2019
DOI: 10.1038/s41467-018-08096-8
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Breakdown of adaptive immunotolerance induces hepatocellular carcinoma in HBsAg-tg mice

Abstract: Hepatitis B virus (HBV) can induce chronic inflammation, cirrhosis, and eventually hepatocellular carcinoma (HCC). Despite evidence suggesting a link between adaptive immunity and HBV-related diseases in humans, the immunopathogenic mechanisms involved are seldom described. Here we show that expression of TIGIT, a promising immune checkpoint in tumor immunotherapy, increases with age on hepatic CD8+ T cells in HBsAg-transgenic (HBs-tg) mice whose adaptive immune system is tolerant to HBsAg. TIGIT blockade or d… Show more

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Cited by 54 publications
(53 citation statements)
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“…However, immune suppression due to immune checkpoints was also found to enhance viral persistence and lead to chronic infection. The expression levels of PD-1, TIM-3, TIGIT, LAG-3, and CTLA-4 have been observed to increase on peripheral HBV-specific CD8 + T-cells [60][61][62]68,142,143] (Table 2). This upregulation is related to T-cell exhaustion; for example, PD-1/PD-L1 ligation triggers T-cell apoptosis by various mechanisms, potentially assisting with viral persistence in the host [64][65][66].…”
Section: Hepatitis Virus Infection Upregulates Immune Checkpoint Protmentioning
confidence: 98%
“…However, immune suppression due to immune checkpoints was also found to enhance viral persistence and lead to chronic infection. The expression levels of PD-1, TIM-3, TIGIT, LAG-3, and CTLA-4 have been observed to increase on peripheral HBV-specific CD8 + T-cells [60][61][62]68,142,143] (Table 2). This upregulation is related to T-cell exhaustion; for example, PD-1/PD-L1 ligation triggers T-cell apoptosis by various mechanisms, potentially assisting with viral persistence in the host [64][65][66].…”
Section: Hepatitis Virus Infection Upregulates Immune Checkpoint Protmentioning
confidence: 98%
“…In HBsAg‐transgenic mice (HBs‐tg) model, TIGIT blockade resulted in chronic hepatitis and progression to HCC. HBsAg‐specific T cells emerged following TIGIT blockade, indicating a pivotal role of TIGIT in maintaining immune tolerance to HBsAg in HBs‐tg mice model . Altogether, these data suggest that manipulation of TIGIT pathway is probably valuable for chronic HBV and HCV patients with particular attention to its possible adverse events.…”
Section: The Regulation Of Multiple Ics During Chronic Hbv and Hcv Inmentioning
confidence: 98%
“…Nevertheless, the resolution of inflammatory processes relies on the tightly controlled balance between pro-inflammatory and regulatory immune responses, which is especially evident during the pathogenesis of neurotropic protozoa such as Plasmodium falciparum, Trypanosoma cruzi, or Toxoplasma gondii, where IL-10 signaling was demonstrated to restrict cytokine-mediated immune pathology 23,24 . TIGIT blockade or deficiency has been shown to lead to the breakdown of peripheral tolerance in HBsAg-tg mice, resulting in the development of hepatitis and fibrosis 25 . At the same time, TIGIT upregulation was shown to support tissue regeneration in vivo by negatively regulating NK cell activation 26 .…”
mentioning
confidence: 99%