IFN-α-2b sensitizes non-responders of hepatitis B to interleukin-2
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摘要
Background: More than 60% of patients infected with hepatitis B virus(HBV) experience a diminished HBV virologic response to standard pegylated(peg) IFN-α-2b based therapies and are regarded as non-response(NR) patients. Methods: Here we explored a novel strategy of anti-HBV therapy in the 6-32 week interval after standard peg-IFN-α-2b therapy. Peripheral blood mononuclear cells(PBMC) from these NR patients progressed to sequential low dose of interleukin(IL)-2 stimulation. Results: We demonstrated that peg-IFN-α-2b could prime the immune system of non-responders to IL-2. The expansion in proliferating, activatory receptors and functional NK and T cells was more pronounced following sequential IL-2 than treated with peg-IFN-α-2b only. Meanwhile, the treatment of peg-IFN-α-2b down-regulated the expression of high-affinity heterotrimeric IL-2Rαβγ on CD8~+T cells and the phosphorylation of STAT5, so that the transcription of Foxp3 and the proportion of regulatory T(Treg) cells would not increase due to subsequent stimulation of IL-2. However, for the patients completed peg-IFN-α-2b therapy more than 1 year, the peg-IFN-α-2b priming seemed invalid. And the expression of inhibitory molecule Tim-3 on NK cells significantly increased after the sequential stimulation of IL-2. Conclusion: Thus, our findings may be applied to design effective and promising strategies for restoring anti-HBV immunity of NR patients in no more than 1 year after the end of standard peg-IFN-α-2b therapy, and to identify a novel therapeutic window for hepatitis B patients.
Background: More than 60% of patients infected with hepatitis B virus(HBV) experience a diminished HBV virologic response to standard pegylated(peg) IFN-α-2b based therapies and are regarded as non-response(NR) patients. Methods: Here we explored a novel strategy of anti-HBV therapy in the 6-32 week interval after standard peg-IFN-α-2b therapy. Peripheral blood mononuclear cells(PBMC) from these NR patients progressed to sequential low dose of interleukin(IL)-2 stimulation. Results: We demonstrated that peg-IFN-α-2b could prime the immune system of non-responders to IL-2. The expansion in proliferating, activatory receptors and functional NK and T cells was more pronounced following sequential IL-2 than treated with peg-IFN-α-2b only. Meanwhile, the treatment of peg-IFN-α-2b down-regulated the expression of high-affinity heterotrimeric IL-2Rαβγ on CD4+T cells and the phosphorylation of STAT5, so that the transcription of Foxp3 and the proportion of regulatory T(Treg) cells would not increase due to subsequent stimulation of IL-2. However, for the patients completed peg-IFN-α-2b therapy more than 1 year, the peg-IFN-α-2b priming seemed invalid. And the expression of inhibitory molecule Tim-3 on NK cells significantly increased after the sequential stimulation of IL-2. Conclusion: Thus, our findings may be applied to design effective and promising strategies for restoring anti-HBV immunity of NR patients in no more than 1 year after the end of standard peg-IFN-α-2b therapy, and to identify a novel therapeutic window for hepatitis B patients.
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