Induction of both membrane-bound and soluble HLA-G expression in active human cytomegalovirus infection

Wei-Hua Yan1, Aifen Lin, Bao-Guo Chen

  • 1Medical Research Center, Taizhou Hospital of Zhejiang Province, Wenzhou Medical College, Linhai, Zhejiang, People's Republic of China. yanwhcom@yahoo.com

Abstract

Insights

Increased Human Leukocyte Antigen-G (HLA-G) expression in monocytes and elevated soluble HLA-G and Interleukin-10 (IL-10) levels are linked to active Human Cytomegalovirus (HCMV) infection in children. These findings highlight HLA-G

Area of Science:

  • Immunology
  • Virology
  • Pathogenesis of infectious diseases

Background:

  • Alterations in HLA expression and cytokine production are key in Human Cytomegalovirus (HCMV) pathogenesis.
  • Human Leukocyte Antigen-G (HLA-G) involvement in HCMV infection is suggested, with prior reports on its modulation by Interferon-gamma (IFN-gamma) and Interleukin-10 (IL-10).
  • The clinical significance of HLA-G in HCMV infection remains underexplored.

Purpose of the Study:

  • To investigate the clinical relevance of HLA-G in active HCMV infection.
  • To compare HLA-G expression and cytokine levels in children with and without active HCMV infection.
  • To explore potential correlations between HLA-G, IL-10, and IFN-gamma in HCMV infection.

Main Methods:

  • Flow cytometry was used to analyze HLA-G expression in monocytes from 38 HCMV patients and 20 controls.
  • Plasma levels of soluble HLA-G, IL-10, and IFN-gamma were quantified using ELISA in 75 HCMV patients and controls.
  • Study included 75 children with active HCMV infection and 150 age- and sex-matched healthy controls.

Main Results:

  • Significantly higher percentages of HLA-G-positive monocytes were observed in HCMV patients compared to controls (6.33% vs. 1.64%, P<.001).
  • Elevated plasma levels of soluble HLA-G (54.91 vs. 21.32 U/mL, P<.001) and IL-10 (9.24 vs. 1.82 ng/mL, P<.001) were found in HCMV patients.
  • While IFN-gamma levels were higher in patients, the difference was not statistically significant (P=.070), and no correlation was found between HLA-G and IL-10 or IFN-gamma.

Conclusions:

  • Monocyte HLA-G expression and plasma soluble HLA-G and IL-10 levels are elevated during active HCMV infection.
  • These findings suggest a role for HLA-G and IL-10 in the immune response during HCMV infection.
  • Further research is warranted to elucidate the precise mechanisms and clinical implications.