Persistently elevated circulating Th22 reversely correlates with prognosis in HBV-related acute-on-chronic liver failure

被引:51
作者
Mo, Ruidong [1 ,2 ]
Wang, Peng [1 ,2 ]
Lai, Rongtao [1 ,2 ]
Li, Fanlu [1 ]
Liu, Yuhan [1 ,2 ]
Jiang, Shaowen [1 ,2 ]
Zhao, Gangde [1 ]
Guo, Simin [1 ]
Zhou, Huijuan [1 ]
Lin, Lanyi [1 ]
Lu, Jie [1 ,2 ]
Cai, Wei [1 ]
Wang, Hui [1 ]
Yu, Hong [1 ]
Bao, Shisan [1 ,2 ]
Xiang, Xiaogang [1 ,2 ]
Xie, Qing [1 ,2 ]
机构
[1] Shanghai Jiao Tong Univ, Ruijin Hosp, Sch Med, Dept Infect Dis,Translat Lab Liver Dis, Shanghai 200025, Peoples R China
[2] Univ Sydney, Discipline Pathol, New South Wales, Australia
基金
中国国家自然科学基金;
关键词
Th22; Th17; IL-22; CHB; ACLF; HEPATITIS-B-VIRUS; DISEASE PROGRESSION; SKIN INFLAMMATION; IMMUNE-RESPONSE; TH17; CELLS; IL-22; INTERLEUKIN-22; INFECTION; CIRRHOSIS; SEVERITY;
D O I
10.1111/jgh.13537
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
Background and Aim: Hepatitis B virus-related acute-on-chronic liver failure (HBVACLF) is an acute deterioration of liver function on chronic liver disease with immune disorder. Th22 cells and IL-22 were correlated with inflammatory and autoimmune diseases. However, Th22 cells and IL-22 in the pathogenesis of HBV-ACLF remains to be elucidated. It was investigated the correlation between Th22 and prognosis in HBVACLF. Methods: Seventy-one HBV-ACLF and 65 chronic hepatitis B patients were recruited. The peripheral frequencies of Th22, Th17 and Th1, or IL-22 and IL-17 were determined, using flow cytometry or ELISA, respectively. It was further analyzed the correlation between Th22 mediated circulating IL-22 and survival rate of HBV-ACLF patients. Results: It was upregulated that the peripheral frequencies of Th22/Th17 cells as well as plasma IL-22 and IL-17 in HBV-ACLF patients, but the frequency of Th1 cells was decreased, compared with health controls. Elevated Th22 cells and IL-22 were correlated with HBV-ACLF disease severity. Elevated plasma IL-22 level (>29.5 pg/ml) was correlated with poor survival rate of HBV-ACLF patients at baseline, using Kaplan-Meier analysis. Conclusions: Persistently elevated circulating Th22 reversely correlates with prognosis in HBV-ACLF. Th22 cells/IL-22 might be served as biomarkers for evaluating the prognosis of HBV-ACLF.
引用
收藏
页码:677 / 686
页数:10
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