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CEACAM1 Is Associated With the Suppression of Natural Killer Cell Function in Patients With Chronic Hepatitis C
Takahiro Suda1, Tomohide Tatsumi1, Akira Nishio1
1Department of Gastroenterology and Hepatology Osaka University Graduate School of Medicine Suita Japan.
Abstract:
Natural killer cells (NK cells) play an essential role in the immunological mechanism underlying chronic hepatitis C (CHC). Impairment of NK cell function facilitates persistent infection with hepatitis C virus (HCV) and hepatocellular carcinogenesis. However, the mechanism by which NK cell activity is suppressed in CHC is not completely understood. In this study, we focused on carcinoembryonic antigen-related cell-adhesion molecule 1 (CEACAM1). CEACAM1 is thought to suppress NK cell function. We examined the effect of CEACAM1 on NK cell function in CHC. We investigated the function of CEACAM1 in vitro using Huh7.5.1 cells and the HCV-Japanese fulminant hepatitis (JFH)-1 strain. We analyzed serum CEACAM1 level, NK cell function, and CEACAM1 messenger RNA (mRNA) level in human liver samples. Levels of CEACAM1 on the cell surface, CEACAM1 mRNA levels, and soluble CEACAM1 levels in supernatants were significantly higher in Huh7.5.1 cells infected with JFH-1 (Huh7.5.1/JFH-1 cells) than in Huh7.5.1 cells. Significantly higher NK cell cytotoxicity was observed toward K562 cells after coculture with CEACAM1 knockout Huh7.5.1/JFH-1 cells than after coculture with Huh7.5.1/JFH-1 cells. CEACAM1 expression was induced by the HCV E2 glycoprotein in HCV infection. Significantly higher serum CEACAM1 levels were detected in patients with CHC compared with healthy subjects and patients who achieved sustained virological responses. The expression of CD107a on NK cells from patients with CHC was negatively correlated with serum CEACAM1 levels. Significantly higher levels of CEACAM1 mRNA were detected in HCV-infected livers compared with uninfected livers. Conclusion: CEACAM1 expression was induced in hepatocytes following HCV infection and decreased NK cell cytotoxicity. These results demonstrate a possible role for CEACAM1 in the pathogenesis of CHC and hepatocellular carcinoma progression.
Insights
Carcinoembryonic antigen-related cell-adhesion molecule 1 (CEACAM1) is elevated in chronic hepatitis C (CHC) and suppresses natural killer (NK) cell function. This study reveals CEACAM1
Area of Science:
- Immunology
- Hepatology
- Virology
Background:
- Natural killer (NK) cells are crucial for controlling chronic hepatitis C (CHC) and preventing liver cancer.
- NK cell dysfunction contributes to persistent hepatitis C virus (HCV) infection and hepatocellular carcinoma (HCC).
- The precise mechanisms of NK cell suppression in CHC remain unclear.
Purpose of the Study:
- To investigate the role of carcinoembryonic antigen-related cell-adhesion molecule 1 (CEACAM1) in suppressing NK cell function during HCV infection.
- To analyze the impact of CEACAM1 on NK cell activity in the context of CHC pathogenesis.
Main Methods:
- In vitro studies using Huh7.5.1 cells and the HCV JFH-1 strain to assess CEACAM1 function.
- Analysis of serum CEACAM1 levels, NK cell function (cytotoxicity, CD107a expression), and CEACAM1 mRNA in human liver samples from CHC patients and controls.
- Investigating CEACAM1 induction by the HCV E2 glycoprotein.
Main Results:
- HCV infection increased CEACAM1 expression on hepatocytes (cell surface and mRNA) and in serum.
- HCV-induced CEACAM1 significantly suppressed NK cell cytotoxicity.
- Elevated serum CEACAM1 levels in CHC patients correlated with reduced NK cell degranulation (CD107a expression).
- CEACAM1 expression was higher in HCV-infected liver tissues.
Conclusions:
- Hepatocellular CEACAM1 expression is induced by HCV infection, leading to impaired NK cell cytotoxicity.
- CEACAM1 plays a significant role in the pathogenesis of CHC and the progression of hepatocellular carcinoma.
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