Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Review
  • Published:

Impact of the genetic restriction of virus-specific T-cell responses in hepatitis C virus infection

Abstract

The immunobiology of hepatitis C virus (HCV) is significantly influenced by the host immune response to the virus, especially by virus-specific T-cell responses. Virus-specific T cells are restricted by human leucocyte antigen class I and II molecules. Of note, associations between these polymorphic loci and outcome and course of HCV infection have been reported in large and well-documented cohorts. This review will briefly summarize these studies and focus especially on the immunological and virological basis for the reported associations. The outcome and course of HCV infection is most likely determined by a complex interplay of genetic, immunological and virological factors. A better understanding of these host–virus interactions is essential not only to gain better insights into the mechanisms of viral clearance and persistence but also for the development of new antiviral vaccine strategies.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4

Similar content being viewed by others

References

  1. Penin F, Dubuisson J, Rey FA, Moradpour D, Pawlotsky JM . Structural biology of hepatitis C virus. Hepatology 2004; 39: 5–19.

    CAS  PubMed  Google Scholar 

  2. Lindenbach BD, Rice CM . Unravelling hepatitis C virus replication from genome to function. Nature 2005; 436: 933–938.

    CAS  PubMed  Google Scholar 

  3. Shepard CW, Finelli L, Alter MJ . Global epidemiology of hepatitis C virus infection. Lancet Infect Dis 2005; 5: 558–567.

    PubMed  Google Scholar 

  4. Bukh J . A critical role for the chimpanzee model in the study of hepatitis C. Hepatology 2004; 39: 1469–1475.

    CAS  PubMed  Google Scholar 

  5. Gerlach JT, Diepolder HM, Jung MC, Gruener NH, Schraut WW, Zachoval R et al. Recurrence of hepatitis C virus after loss of virus-specific CD4(+) T-cell response in acute hepatitis C. Gastroenterology 1999; 117: 933–941.

    CAS  PubMed  Google Scholar 

  6. Afdhal NH . The natural history of hepatitis C. Semin Liver Dis 2004; 24 (Suppl 2): 3–8.

    PubMed  Google Scholar 

  7. Dustin LB, Rice CM . Flying under the radar: The immunobiology of hepatitis C. Annu Rev Immunol 2007; 25: 71–99.

    CAS  PubMed  Google Scholar 

  8. Parkin J, Cohen B . An overview of the immune system. Lancet 2001; 357: 1777–1789.

    CAS  PubMed  Google Scholar 

  9. Diepolder HM, Zachoval R, Hoffmann RM, Wierenga EA, Santantonio T, Jung MC et al. Possible mechanism involving T-lymphocyte response to non-structural protein 3 in viral clearance in acute hepatitis C virus infection. Lancet 1995; 346: 1006–1007.

    CAS  PubMed  Google Scholar 

  10. Missale G, Bertoni R, Lamonaca V, Valli A, Massari M, Mori C et al. Different clinical behaviors of acute hepatitis C virus infection are associated with different vigor of the anti-viral cell-mediated immune response. J Clin Invest 1996; 98: 706–714.

    CAS  PubMed  PubMed Central  Google Scholar 

  11. Gruener NH, Gerlach TJ, Jung MC, Diepolder HM, Schirren CA, Schraut WW et al. Association of hepatitis C virus-specific CD8+ T cells with viral clearance in acute hepatitis C. J Infect Dis 2000; 181: 1528–1536.

    Google Scholar 

  12. Lechner F, Wong DK, Dunbar PR, Chapman R, Chung RT, Dohrenwend P et al. Analysis of successful immune responses in persons infected with hepatitis C virus. J Exp Med 2000; 191: 1499–1512.

    CAS  PubMed  PubMed Central  Google Scholar 

  13. Thimme R, Bukh J, Spangenberg HC, Wieland S, Pemberton J, Steiger C et al. Viral and immunological determinants of hepatitis C virus clearance, persistence, and disease. Proc Natl Acad Sci USA 2002; 99: 15661–15668.

    CAS  PubMed  PubMed Central  Google Scholar 

  14. Cooper S, Erickson AL, Adams EJ, Kansopon J, Weiner AJ, Chien DY et al. Analysis of a successful immune response against hepatitis C virus. Immunity 1999; 10: 439–449.

    CAS  PubMed  Google Scholar 

  15. Thimme R, Oldach D, Chang KM, Steiger C, Ray SC, Chisari FV . Determinants of viral clearance and persistence during acute hepatitis C virus infection. J Exp Med 2001; 194: 1395–1406.

