中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

细胞因子在慢性乙型肝炎治疗中的研究进展

高子翔 沈忠良 刘晶 谢幼华

引用本文:
Citation:

细胞因子在慢性乙型肝炎治疗中的研究进展

DOI: 10.3969/j.issn.1001-5256.2022.08.002
基金项目: 

国家自然科学基金 (81971921)

利益冲突声明:所有作者均声明不存在利益冲突。
作者贡献声明:高子翔、沈忠良负责查找文献,分析资料,撰写文稿;谢幼华、刘晶负责确定写作思路,指导文章撰写及最终修改定稿。
详细信息
    通信作者:

    谢幼华, yhxie@fudan.edu.cn

    作者说明:高子翔和沈忠良对本文贡献等同,同为第一作者

Research advances in cytokines in the treatment of chronic hepatitis B

Research funding: 

National Natural Science Foundation of China (81971921)

More Information
  • 摘要: 目前,全球范围内仍有约2.5亿人慢性感染HBV,严重威胁人类的生命健康。慢性乙型肝炎(CHB)可进一步发展为肝纤维化、肝硬化和肝细胞癌等肝脏疾病,而现有的临床抗病毒治疗药物有限,治愈率很低,急需研发新型抗病毒药物。HBV具有强嗜肝性,自然情况下只感染人、黑猩猩等少数灵长类动物。免疫反应(固有免疫与适应性免疫)能否有效识别并清除或抑制HBV是导致病毒感染后不同结局的重要因素。其中,细胞因子发挥了重要的免疫调节作用。本文就一些关键细胞因子在CHB感染及治疗中的研究进展进行了总结与讨论。

     

