UNASSIGNED: We evaluated this interaction longitudinally in subjects who have spontaneously resolved primary HCV infection during a subsequent reinfection episode that resulted in either another spontaneous resolution (SR/SR, n = 14) or chronic infection (SR/CI, n = 8).
UNASSIGNED: Both groups exhibited virus-specific memory T cells that expanded upon reinfection. However, early expansion of activated cTfh (CD4+CXCR5+PD-1+ICOS+FoxP3-) occurred in SR/SR only. The frequency of activated cTfh negatively correlated with time post-infection. Concomitantly, NAbs and HCV-specific MBCs (CD19+CD27+IgM-E2-Tet+) peaked during the early acute phase in SR/SR but not in SR/CI. Finally, the frequency of the activated cTfh1 (CXCR3+CCR6-) subset correlated with the neutralization breadth and potency of NAbs.
UNASSIGNED: These results underscore a key role for early activation of cTfh1 cells in helping antigen-specific B cells to produce NAbs that mediate the clearance of HCV reinfection.
■我们纵向评估了在随后的再感染事件中自发解决原发性HCV感染的受试者的这种相互作用,该事件导致另一次自发解决(SR/SR,n=14)或慢性感染(SR/CI,n=8)。
■两组都表现出病毒特异性记忆T细胞在再感染时扩增。然而,激活的cTfh(CD4+CXCR5+PD-1+ICOS+FoxP3-)的早期扩增仅发生在SR/SR中。cTfh的激活频率与感染后的时间呈负相关。同时,NAb和HCV特异性MBCs(CD19CD27IgM-E2-Tet)在SR/SR的急性期早期达到峰值,但在SR/CI中未达到峰值。最后,激活的cTfh1(CXCR3CCR6-)子集的频率与NAb的中和宽度和效力相关。
■这些结果强调了早期激活cTfh1细胞在帮助抗原特异性B细胞产生介导HCV再感染清除的NAb中的关键作用。