    CAS  PubMed  PubMed Central  Google Scholar 

  16. Cox AL, Mosbruger T, Lauer GM, Pardoll D, Thomas DL, Ray SC . Comprehensive analyses of CD8+ T cell responses during longitudinal study of acute human hepatitis C. Hepatology 2005; 42: 104–112.

    PubMed  Google Scholar 

  17. Shoukry NH, Grakoui A, Houghton M, Chien DY, Ghrayeb J, Reimann KA et al. Memory CD8+ T cells are required for protection from persistent hepatitis C virus infection. J Exp Med 2003; 197: 1645–1655.

    CAS  PubMed  PubMed Central  Google Scholar 

  18. Grakoui A, Shoukry NH, Woollard DJ, Han JH, Hanson HL, Ghrayeb J et al. HCV persistence and immune evasion in the absence of memory T cell help. Science 2003; 302: 659–662.

    CAS  PubMed  Google Scholar 

  19. Bowen DG, Walker CM . Adaptive immune responses in acute and chronic hepatitis C virus infection. Nature 2005; 436: 946–952.

    CAS  PubMed  Google Scholar 

  20. Neumann-Haefelin C, Blum HE, Chisari FV, Thimme R . T cell response in hepatitis C virus infection. J Clin Virol 2005; 32: 75–85.

    CAS  PubMed  Google Scholar 

  21. Thimme R, Lohmann V, Weber F . A target on the move: innate and adaptive immune escape strategies of hepatitis C virus. Antivir Res 2006; 69: 129–141.

    CAS  PubMed  Google Scholar 

  22. Bowen DG, Walker CM . Mutational escape from CD8+ T cell immunity: HCV evolution, from chimpanzees to man. J Exp Med 2005; 201: 1709–1714.

    CAS  PubMed  PubMed Central  Google Scholar 

  23. Boettler T, Spangenberg HC, Neumann-Haefelin C, Panther E, Urbani S, Ferrari C et al. T cells with a CD4+CD25+ regulatory phenotype suppress in vitro proliferation of virus-specific CD8+ T cells during chronic hepatitis C virus infection. J Virol 2005; 79: 7860–7867.

    CAS  PubMed  PubMed Central  Google Scholar 

  24. Accapezzato D, Francavilla V, Paroli M, Casciaro M, Chircu LV, Cividini A et al. Hepatic expansion of a virus-specific regulatory CD8(+) T cell population in chronic hepatitis C virus infection. J Clin Invest 2004; 113: 963–972.

    CAS  PubMed  PubMed Central  Google Scholar 

  25. Sugimoto K, Ikeda F, Stadanlick J, Nunes FA, Alter HJ, Chang KM . Suppression of HCV-specific T cells without differential hierarchy demonstrated ex vivo in persistent HCV infection. Hepatology 2003; 38: 1437–1448.

    PubMed  Google Scholar 

  26. Cabrera R, Tu Z, Xu Y, Firpi RJ, Rosen HR, Liu C et al. An immunomodulatory role for CD4(+)CD25(+) regulatory T lymphocytes in hepatitis C virus infection. Hepatology 2004; 40: 1062–1071.

    CAS  PubMed  Google Scholar 

  27. Rushbrook SM, Ward SM, Unitt E, Vowler SL, Lucas M, Klenerman P et al. Regulatory T cells suppress in vitro proliferation of virus-specific CD8+ T cells during persistent hepatitis C virus infection. J Virol 2005; 79: 7852–7859.

    CAS  PubMed  PubMed Central  Google Scholar 

  28. Erickson AL, Kimura Y, Igarashi S, Eichelberger J, Houghton M, Sidney J et al. The outcome of hepatitis C virus infection is predicted by escape mutations in epitopes targeted by cytotoxic T lymphocytes. Immunity 2001; 15: 885–895.

    Google Scholar 

  29. Fanning LJ, Levis J, Kenny-Walsh E, Wynne F, Whelton M, Shanahan F . Viral clearance in hepatitis C (1b) infection: relationship with human leukocyte antigen class II in a homogeneous population. Hepatology 2000; 31: 1334–1337.

    CAS  PubMed  Google Scholar 

  30. Barrett S, Goh J, Coughlan B, Ryan E, Stewart S, Cockram A et al. The natural course of hepatitis C virus infection after 22 years in a unique homogenous cohort: spontaneous viral clearance and chronic HCV infection. Gut 2001; 49: 423–430.

