Impact of soluble CD26 on treatment outcome and hepatitis C virus-specific T cells in chronic hepatitis C virus genotype 1 infection.

<h4>Background</h4>Interferon and ribavirin therapy for chronic hepatitis C virus (HCV) infection yields sustained virological response (SVR) rates of 50-80%. Several factors such as non-1 genotype, beneficial IL28B genetic variants, low baseline IP-10, and the functionality of HCV-speci...

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Autores principales: Jonas Söderholm, Jesper Waldenström, Galia Askarieh, Massimo Pilli, Pierre-Yves Bochud, Francesco Negro, Jean-Michel Pawlotsky, Stefan Zeuzem, Carlo Ferrari, Gunnar Norkrans, Rune Wejstål, Johan Westin, Avidan U Neumann, Bart L Haagmans, Magnus Lindh, Gabriele Missale, Kristoffer Hellstrand, Martin Lagging
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spelling oai:doaj.org-article:c0896e787ce34d95bdd38ea0428e8b402021-11-18T07:56:44ZImpact of soluble CD26 on treatment outcome and hepatitis C virus-specific T cells in chronic hepatitis C virus genotype 1 infection.1932-620310.1371/journal.pone.0056991https://doaj.org/article/c0896e787ce34d95bdd38ea0428e8b402013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23437290/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Interferon and ribavirin therapy for chronic hepatitis C virus (HCV) infection yields sustained virological response (SVR) rates of 50-80%. Several factors such as non-1 genotype, beneficial IL28B genetic variants, low baseline IP-10, and the functionality of HCV-specific T cells predict SVR. With the pending introduction of new therapies for HCV entailing very rapid clearance of plasma HCV RNA, the importance of baseline biomarkers likely will increase in order to tailor therapy. CD26 (DPPIV) truncates the chemokine IP-10 into a shorter antagonistic form, and this truncation of IP-10 has been suggested to influence treatment outcome in patients with chronic HCV infection patients. In addition, previous reports have shown CD26 to be a co-stimulator for T cells. The aim of the present study was to assess the utility of CD26 as a biomarker for treatment outcome in chronic hepatitis C and to define its association with HCV-specific T cells.<h4>Methods</h4>Baseline plasma from 153 genotype 1 and 58 genotype 2/3 infected patients enrolled in an international multicenter phase III trial (DITTO-HCV) and 36 genotype 1 infected patients participating in a Swedish trial (TTG1) were evaluated regarding baseline soluble CD26 (sCD26) and the functionality of HCV-specific CD8(+) T cells.<h4>Results</h4>Genotype 1 infected patients achieving SVR in the DITTO (P = 0.002) and the TTG1 (P = 0.02) studies had lower pretreatment sCD26 concentrations compared with non-SVR patients. Sixty-five percent of patients with sCD26 concentrations below 600 ng/mL achieved SVR compared with 39% of the patients with sCD26 exceeding 600 ng/mL (P = 0.01). Patients with sCD26 concentrations below 600 ng/mL had significantly higher frequencies of HCV-specific CD8(+) T cells (P = 0.02).<h4>Conclusions</h4>Low baseline systemic concentrations of sCD26 predict favorable treatment outcome in chronic HCV infection and may be associated with higher blood counts of HCV-specific CD8(+) T cells.Jonas SöderholmJesper WaldenströmGalia AskariehMassimo PilliPierre-Yves BochudFrancesco NegroJean-Michel PawlotskyStefan ZeuzemCarlo FerrariCarlo FerrariGunnar NorkransRune WejstålJohan WestinAvidan U NeumannBart L HaagmansMagnus LindhGabriele MissaleKristoffer HellstrandMartin LaggingPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 2, p e56991 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jonas Söderholm
Jesper Waldenström
Galia Askarieh
Massimo Pilli
Pierre-Yves Bochud
Francesco Negro
Jean-Michel Pawlotsky
Stefan Zeuzem
Carlo Ferrari
Carlo Ferrari
Gunnar Norkrans
Rune Wejstål
Johan Westin
Avidan U Neumann
Bart L Haagmans
Magnus Lindh
Gabriele Missale
Kristoffer Hellstrand
Martin Lagging
Impact of soluble CD26 on treatment outcome and hepatitis C virus-specific T cells in chronic hepatitis C virus genotype 1 infection.
