IN HIV-INFECTED IMMUNOLOGICAL NON-RESPONDERS, HEPATITIS C VIRUS ERADICATION CONTRIBUTES TO INCOMPLETE NORMALIZATION OF SYSTEMIC INFLAMMATION INDEXES, BUT DOES NOT LEAD TO RAPID CD4+ T-CELL COUNT RECOVERY

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Abstract

In HIV-positive individuals taking antiretroviral therapy, coinfection with hepatitis C virus (HCV) increases the systemic inflammation, which interferes with the CD4+ T-cells regeneration. This study evaluated the effect of HCV eradication on systemic inflammation and CD4+ T-cell regeneration in patients who gave poor response to antiretroviral therapy, the so-called “immunological non-responders” (INRs). HIV-infected patients who received a course of direct-acting antiviral drugs for treating hepatitis C were examined. The control groups included HIV/HCV-coinfected individuals and relatively healthy volunteers. It has been established for the first time that HCV eradication is not accompanied by a complete suppression of systemic inflammation, but improves the T-cell pool composition: in INRs, the blood CD4+/CD8+ T-lymphocyte ratio increases and approaches those of healthy individuals. Apparently, in INRs treated for hepatitis C, the immune system recovery takes time and may be incomplete.

About the authors

E. V. Saidakova

Perm Federal Research Center Ural Branch Russian Academy of Sciences

Author for correspondence.
Email: radimira@list.ru
Russian Federation, Perm

L. B. Korolevskaya

Perm Federal Research Center Ural Branch Russian Academy of Sciences

Email: radimira@list.ru
Russian Federation, Perm

N. G. Shmagel

Perm Federal Research Center Ural Branch Russian Academy of Sciences

Email: radimira@list.ru
Russian Federation, Perm

V. V. Vlasova

Perm Federal Research Center Ural Branch Russian Academy of Sciences

Email: radimira@list.ru
Russian Federation, Perm

K. Yu. Shardina

Perm Federal Research Center Ural Branch Russian Academy of Sciences

Email: radimira@list.ru
Russian Federation, Perm

V. A. Chereshnev

Perm Federal Research Center Ural Branch Russian Academy of Sciences; Institute of Immunology and Physiology, Ural Branch of Russian Academy of Sciences

Email: radimira@list.ru
Russian Federation, Perm; Russian Federation, Yekaterinburg