    CAS  PubMed  PubMed Central  Google Scholar 

  31. Barrett S, Ryan E, Crowe J . Association of the HLA-DRB1*01 allele with spontaneous viral clearance in an Irish cohort infected with hepatitis C virus via contaminated anti-D immunoglobulin. J Hepatol 1999; 30: 979–983.

    CAS  PubMed  Google Scholar 

  32. McKiernan SM, Hagan R, Curry M, McDonald GS, Kelly A, Nolan N et al. Distinct MHC class I and II alleles are associated with hepatitis C viral clearance, originating from a single source. Hepatology 2004; 40: 108–114.

    CAS  PubMed  Google Scholar 

  33. McKiernan SM, Hagan R, Curry M, McDonald GS, Nolan N, Crowley J et al. The MHC is a major determinant of viral status, but not fibrotic stage, in individuals infected with hepatitis C. Gastroenterology 2000; 118: 1124–1130.

    CAS  PubMed  Google Scholar 

  34. Lever AM, Jeang KT . Replication of human immunodeficiency virus type 1 from entry to exit. Int J Hematol 2006; 84: 23–30.

    CAS  PubMed  Google Scholar 

  35. Simon V, Ho DD, Abdool Karim Q . HIV/AIDS epidemiology, pathogenesis, prevention, and treatment. Lancet 2006; 368: 489–504.

    PubMed  PubMed Central  Google Scholar 

  36. Letvin NL, Walker BD . Immunopathogenesis and immunotherapy in AIDS virus infections. Nat Med 2003; 9: 861–866.

    CAS  PubMed  Google Scholar 

  37. Lichterfeld M, Yu XG, Le Gall S, Altfeld M . Immunodominance of HIV-1-specific CD8(+) T-cell responses in acute HIV-1 infection: at the crossroads of viral and host genetics. Trends Immunol 2005; 26: 166–171.

    CAS  PubMed  Google Scholar 

  38. McMichael AJ, Rowland-Jones SL . Cellular immune responses to HIV. Nature 2001; 410: 980–987.

    CAS  PubMed  Google Scholar 

  39. Koup RA, Safrit JT, Cao Y, Andrews CA, McLeod G, Borkowsky W et al. Temporal association of cellular immune responses with the initial control of viremia in primary human immunodeficiency virus type 1 syndrome. J Virol 1994; 68: 4650–4655.

    CAS  PubMed  PubMed Central  Google Scholar 

  40. Jin X, Bauer DE, Tuttleton SE, Lewin S, Gettie A, Blanchard J et al. Dramatic rise in plasma viremia after CD8(+) T cell depletion in simian immunodeficiency virus-infected macaques. J Exp Med 1999; 189: 991–998.

    CAS  PubMed  PubMed Central  Google Scholar 

  41. Matano T, Shibata R, Siemon C, Connors M, Lane HC, Martin MA . Administration of an anti-CD8 monoclonal antibody interferes with the clearance of chimeric simian/human immunodeficiency virus during primary infections of rhesus macaques. J Virol 1998; 72: 164–169.

    CAS  PubMed  PubMed Central  Google Scholar 

  42. Schmitz JE, Kuroda MJ, Santra S, Sasseville VG, Simon MA, Lifton MA et al. Control of viremia in simian immunodeficiency virus infection by CD8+ lymphocytes. Science 1999; 283: 857–860.

    CAS  PubMed  Google Scholar 

  43. Altfeld M, Kalife ET, Qi Y, Streeck H, Lichterfeld M, Johnston MN et al. HLA alleles associated with delayed progression to AIDS contribute strongly to the initial CD8(+) T Cell response against HIV-1. PLoS Med 2006; 3: e403.

    PubMed  PubMed Central  Google Scholar 

  44. Yu XG, Addo MM, Rosenberg ES, Rodriguez WR, Lee PK, Fitzpatrick CA et al. Consistent patterns in the development and immunodominance of human immunodeficiency virus type 1 (HIV-1)-specific CD8+ T-cell responses following acute HIV-1 infection. J Virol 2002; 76: 8690–8701.

    CAS  PubMed  PubMed Central  Google Scholar 

  45. Draenert R, Allen TM, Liu Y, Wrin T, Chappey C, Verrill CL et al. Constraints on HIV-1 evolution and immunodominance revealed in monozygotic adult twins infected with the same virus. J Exp Med 2006; 203: 529–539.

