Z., et al. (2015) Regulation of HBV-Specific CD8+ T Cell-Mediated Inflammation Is Diversified in Different Clinical Presentations of HBV Infection. Journal of Microbiology, 53, 718-724.
[Google Scholar] [CrossRef] [PubMed]
[21] Borst, J., Ahrends, T., Bąbała, N., Melief, C. and Kastenmüller, W. (2018) CD4+ T Cell Help in Cancer Immunology and Immunotherapy. Nature Reviews Immunology, 18, 635-647.
[Google Scholar] [CrossRef] [PubMed]
[22] Wu, T., Li, F., Chen, Y., Wei, H., Tian, Z., Sun, C., et al. (2019) CD4+ T Cells Play a Critical Role in Microbiota-Maintained Anti-HBV Immunity in a Mouse Model. Frontiers in Immunology, 10, Article No. 927.
[Google Scholar] [CrossRef] [PubMed]
[23] Meiting, H., Yunfei, G., Xueru, Y., Zhang, X., Hao, Y., Hu, J., et al. (2021) Characterization of T Cell Immunity in Chronic Hepatitis B Virus-Infected Mothers with Postpartum Alanine Transaminase Flare. BMC Infectious Diseases, 21, Article No. 922.
[Google Scholar] [CrossRef] [PubMed]
[24] 刘亚莉, 赵康路, 张玉. HBV感染患者外周血T淋巴细胞亚群水平及其与HBV-DNA载量的相关性研究[J].中外医学研究, 2020, 18(27): 10-12.