HCV Persistence and Immune Evasion in the Absence of Memory T Cell Help

Author:

Grakoui Arash12345,Shoukry Naglaa H.12345,Woollard David J.12345,Han Jin-Hwan12345,Hanson Holly L.12345,Ghrayeb John12345,Murthy Krishna K.12345,Rice Charles M.12345,Walker Christopher M.12345

Affiliation:

1. Center for the Study of Hepatitis C, Rockefeller University, New York, NY 10021, USA.

2. Center for Vaccines and Immunity, Columbus Children's Research Institute, 700 Children's Drive, W503, Columbus, OH 43205, USA.

3. Centocor, Malvern, PA 19355, USA.

4. Department of Virology and Immunology, Southwest Foundation for Biomedical Research, San Antonio, TX 78227, USA.

5. Department of Pediatrics, College of Medicine and Public Health, Ohio State University, Columbus, OH 43205, USA.

Abstract

Spontaneous resolution of hepatitis C virus (HCV) infection in humans usually affords long-term immunity to persistent viremia and associated liver diseases. Here, we report that memory CD4 + Tcells are essential for this protection. Antibody-mediated depletion of CD4 + Tcells before reinfection of two immune chimpanzees resulted in persistent, low-level viremia despite functional intra-hepatic memory CD8 + Tcell responses. Incomplete control of HCV replication by memory CD8 + Tcells in the absence of adequate CD4 + Tcell help was associated with emergence of viral escape mutations in class I major histocompatibility complex–restricted epitopes and failure to resolve HCV infection.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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