    CAS  PubMed  PubMed Central  Google Scholar 

  46. Carrington M, O'Brien SJ . The influence of HLA genotype on AIDS. Annu Rev Med 2003; 54: 535–551.

    CAS  PubMed  Google Scholar 

  47. Stephens HA . HIV-1 diversity versus HLA class I polymorphism. Trends Immunol 2005; 26: 41–47.

    CAS  PubMed  Google Scholar 

  48. Kiepiela P, Leslie AJ, Honeyborne I, Ramduth D, Thobakgale C, Chetty S et al. Dominant influence of HLA-B in mediating the potential co-evolution of HIV and HLA. Nature 2004; 432: 769–775.

    CAS  PubMed  Google Scholar 

  49. Bihl F, Frahm N, Di Giammarino L, Sidney J, John M, Yusim K et al. Impact of HLA-B alleles, epitope binding affinity, functional avidity, and viral coinfection on the immunodominance of virus-specific CTL responses. J Immunol 2006; 176: 4094–4101.

    CAS  PubMed  Google Scholar 

  50. Nixon DF, Townsend AR, Elvin JG, Rizza CR, Gallwey J, McMichael AJ . HIV-1 gag-specific cytotoxic T lymphocytes defined with recombinant vaccinia virus and synthetic peptides. Nature 1988; 336: 484–487.

    CAS  PubMed  Google Scholar 

  51. Goulder PJ, Phillips RE, Colbert RA, McAdam S, Ogg G, Nowak MA et al. Late escape from an immunodominant cytotoxic T-lymphocyte response associated with progression to AIDS. Nat Med 1997; 3: 212–217.

    CAS  PubMed  Google Scholar 

  52. Kelleher AD, Long C, Holmes EC, Allen RL, Wilson J, Conlon C et al. Clustered mutations in HIV-1 gag are consistently required for escape from HLA-B27-restricted cytotoxic T lymphocyte responses. J Exp Med 2001; 193: 375–386.

    CAS  PubMed  PubMed Central  Google Scholar 

  53. Goulder PJ, Brander C, Tang Y, Tremblay C, Colbert RA, Addo MM et al. Evolution and transmission of stable CTL escape mutations in HIV infection. Nature 2001; 412: 334–338.

    CAS  PubMed  Google Scholar 

  54. Allen RL, O'Callaghan CA, McMichael AJ, Bowness P . Cutting edge: HLA-B27 can form a novel beta 2-microglobulin-free heavy chain homodimer structure. J Immunol 1999; 162: 5045–5048.

    CAS  PubMed  Google Scholar 

  55. Allen RL, Raine T, Haude A, Trowsdale J, Wilson MJ . Leukocyte receptor complex-encoded immunomodulatory receptors show differing specificity for alternative HLA-B27 structures. J Immunol 2001; 167: 5543–5547.

    CAS  PubMed  Google Scholar 

  56. Roddis M, Carter RW, Sun MY, Weissensteiner T, McMichael AJ, Bowness P et al. Fully functional HLA B27-restricted CD4+ as well as CD8+ T cell responses in TCR transgenic mice. J Immunol 2004; 172: 155–161.

    CAS  PubMed  Google Scholar 

  57. Klein MR, van der Burg SH, Hovenkamp E, Holwerda AM, Drijfhout JW, Melief CJ et al. Characterization of HLA-B57-restricted human immunodeficiency virus type 1 Gag- and RT-specific cytotoxic T lymphocyte responses. J Gen Virol 1998; 79 (Part 9): 2191–2201.

    CAS  PubMed  Google Scholar 

  58. Goulder PJ, Bunce M, Krausa P, McIntyre K, Crowley S, Morgan B et al. Novel, cross-restricted, conserved, and immunodominant cytotoxic T lymphocyte epitopes in slow progressors in HIV type 1 infection. AIDS Res Hum Retroviruses 1996; 12: 1691–1698.

    CAS  PubMed  Google Scholar 

  59. Leslie AJ, Pfafferott KJ, Chetty P, Draenert R, Addo MM, Feeney M et al. HIV evolution: CTL escape mutation and reversion after transmission. Nat Med 2004; 10: 282–289.

    CAS  PubMed  Google Scholar 

  60. Draenert R, Le Gall S, Pfafferott KJ, Leslie AJ, Chetty P, Brander C et al. Immune selection for altered antigen processing leads to cytotoxic T lymphocyte escape in chronic HIV-1 infection. J Exp Med 2004; 199: 905–915.

