Z Gastroenterol 2014; 52 - K16
DOI: 10.1055/s-0034-1386682

Higher frequency of peripheral CD3CXCR3 and CD4CXCR3 positive blood cells in HCV patients in context of bile acid retention

M Rau 1, J Schmitt 1, T Kudlich 1, JJG Marin 2, MJ Monte 2, H Klinker 3, HP Tony 4, B Müllhaupt 5, A Geier 1
  • 1Division of Hepatology, Department of Medicine II, University Hospital Würzburg
  • 2Laboratory of Experimental Hepatology and Drug Targeting, CIBERehd, University of Salamanca, Spain
  • 3Division of Infectious Disease, Department of Medicine II, University Hospital Würzburg
  • 4Division of Rheumatology, Department of Medicine II, University Hospital Würzburg
  • 5Department of Gastroenterology and Hepatology, University Hospital Zurich

Background: Chronic hepatitis C (CHC) infection is a leading cause of end stage liver disease. High levels of serum interferon-gamma-inducible protein-10 (IP-10) are associated to inferior antiviral therapy response. In a cohort of 300 HCV patients we recently showed an association between higher IP-10 serum levels, cholestasis and higher DPPIV serum activity. DPPIV was described as cleavage enzyme of serum IP-10 which induces an antagonist form of IP-10.

Aims: To analyse PBMCs together with serum BA, DPPIV activity and IP-10 levels in patients with CHC infection and healthy controls (HC).

Methods: 27 patients with CHC infection and 17 HC were included in this study. FACS analysis of CXCR3 positive peripheral blood cells together with serum BA differentiation by GC/MS analysis and analysis of serum DPPIV activity as well as IP-10 levels were performed.

Results: HCV patients had significantly higher BA serum levels compared to HC and showed a higher frequency of CXCR3 positive cells in peripheral blood. Higher IP-10 serum levels were associated to higher frequency of CD3CXCR3 and CD4CXCR3 positive blood cells. Furthermore serum BA differentiation showed an association between higher IP-10 serum levels and higher levels of different taurine- and glycine conjugated BAs.

Conclusions: Higher frequency of circulating CD3CXCR3 and CD4CXCR3 positive blood cells in HCV patients might be caused by increased DPPIV activity in the context of bile acid accumulation and subsequent increase in cleaved antagonist forms of IP-10. It appears speculative whether increased peripheral CXCR3-positive T-cells reflect an inferior recruitment and antiviral response in the liver.