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Interferon‐γ production by peripheral blood mononuclear cells of patients with chronic liver disease
Author(s) -
Fuji Akihiko,
Kakumu Shinichi,
Ohtani Yoshiyuki,
Murase Kenichi,
Hirofuji Hideo,
Tahara Hirofumi
Publication year - 1987
Publication title -
hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.488
H-Index - 361
eISSN - 1527-3350
pISSN - 0270-9139
DOI - 10.1002/hep.1840070327
Subject(s) - peripheral blood mononuclear cell , medicine , peripheral blood , interferon , peripheral , immunology , liver disease , disease , chronic liver disease , biology , cirrhosis , in vitro , biochemistry
Abstract We investigated the role of the interferon system in the pathogenesis of chronic liver disease. Interferon‐γ production by peripheral blood mononuclear cells was measured with an ELISA. While concanavalin A‐stimulated and recombinant interleukin 2‐stimulated production of interferon‐γ in patients with chronic active hepatitis and liver cirrhosis was significantly decreased when compared with that of controls (518 ± 189 and 729 ± 195 units per ml, mean ± S.D.), there was also a lot of overlap. Addition of indomethacin to the cultures partially restored interferon‐γ production in patients with chronic active hepatitis and liver cirrhosis, indicating that suppressor function of monocytes was, in part, responsible for the diminished interferon‐γ production. Serial studies showed that interferon‐γ production rose during acute deterioration of illness, during treatment with interleukin 2 and with the improvement of clinical course. Interferon‐γ production was not different among hepatitis B e antigen or antibody positive, and non‐A, non‐B patients with chronic active hepatitis and liver cirrhosis. Our findings suggest that diminished interferon‐γ production is associated with disease severity in chronic liver disease, irrespective of the hepatitis B virus carrier state. It would be interesting to compare the efficacy of treatment with interferon‐γ or interferon‐γ inducers such as interleukin 2 in chronic hepatitis B patients with and without decreased in vitro interferon‐γ production.