    CAS  PubMed  PubMed Central  Google Scholar 

  61. Martinez-Picado J, Prado JG, Fry EE, Pfafferott K, Leslie A, Chetty S et al. Fitness cost of escape mutations in p24 Gag in association with control of human immunodeficiency virus type 1. J Virol 2006; 80: 3617–3623.

    CAS  PubMed  PubMed Central  Google Scholar 

  62. Gillespie GM, Kaul R, Dong T, Yang HB, Rostron T, Bwayo JJ et al. Cross-reactive cytotoxic T lymphocytes against a HIV-1 p24 epitope in slow progressors with B*57. AIDS 2002; 16: 961–972.

    CAS  PubMed  Google Scholar 

  63. Migueles SA, Laborico AC, Imamichi H, Shupert WL, Royce C, McLaughlin M et al. The differential ability of HLA B*5701+ long-term nonprogressors and progressors to restrict human immunodeficiency virus replication is not caused by loss of recognition of autologous viral gag sequences. J Virol 2003; 77: 6889–6898.

    CAS  PubMed  PubMed Central  Google Scholar 

  64. Bailey JR, Williams TM, Siliciano RF, Blankson JN . Maintenance of viral suppression in HIV-1-infected HLA-B*57+ elite suppressors despite CTL escape mutations. J Exp Med 2006; 203: 1357–1369.

    CAS  PubMed  PubMed Central  Google Scholar 

  65. Migueles SA, Sabbaghian MS, Shupert WL, Bettinotti MP, Marincola FM, Martino L et al. HLA B*5701 is highly associated with restriction of virus replication in a subgroup of HIV-infected long term nonprogressors. Proc Natl Acad Sci USA 2000; 97: 2709–2714.

    CAS  PubMed  PubMed Central  Google Scholar 

  66. Scherer A, Frater J, Oxenius A, Agudelo J, Price DA, Gunthard HF et al. Quantifiable cytotoxic T lymphocyte responses and HLA-related risk of progression to AIDS. Proc Natl Acad Sci USA 2004; 101: 12266–12270.

    CAS  PubMed  PubMed Central  Google Scholar 

  67. Trachtenberg E, Korber B, Sollars C, Kepler TB, Hraber PT, Hayes E et al. Advantage of rare HLA supertype in HIV disease progression. Nat Med 2003; 9: 928–935.

    CAS  PubMed  Google Scholar 

  68. Altfeld M, Allen TM . Hitting HIV where it hurts: an alternative approach to HIV vaccine design. Trends Immunol 2006; 27: 504–510.

    CAS  PubMed  Google Scholar 

  69. Carrington M, Nelson GW, Martin MP, Kissner T, Vlahov D, Goedert JJ et al. HLA and HIV-1: heterozygote advantage and B*35-Cw*04 disadvantage. Science 1999; 283: 1748–1752.

    CAS  PubMed  Google Scholar 

  70. Tang J, Costello C, Keet IP, Rivers C, Leblanc S, Karita E et al. HLA class I homozygosity accelerates disease progression in human immunodeficiency virus type 1 infection. AIDS Res Hum Retroviruses 1999; 15: 317–324.

    CAS  PubMed  Google Scholar 

  71. Thio CL, Gao X, Goedert JJ, Vlahov D, Nelson KE, Hilgartner MW et al. HLA-Cw*04 and hepatitis C virus persistence. J Virol 2002; 76: 4792–4797.

    CAS  PubMed  PubMed Central  Google Scholar 

  72. Neumann-Haefelin C, McKiernan S, Ward S, Viazov S, Spangenberg HC, Killinger T et al. Dominant influence of an HLA-B27 restricted CD8+ T cell response in mediating HCV clearance and evolution. Hepatology 2006; 43: 563–572.

    CAS  PubMed  Google Scholar 

  73. Timm J, Lauer GM, Kavanagh DG, Sheridan I, Kim AY, Lucas M et al. CD8 epitope escape and reversion in acute HCV infection. J Exp Med 2004; 200: 1593–1604.

    CAS  PubMed  PubMed Central  Google Scholar 

  74. Ray SC, Fanning L, Wang XH, Netski DM, Kenny-Walsh E, Thomas DL . Divergent and convergent evolution after a common-source outbreak of hepatitis C virus. J Exp Med 2005; 201: 1753–1759.

