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Transient Interferon-Driven Natural Killer Cell Activation in Acute Hepatitis C.

Benedikt Strunz1, Qiuyao Zhan2,3, Tanvi Khera3

  • 1Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.

The Journal of Infectious Diseases
|December 26, 2025
PubMed
Summary

Acute hepatitis C virus (HCV) infection triggers a rise in activated Natural Killer (NK) cells, driven by interferon. While NK cell populations largely normalize after direct-acting antiviral (DAA) treatment, a lasting imprint remains.

Keywords:
NK cellsacute hepatitis Csingle-cell RNA sequencing

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Area of Science:

  • Immunology
  • Virology
  • Transcriptomics

Background:

  • Acute hepatitis C virus (HCV) infection is rare but treatable with direct-acting antivirals (DAAs).
  • Natural Killer (NK) cells are crucial in the immune response during acute HCV infection.

Purpose of the Study:

  • To investigate the role and characteristics of NK cells during acute HCV infection.
  • To compare NK cell profiles in acute HCV, chronic HCV, and healthy individuals.
  • To analyze transcriptomic changes in NK cells during acute HCV infection and after DAA treatment.

Main Methods:

  • Longitudinal sampling of patients with acute HCV.
  • Flow cytometry and single-cell sequencing for NK cell analysis.
  • Transcriptomic analysis to identify cellular pathways.

Main Results:

  • A distinct subset of highly activated NK cells with a type-I interferon signature was identified in acute HCV.
  • This activated NK cell population diminished after successful DAA therapy.
  • A long-term phenotypic alteration in NK cells was observed post-cure compared to healthy controls.

Conclusions:

  • Interferon drives an increase in activated NK cells during acute HCV infection.
  • Viral clearance via DAAs largely restores NK cell populations, but a residual imprint persists.
  • These findings illuminate the immunological underpinnings of effective antiviral responses in hepatitis C.