Activated T cells and soluble molecules in the portal venous blood of patients with cholestatic and hepatitis C virus-positive liver cirrhosis. Possible promotion of Fas/FasL-mediated apoptosis in the bile-duct cells and hepatocyte injury

J Int Med Res. 2003 May-Jun;31(3):170-80. doi: 10.1177/147323000303100302.

Abstract

We investigated the immune responses of patients with cholestatic and hepatitis C virus-positive (HCV-positive) liver cirrhosis by analysing T-cell subsets and cytokine levels in the portal and peripheral veins, using flow cytometry and enzyme-linked immunosorbent assay. In cholestatic liver cirrhosis, the proportion of natural-killer (NK) T cells and interleukin (IL) 6 and IL-18 levels in the portal venous blood were significantly higher than those in the peripheral venous blood. In HCV-positive liver cirrhosis, the proportions of NK T cells and Fas+ T cells and IL-6 and soluble Fas levels in the portal venous blood were significantly higher than those in the peripheral venous blood. These results suggest that in these diseases, activated T cells and soluble molecules in portal venous blood may promote Fas/FasL-mediated apoptosis of the bile-duct cells and hepatocytes, and contribute to the deterioration in liver function as an inevitable result of positive feedback.

MeSH terms

  • Adult
  • Apoptosis / immunology
  • Bile Ducts / immunology
  • Bile Ducts / pathology
  • Cholestasis / immunology*
  • Cholestasis / pathology
  • Enzyme-Linked Immunosorbent Assay
  • Fas Ligand Protein
  • Female
  • Flow Cytometry
  • Hepatitis C / immunology*
  • Hepatitis C / pathology
  • Hepatocytes / immunology
  • Hepatocytes / pathology
  • Humans
  • Infant
  • Interleukin-18 / blood
  • Interleukin-6 / blood
  • Killer Cells, Natural / immunology*
  • Liver Cirrhosis / immunology*
  • Liver Cirrhosis / pathology
  • Lymphocyte Activation
  • Male
  • Membrane Glycoproteins / metabolism
  • Middle Aged
  • Portal Vein*
  • fas Receptor / metabolism

Substances

  • FASLG protein, human
  • Fas Ligand Protein
  • Interleukin-18
  • Interleukin-6
  • Membrane Glycoproteins
  • fas Receptor