  • [1] TIAN ZJ, SHEN Y, LI XR, et al. Increased interleukin-32, interleukin-1, and interferon-γ levels in serum from hepatitis B patients and in HBV-stimulated peripheral blood mononuclear cells from healthy volunteers[J]. J Infect Public Health, 2019, 12(1): 7-12. DOI: 10.1016/j.jiph.2018.06.006.
    [2] LEI Q, LI T, KONG L, et al. HBV-Pol is crucial for HBV-mediated inhibition of inflammasome activation and IL-1β production[J]. Liver Int, 2019, 39(12): 2273-2284. DOI: 10.1111/liv.14214.
    [3] WANG Y, CUI L, YANG G, et al. Hepatitis B e antigen inhibits NF-κB activity by interrupting K63-linked ubiquitination of NEMO[J]. J Virol, 2019, 93(2): e00667-18. DOI: 10.1128/JVI.00667-18.
    [4] DELPHIN M, FAURE-DUPUY S, ISORCE N, et al. Inhibitory effect of IL-1β on HBV and HDV replication and HBs antigen-dependent modulation of its secretion by macrophages[J]. Viruses, 2021, 14(1): 65. DOI: 10.3390/v14010065.
    [5] KIMURA K, KAKIMI K, WIELAND S, et al. Interleukin-18 inhibits hepatitis B virus replication in the livers of transgenic mice[J]. J Virol, 2002, 76(21): 10702-10707. DOI: 10.1128/jvi.76.21.10702-10707.2002.
    [6] ZHU M, ZHANG X. Effect of IL-18 on intrauterine infection of HBV in mice on cell molecular level[J]. Saudi J Biol Sci, 2020, 27(6): 1685-1690. DOI: 10.1016/j.sjbs.2020.04.028.
    [7] NAKANISHI K. Unique action of interleukin-18 on T cells and other immune cells[J]. Front Immunol, 2018, 9: 763. DOI: 10.3389/fimmu.2018.00763.
    [8] ZHAO PW, SHI X, LI C, et al. IL-33 enhances humoral immunity against chronic HBV infection through activating CD4(+)CXCR5(+) TFH cells[J]. J Interferon Cytokine Res, 2015, 35(6): 454-463. DOI: 10.1089/jir.2013.0122.
    [9] SHEN Z, YANG H, YANG S, et al. Hepatitis B virus persistence in mice reveals IL-21 and IL-33 as regulators of viral clearance[J]. Nat Commun, 2017, 8(1): 2119. DOI: 10.1038/s41467-017-02304-7.
    [10] GAO X, CHI X, WANG X, et al. IL-33 Inhibits hepatitis B virus through its receptor ST2 in hydrodynamic HBV mouse model[J]. Mediators Inflamm, 2020, 2020: 1403163. DOI: 10.1155/2020/1403163.
    [11] GONG Y, TINGXI Z, QING L, et al. Elevated production of IL-36α in chronic hepatitis B virus-infected patients correlates with viral load[J]. Microb Pathog, 2017, 113: 412-415. DOI: 10.1016/j.micpath.2017.11.023.
    [12] LI C, JI H, CAI Y, et al. Serum interleukin-37 concentrations and HBeAg seroconversion in chronic HBV patients during telbivudine treatment[J]. J Interferon Cytokine Res, 2013, 33(10): 612-618. DOI: 10.1089/jir.2013.0001.
    [13] DONG Y, LI X, ZHANG L, et al. CD4+ T cell exhaustion revealed by high PD-1 and LAG-3 expression and the loss of helper T cell function in chronic hepatitis B[J]. BMC Immunol, 2019, 20(1): 27. DOI: 10.1186/s12865-019-0309-9.
    [14] WANG D, FU B, SHEN X, et al. Restoration of HBV-specific CD8+ T-cell responses by sequential low-dose IL-2 treatment in non-responder patients after IFN-α therapy[J]. Signal Transduct Target Ther, 2021, 6(1): 376. DOI: 10.1038/s41392-021-00776-0.
    [15] TOMOVA R, ANTONOV K, IVANOVA A, et al. Low-dose IL-2 therapy reduces HCV RNA and HBV DNA: case report[J]. Anticancer Res, 2009, 29(12): 5241-5244.
    [16] JIANG Y, MA Z, XIN G, et al. Th1 and Th2 immune response in chronic hepatitis B patients during a long-term treatment with adefovir dipivoxil[J]. Mediators Inflamm, 2010, 2010: 143026. DOI: 10.1155/2010/143026.
    [17] YAO Y, LI J, LU Z, et al. Proteomic analysis of the interleukin-4(IL-4) response in hepatitis B virus-positive human hepatocelluar carcinoma cell line HepG2.2.15[J]. Electrophoresis, 2011, 32(15): 2004-2012. DOI: 10.1002/elps.201100147.
    [18] LU Y, WU Z, PENG Q, et al. Role of IL-4 gene polymorphisms in HBV-related hepatocellular carcinoma in a Chinese population[J]. PLoS One, 2014, 9(10): e110061. DOI: 10.1371/journal.pone.0110061.
    [19] YIN W, XU L, SUN R, et al. Interleukin-15 suppresses hepatitis B virus replication via IFN-β production in a C57BL/6 mouse model[J]. Liver Int, 2012, 32(8): 1306-1314. DOI: 10.1111/j.1478-3231.2012.02773.x.
    [20] DI SCALA M, OTANO I, GIL-FARIÑA I, et al. Complementary effects of interleukin-15 and alpha interferon induce immunity in hepatitis B virus transgenic mice[J]. J Virol, 2016, 90(19): 8563-8574. DOI: 10.1128/JVI.01030-16.
    [21] SHEN Z, WU J, GAO Z, et al. Characterization of IL-21-expressing recombinant hepatitis B virus (HBV) as a therapeutic agent targeting persisting HBV infection[J]. Theranostics, 2020, 10(12): 5600-5612. DOI: 10.7150/thno.44715.
    [22] TANG L, CHEN C, GAO X, et al. Interleukin 21 reinvigorates the antiviral activity of hepatitis B virus (HBV)-specific CD8+ T cells in chronic HBV infection[J]. J Infect Dis, 2019, 219(5): 750-759. DOI: 10.1093/infdis/jiy576.
    [23] PUBLICOVER J, GOODSELL A, NISHIMURA S, et al. IL-21 is pivotal in determining age-dependent effectiveness of immune responses in a mouse model of human hepatitis B[J]. J Clin Invest, 2011, 121(3): 1154-1162. DOI: 10.1172/JCI44198.
