吸烟与乙型肝炎的可能性较低,表面抗原血清清除和改变宿主免疫力有关
Tsz-Yan Kwok1, Rex Wan-Hin Hui1, XianHua Mao1
1Department of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong.
Journal of viral hepatitis
|September 9, 2024
概括
慢性乙型肝炎 (CHB) 患者的活跃吸烟与乙型肝炎表面抗原 (HBsAg) 血清清除的可能性较低有关. 吸烟还会增加淋巴细胞上的PD-1表达,并损害HBV特异性T细胞功能.
科学领域:
- 免疫学 免疫学 免疫学
- 肝病学 肝病学是一种肝病学.
- 病毒学 病毒学
背景情况:
- 吸烟会对慢性乙型肝炎 (CHB) 患者的临床结果产生负面影响.
- 吸烟对乙型肝炎表面抗原 (HBsAg) 血清清除的具体影响尚不清楚.
- 了解吸烟对CHB免疫反应的影响对于治疗策略至关重要.
研究的目的:
- 为了研究活跃吸烟对HBsAg血清清除 (SC) 在CHB患者的影响.
- 评估吸烟对周围血液淋巴细胞的影响,包括T细胞功能和PD-1表达.
- 探索吸烟,免疫细胞表型和CHB治疗结果之间的关系.
主要方法:
- 分析了7833名抗病毒治疗的CHB患者的纵向数据,以确定HBsAg SC率.
- 来自27名CHB患者 (6名吸烟者) 的外周血液单核细胞 (PBMC) 的流细胞计分析,以评估PD-1表达和调节性T细胞比例.
- 用HBV体对PBMC进行体外刺激,以检查HBV特异性T细胞效应因子功能,包括Treg耗尽前后的Granzyme B和TGFβ产生.
主要成果:
- 吸烟与HBsAg SC在5年的中位数随访期间 (aHR 0.70) 的可能性较低有关.
- 吸烟者在CD4+ T细胞,CD8+ T细胞和CD20+ B细胞上表现出增加的PD-1表达,与包装年相对应.
- 与非吸烟者相比,Treg消耗部分恢复了HBV特异性T细胞功能,在吸烟者中观察到的恢复幅度明显更大.
结论:
- 吸烟与在CHB患者中实现HBsAg血清清除的可能性降低有关.
- 吸烟通过增加淋巴细胞上的PD-1表达和损害HBV特异性T细胞效应器功能,有助于免疫失调.
- 这些发现强调了吸烟对免疫反应和CHB治疗结果的有害影响,表明戒烟是关键干预措施.
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