    CAS  PubMed  PubMed Central  Google Scholar 

  75. Gaudieri S, Rauch A, Park LP, Freitas E, Herrmann S, Jeffrey G et al. Evidence of viral adaptation to HLA class I-restricted immune pressure in chronic hepatitis C virus infection. J Virol 2006; 80: 11094–11104.

    CAS  PubMed  PubMed Central  Google Scholar 

  76. Altman JD, Feinberg MB . HIV escape: there and back again. Nat Med 2004; 10: 229–230.

    CAS  PubMed  Google Scholar 

  77. Meyer-Olson D, Shoukry NH, Brady KW, Kim H, Olson DP, Hartman K et al. Limited T cell receptor diversity of HCV-specific T cell responses is associated with CTL escape. J Exp Med 2004; 200: 307–319.

    CAS  PubMed  PubMed Central  Google Scholar 

  78. Patel K, Norris S, Lebeck L, Feng A, Clare M, Pianko S et al. HLA class I allelic diversity and progression of fibrosis in patients with chronic hepatitis C. Hepatology 2006; 43: 241–249.

    CAS  PubMed  Google Scholar 

  79. Williams AP, Bateman AR, Khakoo SI . Hanging in the balance. KIR and their role in disease. Mol Interv 2005; 5: 226–240.

    CAS  PubMed  Google Scholar 

  80. Khakoo SI, Thio CL, Martin MP, Brooks CR, Gao X, Astemborski J et al. HLA and NK cell inhibitory receptor genes in resolving hepatitis C virus infection. Science 2004; 305: 872–874.

    CAS  PubMed  Google Scholar 

  81. Parham P . Immunology. NK cells lose their inhibition. Science 2004; 305: 786–787.

    CAS  PubMed  Google Scholar 

  82. Rajagopalan S, Long EO . Understanding how combinations of HLA and KIR genes influence disease. J Exp Med 2005; 201: 1025–1029.

    CAS  PubMed  PubMed Central  Google Scholar 

  83. Tseng CT, Klimpel GR . Binding of the hepatitis C virus envelope protein e2 to CD81 inhibits natural killer cell functions. J Exp Med 2002; 195: 43–50.

    CAS  PubMed  PubMed Central  Google Scholar 

  84. Crotta S, Stilla A, Wack A, D'Andrea A, Nuti S, D'Oro U et al. Inhibition of natural killer cells through engagement of CD81 by the major hepatitis C virus envelope protein. J Exp Med 2002; 195: 35–42.

    CAS  PubMed  PubMed Central  Google Scholar 

  85. Martin MP, Gao X, Lee JH, Nelson GW, Detels R, Goedert JJ et al. Epistatic interaction between KIR3DS1 and HLA-B delays the progression to AIDS. Nat Genet 2002; 31: 429–434.

    CAS  PubMed  Google Scholar 

  86. Qi Y, Martin MP, Gao X, Jacobson L, Goedert JJ, Buchbinder S et al. KIR/HLA pleiotropism: protection against both HIV and opportunistic infections. PLoS Pathogen 2006; 2: e79.

    Google Scholar 

  87. Jennes W, Verheyden S, Demanet C, Adje-Toure CA, Vuylsteke B, Nkengasong JN et al. Cutting edge: resistance to HIV-1 infection among African female sex workers is associated with inhibitory KIR in the absence of their HLA ligands. J Immunol 2006; 177: 6588–6592.

    CAS  PubMed  Google Scholar 

  88. Gaudieri S, DeSantis D, McKinnon E, Moore C, Nolan D, Witt CS et al. Killer immunoglobulin-like receptors and HLA act both independently and synergistically to modify HIV disease progression. Genes Immun 2005; 6: 683–690.

    CAS  PubMed  Google Scholar 

  89. Godkin A, Jeanguet N, Thursz M, Openshaw P, Thomas H . Characterization of novel HLA-DR11-restricted HCV epitopes reveals both qualitative and quantitative differences in HCV-specific CD4+ T cell responses in chronically infected and non-viremic patients. Eur J Immunol 2001; 31: 1438–1446.

    CAS  PubMed  Google Scholar 

  90. Day CL, Lauer GM, Robbins GK, McGovern B, Wurcel AG, Gandhi RT et al. Broad specificity of virus-specific CD4+ T-helper-cell responses in resolved hepatitis C virus infection. J Virol 2002; 76: 12584–12595.

