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Genetic Diversity of the KIR/HLA System and Susceptibility to Hepatitis C Virus-Related Diseases
Authors:Valli De Re  Laura Caggiari  Mariangela De Zorzi  Ombretta Repetto  Anna Linda Zignego  Francesco Izzo  Maria Lina Tornesello  Franco Maria Buonaguro  Alessandra Mangia  Domenico Sansonno  Vito Racanelli  Salvatore De Vita  Pietro Pioltelli  Emanuela Vaccher  Massimiliano Beretta  Cesare Mazzaro  Massimo Libra  Andrea Gini  Antonella Zucchetto  Renato Cannizzaro  Paolo De Paoli
Abstract:BackgroundThe variability in the association of host innate immune response to Hepatitis C virus (HCV) infection requires ruling out the possible role of host KIR and HLA genotypes in HCV-related disorders: therefore, we therefore explored the relationships between KIR/HLA genotypes and chronic HCV infection (CHC) as they relate to the risk of HCV-related hepatocarcinoma (HCC) or lymphoproliferative disease progression.ConclusionsOur data highlight a role of the innate-system in developing HCV-related disorders and specifically KIR2DS3 and KIR2D genes demonstrated an ability to direct HCV disease progression, and mainly towards lymphoproliferative disorders. Moreover the determination of KIR3D/HLA combination of genes direct the HCV progression towards a lymphoma rather than an hepatic disease. In this contest IFN-α therapy, a standard therapy for HCV-infection and lymphoproliferative diseases, known to be able to transiently enhance the cytotoxicity of NK-cells support the role of NK cells to counterstain HCV-related and lymphoproliferative diseases.
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