SUMMARY
CD3-CD56 +dim natural killer (NK) cells, which are cytotoxic against virally infected cells, may be important in hepatitis C virus (HCV)-infected patients who are successfully treated with pegylated interferon (PEG-IFN)-a . We used flow cytometry to enumerate activated (CD69 + ) and apoptotic (annexin-V + ) dim (CD3 -CD56 +dim ) and bright (CD3 -CD56 +bright ) NK cells obtained from HCV-infected patients before treatment ( n = 16) and healthy controls ( n = 15) in the absence and presence of pegylated interferon (PEG-IFN)-a -2b. A subset of HCV-infected patients, subsequently treated with PEG-IFN-a -2b in vivo , was determined to have a sustained virological response (SVR, n = 6) or to not respond (NR) to treatment ( n = 5). In the absence of IFN, activated dim (CD3 -CD56 +dim CD69 + ) NK cells were significantly decreased ( P = 0·04) while activated apoptotic dim (CD3 -CD56 +dim CD69 + annexin-V + ) NK cells tended to be increased ( P = 0·07) in SVR patients compared with NR patients. Activated bright (CD3 -CD56 +bright CD69 + ) and activated apoptotic bright (CD3 -CD56 +bright CD69 + annexin-V + ) NK cells were significantly correlated ( P = 0·02 and P = 0·01, respectively) with increasing hepatic inflammation. These findings suggest that in the absence of PEG-IFN, activated dim (CD3 -CD56 +dim CD69 + ) NK cell turnover may be enhanced in SVR compared with NR patients and that activated bright (CD3 -CD56 +bright CD69 + ) NK cells may play a role in liver inflammation.