    CAS  PubMed  PubMed Central  Google Scholar 

  91. Day CL, Seth NP, Lucas M, Appel H, Gauthier L, Lauer GM et al. Ex vivo analysis of human memory CD4 T cells specific for hepatitis C virus using MHC class II tetramers. J Clin Invest 2003; 112: 831–842.

    CAS  PubMed  PubMed Central  Google Scholar 

  92. Chang KM, Thimme R, Melpolder JJ, Oldach D, Pemberton J, Moorhead-Loudis J et al. Differential CD4 and CD8 T-cell responsiveness in hepatitis C virus infection. Hepatology 2001; 33: 267–276.

    CAS  PubMed  Google Scholar 

  93. Rosen HR, Miner C, Sasaki AW, Lewinsohn DM, Conrad AJ, Bakke A et al. Frequencies of HCV-specific effector CD4+ T cells by flow cytometry: correlation with clinical disease stages. Hepatology 2002; 35: 190–198.

    PubMed  Google Scholar 

  94. Schulze zur Wiesch J, Lauer GM, Day CL, Kim AY, Ouchi K, Duncan JE et al. Broad repertoire of the CD4+ Th cell response in spontaneously controlled hepatitis C virus infection includes dominant and highly promiscuous epitopes. J Immunol 2005; 175: 3603–3613.

    CAS  PubMed  Google Scholar 

  95. Yee LJ . Host genetic determinants in hepatitis C virus infection. Genes Immun 2004; 5: 237–245.

    CAS  PubMed  Google Scholar 

  96. Hong X, Yu RB, Sun NX, Wang B, Xu YC, Wu GL . Human leukocyte antigen class II DQB1*0301, DRB1*1101 alleles and spontaneous clearance of hepatitis C virus infection: a meta-analysis. World J Gastroenterol 2005; 11: 7302–7307.

    CAS  PubMed  PubMed Central  Google Scholar 

  97. Azocar J, Clavijo OP, Yunis EJ . MHC class II genes in HCV viral clearance of hepatitis C infected Hispanic patients. Hum Immunol 2003; 64: 99–102.

    CAS  PubMed  Google Scholar 

  98. Lechmann M, Schneider EM, Giers G, Kaiser R, Dumoulin FL, Sauerbruch T et al. Increased frequency of the HLA-DR15 (B1*15011) allele in German patients with self-limited hepatitis C virus infection. Eur J Clin Invest 1999; 29: 337–343.

    CAS  PubMed  Google Scholar 

  99. Cramp ME, Carucci P, Underhill J, Naoumov NV, Williams R, Donaldson PT . Association between HLA class II genotype and spontaneous clearance of hepatitis C viraemia. J Hepatol 1998; 29: 207–213.

    CAS  PubMed  Google Scholar 

  100. Thio CL, Thomas DL, Goedert JJ, Vlahov D, Nelson KE, Hilgartner MW et al. Racial differences in HLA class II associations with hepatitis C virus outcomes. J Infect Dis 2001; 184: 16–21.

    CAS  PubMed  Google Scholar 

  101. Gerlach JT, Ulsenheimer A, Gruner NH, Jung MC, Schraut W, Schirren CA et al. Minimal T-cell-stimulatory sequences and spectrum of HLA restriction of immunodominant CD4+ T-cell epitopes within hepatitis C virus NS3 and NS4 proteins. J Virol 2005; 79: 12425–12433.

    CAS  PubMed  PubMed Central  Google Scholar 

  102. Diepolder HM, Gerlach JT, Zachoval R, Hoffmann RM, Jung MC, Wierenga EA et al. Immunodominant CD4+ T-cell epitope within nonstructural protein 3 in acute hepatitis C virus infection. J Virol 1997; 71: 6011–6019.

    CAS  PubMed  PubMed Central  Google Scholar 

  103. Lamonaca V, Missale G, Urbani S, Pilli M, Boni C, Mori C et al. Conserved hepatitis C virus sequences are highly immunogenic for CD4(+) T cells: implications for vaccine development. Hepatology 1999; 30: 1088–1098.

    CAS  PubMed  Google Scholar 

  104. Harcourt GC, Lucas M, Sheridan I, Barnes E, Phillips R, Klenerman P . Longitudinal mapping of protective CD4+ T cell responses against HCV: analysis of fluctuating dominant and subdominant HLA-DR11 restricted epitopes. J Viral Hepat 2004; 11: 324–331.

