Subinfectious hepatitis C virus exposures suppress T cell responses against subsequent acute infection

Nat Med. 2013 Dec;19(12):1638-42. doi: 10.1038/nm.3408. Epub 2013 Nov 24.

Abstract

Hepatitis C virus (HCV) is endemic in many countries due to its high propensity for establishing persistence. The presence of HCV-specific T cells in subjects repeatedly exposed to HCV who test negative for HCV RNA and antibodies and who do not have any history of HCV infection has been interpreted as T cell-mediated protection. Here, we show in nonhuman primates that repeated exposure to human plasma with trace amounts of HCV induced HCV-specific T cells without seroconversion and systemic viremia but did not protect upon subsequent HCV challenge. Rather, HCV-specific recall and de novo T cell responses, as well as intrahepatic T cell recruitment and interferon-γ (IFN-γ) production, were suppressed upon HCV challenge, concomitant with quantitative and qualitative changes in regulatory T cells (T(reg) cells) that occurred after subinfectious HCV exposure and increased after HCV challenge. In vitro T(reg) cell depletion restored HCV-specific T cell responses. Thus, T cells primed by trace amounts of HCV do not generate effective recall responses upon subsequent HCV infection. Subinfectious HCV exposure predisposes to T(reg) cell expansion, which suppresses effector T cells during subsequent infection. Strategies to reverse this exposure-induced immune suppression should be examined to aid in the development of T cell-based vaccines against HCV and other endemic pathogens.

Publication types

  • Research Support, N.I.H., Intramural

MeSH terms

  • Acute Disease
  • Animals
  • Cell Proliferation
  • Hepacivirus / pathogenicity
  • Hepacivirus / physiology*
  • Hepatitis C / immunology*
  • Hepatitis C / metabolism
  • Hepatitis C / virology
  • Hepatitis C, Chronic / immunology*
  • Immune Tolerance / immunology
  • Interferon-gamma / metabolism
  • Lymphocyte Activation / physiology
  • Pan troglodytes
  • Severity of Illness Index
  • T-Lymphocytes / physiology*
  • Viremia / immunology*

Substances

  • Interferon-gamma