K. V. Shmagel

Perm Federal Research Center Ural Branch Russian Academy of Sciences

Email: radimira@list.ru
Russian Federation, Perm

References

  1. Chew K.W., Bhattacharya D. Virologic and immunologic aspects of HIV-hepatitis C virus coinfection // AIDS. 2016. V. 30. № 16. P. 2395–2404.
  2. van Santen D.K., van der Helm J.J., Touloumi G., et al. Effect of incident hepatitis C infection on CD4+ cell count and HIV RNA trajectories based on a multinational HIV seroconversion cohort // AIDS. 2019. V. 33. № 2. P. 327–337.
  3. Rb-Silva R., Goios A., Kelly C., et al. Definition of Immunological Nonresponse to Antiretroviral Therapy: A Systematic Review // J Acquir Immune Defic Syndr. 2019. V. 82. № 5. P. 452–461.
  4. Yang X., Su B., Zhang X., et al. Incomplete immune reconstitution in HIV/AIDS patients on antiretroviral therapy: Challenges of immunological non-responders // J Leukoc Biol. 2020. V. 107. № 4. P. 597–612.
  5. Robinson M.W., Harmon C., O’Farrelly C. Liver immunology and its role in inflammation and homeostasis // Cell Mol Immunol. 2016. V. 13. № 3. P. 267–76.
  6. Saidakova E.V., Shmagel K.V., Korolevskaya L.B., et al. (CD8+) T cell expansion in HIV/HCV coinfection is associated with systemic inflammation // Dokl Biol Sci. 2017. V. 474. № 1. P. 126–128.
  7. Marcello T., Grakoui A., Barba-Spaeth G., et al. Interferons alpha and lambda inhibit hepatitis C virus replication with distinct signal transduction and gene regulation kinetics // Gastroenterology. 2006. V. 131. № 6. P. 1887–1898.
  8. Pagliaccetti N.E., Eduardo R., Kleinstein S.H., et al. Interleukin-29 functions cooperatively with interferon to induce antiviral gene expression and inhibit hepatitis C virus replication // J Biol Chem. 2008. V. 283. № 44. P. 30079–30089.
  9. Witte K., Gruetz G., Volk H.D., et al. Despite IFN-lambda receptor expression, blood immune cells, but not keratinocytes or melanocytes, have an impaired response to type III interferons: implications for therapeutic applications of these cytokines // Genes Immun. 2009. V. 10. № 8. P. 702–714.
  10. Li Q., Kawamura K., Ma G., et al. Interferon-lambda induces G1 phase arrest or apoptosis in oesophageal carcinoma cells and produces anti-tumour effects in combination with anti-cancer agents // Eur J Cancer. 2010. V. 46. № 1. P. 180–190.
  11. Sato A., Ohtsuki M., Hata M., et al. Antitumor activity of IFN-lambda in murine tumor models // J Immunol. 2006. V. 176. № 12. P. 7686–7694.
  12. Zitzmann K., Brand S., Baehs S., et al. Novel interferon-lambdas induce antiproliferative effects in neuroendocrine tumor cells // Biochem Biophys Res Commun. 2006. V. 344. № 4. P. 1334–1341.
  13. Zuccala P., Latronico T., Marocco R., et al. Longitudinal Assessment of Multiple Immunological and Inflammatory Parameters during Successful DAA Therapy in HCV Monoinfected and HIV/HCV Coinfected Subjects // Int J Mol Sci. 2022. V. 23. № 19. P. 1193–1213.
  14. Hengst J., Falk C.S., Schlaphoff V., et al. Direct-Acting Antiviral-Induced Hepatitis C Virus Clearance Does Not Completely Restore the Altered Cytokine and Chemokine Milieu in Patients With Chronic Hepatitis C // J Infect Dis. 2016. V. 214. № 12. P. 1965–1974.
  15. Lund L.T., Brockner S.C., Kazankov K., et al. Rapid and persistent decline in soluble CD163 with successful direct-acting antiviral therapy and associations with chronic hepatitis C histology // Scand J Gastroenterol. 2018. V. 53. № 8. P. 986–993.
  16. Serti E., Chepa-Lotrea X., Kim Y.J., et al. Successful Interferon-Free Therapy of Chronic Hepatitis C Virus Infection Normalizes Natural Killer Cell Function // Gastroenterology. 2015. V. 149. № 1. P. 190–200.
  17. Meissner E.G., Wu D., Osinusi A., et al. Endogenous intrahepatic IFNs and association with IFN-free HCV treatment outcome // J Clin Invest. 2014. V. 124. № 8. P. 3352–3363.
  18. Meissner E.G., Kohli A., Higgins J., et al. Rapid changes in peripheral lymphocyte concentrations during interferon-free treatment of chronic hepatitis C virus infection // Hepatol Commun. 2017. V. 1. № 7. P. 586–94.
  19. Marino A., Zafarana G., Ceccarelli M., et al. Immunological and Clinical Impact of DAA-Mediated HCV Eradication in a Cohort of HIV/HCV Coinfected Patients: Monocentric Italian Experience // Diagnostics (Basel). 2021. V. 11. № 12. P. 2336–2250.
  20. Bandera A., Lorenzini P., Taramasso L., et al. The impact of DAA-mediated HCV eradication on CD4(+) and CD8(+) T lymphocyte trajectories in HIV/HCV coinfected patients: Data from the ICONA Foundation Cohort // J Viral Hepat. 2021. V. 28. № 5. P. 779–786.

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