    CAS  PubMed  Google Scholar 

  105. Harcourt G, Hellier S, Bunce M, Satsangi J, Collier J, Chapman R et al. Effect of HLA class II genotype on T helper lymphocyte responses and viral control in hepatitis C virus infection. J Viral Hepat 2001; 8: 174–179.

    CAS  PubMed  Google Scholar 

  106. Wertheimer AM, Miner C, Lewinsohn DM, Sasaki AW, Kaufman E, Rosen HR . Novel CD4+ and CD8+ T-cell determinants within the NS3 protein in subjects with spontaneously resolved HCV infection. Hepatology 2003; 37: 577–589.

    CAS  PubMed  Google Scholar 

  107. Ulsenheimer A, Lucas M, Seth NP, Tilman Gerlach J, Gruener NH, Loughry A et al. Transient immunological control during acute hepatitis C virus infection: ex vivo analysis of helper T-cell responses. J Viral Hepat 2006; 13: 708–714.

    CAS  PubMed  PubMed Central  Google Scholar 

  108. Scotto G, Fazio V, D'Alessandro G, Monno L, Saracino A, Palumbo E et al. Association between HLA class II antigens and hepatitis C virus infection. J Biol Regul Homeost Agents 2003; 17: 316–321.

    CAS  PubMed  Google Scholar 

  109. Yenigun A, Durupinar B . Decreased frequency of the HLA-DRB1*11 allele in patients with chronic hepatitis C virus infection. J Virol 2002; 76: 1787–1789.

    CAS  PubMed  PubMed Central  Google Scholar 

  110. Thursz M, Yallop R, Goldin R, Trepo C, Thomas HC . Influence of MHC class II genotype on outcome of infection with hepatitis C virus. The HENCORE group. Hepatitis C European Network for Cooperative Research. Lancet 1999; 354: 2119–2124.

    CAS  PubMed  Google Scholar 

  111. Minton EJ, Smillie D, Neal KR, Irving WL, Underwood JC, James V . Association between MHC class II alleles and clearance of circulating hepatitis C virus. Members of the Trent Hepatitis C Virus Study Group. J Infect Dis 1998; 178: 39–44.

    CAS  PubMed  Google Scholar 

  112. Mangia A, Gentile R, Cascavilla I, Margaglione M, Villani MR, Stella F et al. HLA class II favors clearance of HCV infection and progression of the chronic liver damage. J Hepatol 1999; 30: 984–989.

    CAS  PubMed  Google Scholar 

  113. Zavaglia C, Martinetti M, Silini E, Bottelli R, Daielli C, Asti M et al. Association between HLA class II alleles and protection from or susceptibility to chronic hepatitis C. J Hepatol 1998; 28: 1–7.

    CAS  PubMed  Google Scholar 

  114. Alric L, Fort M, Izopet J, Vinel JP, Charlet JP, Selves J et al. Genes of the major histocompatibility complex class II influence the outcome of hepatitis C virus infection. Gastroenterology 1997; 113: 1675–1681.

    CAS  PubMed  Google Scholar 

  115. Wawrzynowicz-Syczewska M, Underhill JA, Clare MA, Boron-Kaczmarska A, McFarlane IG, Donaldson PT . HLA class II genotypes associated with chronic hepatitis C virus infection and response to alpha-interferon treatment in Poland. Liver 2000; 20: 234–239.

    CAS  PubMed  Google Scholar 

  116. Tibbs C, Donaldson P, Underhill J, Thomson L, Manabe K, Williams R . Evidence that the HLA DQA1*03 allele confers protection from chronic HCV-infection in Northern European Caucasoids. Hepatology 1996; 24: 1342–1345.

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

We thank all members of our laboratory for excellent work and helpful discussion as well as Dr Jörg Timm for helpful discussions and critically reading the manuscript. CN-H is supported by the Kompetenznetz Hepatitis (HepNet, BMWF), RT is supported by the Deutsche Forschungsgemeinschaft (TH 719/2-2 and 2-3, Emmy Noether Programm; SFB 620), and the Wilhelm Sander Foundation.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R Thimme.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Neumann-Haefelin, C., Thimme, R. Impact of the genetic restriction of virus-specific T-cell responses in hepatitis C virus infection. Genes Immun 8, 181–192 (2007). https://doi.org/10.1038/sj.gene.6364368

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.gene.6364368

Keywords

Search

Quick links