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Identification of T cell epitopes on soluble liver antigen in Chinese patients with auto-immune hepatitis.

AbstractAIM:
To identify soluble liver antigen (SLA)-specific dominant epitopes and analyse the correlation between SLA-specific T cell response and the status of the disease.
METHODS:
A cross-sectional analysis of SLA-specific T cell responses to 54 overlapping peptides covering the entire SLA sequence was performed using an interferon (IFN)-γ ELISpot assay in 31 patients with auto-immune hepatitis (AIH)-1, 15 patients with primary biliary cirrhosis, 16 hepatitis B virus, seven hepatitis C virus infection and 10 healthy subjects, in order to assess the correlation between SLA-specific T cell responses and the clinical outcome.
RESULTS:
Soluble liver antigen-specific IFN-γ responses in AIH were significantly more frequent in AIH patients (58.1%) than those in controls (6.7% in PBC, P=0.001; 4.3% in hepatitis B/C, P<0.001 and 0% in healthy subjects, P=0.0015). Among 31 AIH patients, the frequency of recognition and the magnitude of response to SLA peptides in anti-SLA antibody-positive patients were higher and stronger than those negative for anti-SLA antibodies (P=0.02 and 0.037 respectively). We further analysed T-cell restriction and found that six individual SLA peptides (4, 9, 11, 12, 41 and 44) were recognized by CD4 T cells, and the most frequently recognized peptides were peptides 12 (61.1% of participants), followed by peptide 4 and peptide 44 (55.6 and 38.9% respectively). Moreover, a positive association was found between the breadth of recognition of SLA peptides and the indices of liver damage.
CONCLUSION:
T cell response to SLA in Chinese patients with AIH is broad and associated with hepatocyte damage.
AuthorsYan Zhao, Yonghong Zhang, Yan-min Liu, Yan Liu, Xia Feng, Hui-yu Liao, Diego Vergani, Yun Ma, Hui-ping Yan
JournalLiver international : official journal of the International Association for the Study of the Liver (Liver Int) Vol. 31 Issue 5 Pg. 721-9 (May 2011) ISSN: 1478-3231 [Electronic] United States
PMID21457445 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright© 2011 John Wiley & Sons A/S.
Chemical References
  • Autoantibodies
  • Autoantigens
  • Biomarkers
  • Epitopes, T-Lymphocyte
  • HLA-DR Antigens
  • HLA-DRB1 Chains
  • Immunodominant Epitopes
  • liver antigen LA-1
  • Interferon-gamma
  • Aspartate Aminotransferases
Topics
  • Adult
  • Aged
  • Asian People
  • Aspartate Aminotransferases (blood)
  • Autoantibodies (blood)
  • Autoantigens (immunology)
  • Biomarkers (blood)
  • CD4-Positive T-Lymphocytes (immunology)
  • Case-Control Studies
  • Cells, Cultured
  • Chi-Square Distribution
  • China
  • Cross-Sectional Studies
  • Enzyme-Linked Immunosorbent Assay
  • Epitope Mapping
  • Epitopes, T-Lymphocyte
  • Female
  • HLA-DR Antigens (immunology)
  • HLA-DRB1 Chains
  • Hepatitis, Autoimmune (enzymology, ethnology, immunology)
  • Humans
  • Immunodominant Epitopes
  • Interferon-gamma (metabolism)
  • Male
  • Middle Aged
  • Severity of Illness Index

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