Subpopulation composition of blood NK cells in patients with hepatitis C with genotype 1 or 3

Author:

Tsukanov V. V.1ORCID,Cherepnin M. A.1,Savchenko A. A.1ORCID,Vasyutin A. V.1ORCID,Kasparov E. V.1ORCID,Borisov A. G.1ORCID,Belenyuk V. D.1ORCID,Tonkikh Ju. L.1ORCID

Affiliation:

1. Scientific Research Institute of Medical Problems of the North

Abstract

Introduction. Recently, there  has been increased interest in the role of NK cells in viral hepatitis. An antifibrotic  effect of these cells has been  found, but the causes  of their dysfunction  leading  to the development of liver fibrosis remain unclear.Aim. To study the  subpopulation composition  of blood NK cells by flow cytometry, depending on the  severity of clinical and morphological manifestations of chronic viral hepatitis C (CVHC) with genotype  1 or 3.Materials  and methods.  Clinical, laboratory  examinations, determination of liver fibrosis by elastometry using  the  METAVIR scale and study of the subpopulation composition  of NK cells in the blood by flow cytometry (with definition  of markers CD3, CD16 and CD56) were carried out in 143 patients with CVHC, including 74 patients with genotype  1 and 69 individuals with genotype  3, and in 20 people  of the control group.Results.  In  patients with  both  CVHC  genotypes 1  and  3, a  significant  decrease in  the  total  content of  NK cells,  CD3-CD16+CD56bright and CD3-CD16+CD56dim subpopulations in the blood among  individuals  with liver fibrosis F3-F4 according  to METAVIR was registered in comparison  with patients with liver fibrosis F0-F1 according  to METAVIR. In patients with CVHC genotype  3, there  was a decrease in the  total  content of NK cells  and  a subpopulation of CD3-CD16+CD56dim in the  blood of individuals  with  a  high  viral  load  compared  to  patients with  a  low  viral  load. This relationship was  not  determined in patients with CVHC genotype  1.Conclusion. The obtained regularities emphasize the  significant  role  of NK cells  in the  pathogenesis of CVHC and  verify the idea of using NK cells activation  for immunotherapy of liver fibrosis in patients with CVHC.

Publisher

Remedium, Ltd.

Subject

General Medicine

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