resolution or persistence of infection. In particular, the cytoThe cytokine pattern secreted by T cells on viral antikine profile stimulated by the initial encounter with the virus gen recognition is believed to exert a profound influence can either contribute to efficiently inhibit viral replication if on both the type of disease caused by the infecting agent Th1 helper (Th) cytokines are predominant, or facilitate the and the final outcome of the viral infection. To characspread of the pathogen within the host if the balance is in terize the cytokine pattern associated with spontaneous favor of T-2-type cytokines. 9,10 Indeed, it has been shown that resolution of acute hepatitis B, we analyzed interferon Th1 cytokines (such as interleukin [IL]-2, interferon gamma gamma (IFN-g), interleukin (IL)-4, and IL-5 production [IFN-g], and tumor necrosis factor b) are principally involved by a wide series of hepatitis B virus (HBV) nucleocapsidin cell-mediated immunity 11 ; they can contribute to the imspecific T-cell lines (34 lines) and T-cell clones (71 clones) munopathology caused by the infecting agent, and can also derived from the peripheral blood of 13 patients during play a crucial role in protection from intracellular pathothe acute or recovery phase of hepatitis B (2 and 7 of gens, 12,13 including viruses. 14,15 In contrast, Th2 cytokines (inthem were studied only in the recovery or the acute cluding IL-4 and IL-10) can be beneficial against extracelluphase, respectively, and 4 during both). Most T-cell lines lar pathogens, 16 because they mostly regulate humoral (67%) and clones (77%) isolated during the acute phase immune responses, but their predominant effect can be assoof infection expressed a T-helper (Th) 1 cytokine profile ciated with progressive disease by intracellular infectious dominated by the production of IFN-g. A larger proporagents.
11-13 tion (74%) of T-cell lines produced several years afterTo characterize the cytokine profile associated with acute resolution of hepatitis was able to secrete not only IFNself-limited hepatitis B and successful resolution of disease,
g, but also IL-4 and IL-5 (Th0-like cells). Results indicateHBV nucleocapsid-specific T-cell lines and clones were prothat the antigen-specific fraction of peripheral blood T duced from the peripheral blood of patients acutely infected cells in acute self-limited hepatitis B selectively secrete with HBV or recovered from acute hepatitis, and were tested Th1-type cytokines, suggesting that Th1-mediated effor their cytokine secretion on antigen or mitogen stimulafects may contribute not only to liver cell injury, but tion. Results indicate that most circulating HBV nucleocapprobably also to recovery from disease and successful sid-specific T lymphocytes in acute HBV infection are Th1- quently undetectable HBV-specific T-cell responses. 6,7 This { 12.2 years) with acute self-limited hepatitis type B were studied. different vigor of the antiviral T-cell response is believed to The diagnosis of acute hepatitis was based on the finding...