description <h4>Background</h4>Interferon and ribavirin therapy for chronic hepatitis C virus (HCV) infection yields sustained virological response (SVR) rates of 50-80%. Several factors such as non-1 genotype, beneficial IL28B genetic variants, low baseline IP-10, and the functionality of HCV-specific T cells predict SVR. With the pending introduction of new therapies for HCV entailing very rapid clearance of plasma HCV RNA, the importance of baseline biomarkers likely will increase in order to tailor therapy. CD26 (DPPIV) truncates the chemokine IP-10 into a shorter antagonistic form, and this truncation of IP-10 has been suggested to influence treatment outcome in patients with chronic HCV infection patients. In addition, previous reports have shown CD26 to be a co-stimulator for T cells. The aim of the present study was to assess the utility of CD26 as a biomarker for treatment outcome in chronic hepatitis C and to define its association with HCV-specific T cells.<h4>Methods</h4>Baseline plasma from 153 genotype 1 and 58 genotype 2/3 infected patients enrolled in an international multicenter phase III trial (DITTO-HCV) and 36 genotype 1 infected patients participating in a Swedish trial (TTG1) were evaluated regarding baseline soluble CD26 (sCD26) and the functionality of HCV-specific CD8(+) T cells.<h4>Results</h4>Genotype 1 infected patients achieving SVR in the DITTO (P = 0.002) and the TTG1 (P = 0.02) studies had lower pretreatment sCD26 concentrations compared with non-SVR patients. Sixty-five percent of patients with sCD26 concentrations below 600 ng/mL achieved SVR compared with 39% of the patients with sCD26 exceeding 600 ng/mL (P = 0.01). Patients with sCD26 concentrations below 600 ng/mL had significantly higher frequencies of HCV-specific CD8(+) T cells (P = 0.02).<h4>Conclusions</h4>Low baseline systemic concentrations of sCD26 predict favorable treatment outcome in chronic HCV infection and may be associated with higher blood counts of HCV-specific CD8(+) T cells.
format article
author Jonas Söderholm
Jesper Waldenström
Galia Askarieh
Massimo Pilli
Pierre-Yves Bochud
Francesco Negro
Jean-Michel Pawlotsky
Stefan Zeuzem
Carlo Ferrari
Carlo Ferrari
Gunnar Norkrans
Rune Wejstål
Johan Westin
Avidan U Neumann
Bart L Haagmans
Magnus Lindh
Gabriele Missale
Kristoffer Hellstrand
Martin Lagging
author_facet Jonas Söderholm
Jesper Waldenström
Galia Askarieh
Massimo Pilli
Pierre-Yves Bochud
Francesco Negro
Jean-Michel Pawlotsky
Stefan Zeuzem
Carlo Ferrari
Carlo Ferrari
Gunnar Norkrans
Rune Wejstål
Johan Westin
Avidan U Neumann
Bart L Haagmans
Magnus Lindh
Gabriele Missale
Kristoffer Hellstrand
Martin Lagging
author_sort Jonas Söderholm
title Impact of soluble CD26 on treatment outcome and hepatitis C virus-specific T cells in chronic hepatitis C virus genotype 1 infection.
title_short Impact of soluble CD26 on treatment outcome and hepatitis C virus-specific T cells in chronic hepatitis C virus genotype 1 infection.
title_full Impact of soluble CD26 on treatment outcome and hepatitis C virus-specific T cells in chronic hepatitis C virus genotype 1 infection.
title_fullStr Impact of soluble CD26 on treatment outcome and hepatitis C virus-specific T cells in chronic hepatitis C virus genotype 1 infection.
title_full_unstemmed Impact of soluble CD26 on treatment outcome and hepatitis C virus-specific T cells in chronic hepatitis C virus genotype 1 infection.
title_sort impact of soluble cd26 on treatment outcome and hepatitis c virus-specific t cells in chronic hepatitis c virus genotype 1 infection.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/c0896e787ce34d95bdd38ea0428e8b40
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