    [24] LIU B, GAO W, ZHANG L, et al. Th17/Treg imbalance and increased interleukin-21 are associated with liver injury in patients with chronic severe hepatitis B[J]. Int Immunopharmacol, 2017, 46: 48-55. DOI: 10.1016/j.intimp.2017.02.019.
    [25] ZHOU X, YANG F, YANG Y, et al. HBV facilitated hepatocellular carcinoma cells proliferation by up-regulating angiogenin expression through IL-6[J]. Cell Physiol Biochem, 2018, 46(2): 461-470. DOI: 10.1159/000488614.
    [26] PALUMBO GA, SCISCIANI C, PEDICONI N, et al. IL6 inhibits HBV transcription by targeting the epigenetic control of the nuclear cccDNA minichromosome[J]. PLoS One, 2015, 10(11): e0142599. DOI: 10.1371/journal.pone.0142599.
    [27] DADMANESH M, GHORBAN K, HASSANSHAHI G, et al. Current information concerning association of IL-12 and hepatitis B infection[J]. Clin Lab, 2014, 60(2): 185-191. DOI: 10.7754/clin.lab.2013.130201.
    [28] HE D, YAN G, WANG Y. Serum levels of interleukin-12 in various clinical states with hepatitis B virus infection[J]. Cell Immunol, 2012, 272(2): 162-165. DOI: 10.1016/j.cellimm.2011.10.016.
    [29] ZENG Z, KONG X, LI F, et al. IL-12-based vaccination therapy reverses liver-induced systemic tolerance in a mouse model of hepatitis B virus carrier[J]. J Immunol, 2013, 191(8): 4184-4193. DOI: 10.4049/jimmunol.1203449.
    [30] SCHURICH A, PALLETT LJ, LUBOWIECKI M, et al. The third signal cytokine IL-12 rescues the anti-viral function of exhausted HBV-specific CD8 T cells[J]. PLoS Pathog, 2013, 9(3): e1003208. DOI: 10.1371/journal.ppat.1003208.
    [31] CAO Y, ZHANG R, ZHANG W, et al. IL-27, a cytokine, and IFN-λ1, a type Ⅲ IFN, are coordinated to regulate virus replication through type Ⅰ IFN[J]. J Immunol, 2014, 192(2): 691-703. DOI: 10.4049/jimmunol.1300252.
    [32] TAN G, XIAO Q, SONG H, et al. Type Ⅰ IFN augments IL-27-dependent TRIM25 expression to inhibit HBV replication[J]. Cell Mol Immunol, 2018, 15(3): 272-281. DOI: 10.1038/cmi.2016.67.
    [33] KHANAM A, AYITHAN N, TANG L, et al. IL-21-deficient T follicular helper cells support B Cell responses through IL-27 in patients with chronic hepatitis B[J]. Front Immunol, 2020, 11: 599648. DOI: 10.3389/fimmu.2020.599648.
    [34] EJRNAES M, FILIPPI CM, MARTINIC MM, et al. Resolution of a chronic viral infection after interleukin-10 receptor blockade[J]. J Exp Med, 2006, 203(11): 2461-2472. DOI: 10.1084/jem.20061462.
    [35] PAQUISSI FC. Immunity and fibrogenesis: the role of Th17/IL-17 axis in HBV and HCV-induced chronic hepatitis and progression to cirrhosis[J]. Front Immunol, 2017, 8: 1195. DOI: 10.3389/fimmu.2017.01195.
    [36] WANG B, ZHAO XP, FAN YC, et al. IL-17A but not IL-22 suppresses the replication of hepatitis B virus mediated by over-expression of MxA and OAS mRNA in the HepG2.2.15 cell line[J]. Antiviral Res, 2013, 97(3): 285-292. DOI: 10.1016/j.antiviral.2012.12.018.
    [37] WANG X, DONG A, XIAO J, et al. Overcoming HBV immune tolerance to eliminate HBsAg-positive hepatocytes via pre-administration of GM-CSF as a novel adjuvant for a hepatitis B vaccine in HBV transgenic mice[J]. Cell Mol Immunol, 2016, 13(6): 850-861. DOI: 10.1038/cmi.2015.64.
    [38] LUCIFORA J, XIA Y, REISINGER F, et al. Specific and nonhepatotoxic degradation of nuclear hepatitis B virus cccDNA[J]. Science, 2014, 343(6176): 1221-1228. DOI: 10.1126/science.1243462.
    [39] CHEN J, LI Y, LAI F, et al. Functional comparison of interferon-α subtypes reveals potent hepatitis B virus suppression by a concerted action of interferon-α and interferon-γ signaling[J]. Hepatology, 2021, 73(2): 486-502. DOI: 10.1002/hep.31282.
    [40] WANG H, LUO H, WAN X, et al. TNF-α/IFN-γ profile of HBV-specific CD4 T cells is associated with liver damage and viral clearance in chronic HBV infection[J]. J Hepatol, 2020, 72(1): 45-56. DOI: 10.1016/j.jhep.2019.08.024.
    [41] XU F, SONG H, XIAO Q, et al. Type Ⅲ interferon-induced CBFβ inhibits HBV replication by hijacking HBx[J]. Cell Mol Immunol, 2019, 16(4): 357-366. DOI: 10.1038/s41423-018-0006-2.
    [42] QIAO Y, HAN X, GUAN G, et al. TGF-β triggers HBV cccDNA degradation through AID-dependent deamination[J]. FEBS Lett, 2016, 590(3): 419-427. DOI: 10.1002/1873-3468.12058.
    [43] YOSHIO S, MANO Y, DOIH, et al. Cytokine and chemokine signatures associated with hepatitis B surface antigen loss in hepatitis B patients[J]. JCI Insight, 2018, 3(20): e122268. DOI: 10.1172/jci.insight.122268.
    [44] LI Y, TANG L, GUO L, et al. CXCL13-mediated recruitment of intrahepatic CXCR5+CD8+ T cells favors viral control in chronic HBV infection[J]. J Hepatol, 2020, 72(3): 420-430. DOI: 10.1016/j.jhep.2019.09.031.
    [45] YAN Y, ZHAO W, LIU W, et al. CCL19 enhances CD8+ T-cell responses and accelerates HBV clearance[J]. J Gastroenterol, 2021, 56(8): 769-785. DOI: 10.1007/s00535-021-01799-8.
  • 加载中
计量
  • 文章访问数:  666
  • HTML全文浏览量:  155
  • PDF下载量:  144
  • 被引次数: 0
出版历程
  • 收稿日期:  2022-05-20
  • 录用日期:  2022-07-06
  • 出版日期:  2022-08-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回