AimThe lack of potent innate immune responses during HCV infection might lead to a delay in initiating adaptive immune responses. Kupffer cells (KCs) and liver-infiltrating monocytes/macrophages (CD68
+ cells) are essential to establish effective anti-HCV responses. They express co-stimulatory molecules, CD80 and CD86. CD86 upregulation induces activator responses that are then potentially regulated by CD80. The relative levels of expression of CD80, CD86 and the inhibitory molecule, PD-L1, on CD68
+ cells modulate T cell activation. A few studies have explored CD80 and PD-L1 expression on KCs and infiltrating monocytes/macrophages in HCV-infected livers, and none investigated CD86 expression in these cells. These studies have identified these cells based on morphology only. We investigated the stimulatory/inhibitory profile of CD68
+ cells in HCV-infected livers based on the balance of CD80, CD86 and PD-L1 expression.
MethodsCD80, CD86 and PD-L1 expression by CD68
+ cells in the lobular and portal areas of the liver of chronic HCV-infected (n = 16) and control (n = 14) individuals was investigated using double staining immunohistochemistry.
ResultsThe count of CD68
+ KCs in the lobular areas of the HCV-infected livers was lower than that in the control (
p = 0.041). The frequencies of CD68
+CD80
+ cells and CD68
+PD-L1
+ cells in both lobular and total areas of the liver were higher in HCV-infected patients compared with those in the control group (
p = 0.001, 0.031 and 0.007 respectively). Moreover, in the lobular areas of the HCV-infected livers, the frequency of CD68
+CD80
+ cells was higher than that of CD68
+CD86
+ and CD68
+PD-L1
+ cells. In addition, the frequencies of CD68
+CD80
+ and CD68
+CD86
+ cells were higher in the lobular areas than the portal areas.
ConclusionsOur results show that CD68
+ cells have an inhibitory profile in the HCV-infected livers. This might help explain the delayed T cell response and viral persistence during HCV infection.
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