Proceedings of the National Academy of Sciences · 2004 · 241 citations · 27 references
Life SciencesImmunologyInfectious DiseasesAdaptive ImmunityImmunoregulationMolecular VirologyAntigen Presentation RegulationAntigen RecognitionAntiviral ImmunityHumoral ImmunityImmune RegulationViral HepatitisImmunoregulatory SignalingPeripheral T Cell ToleranceSecretory ExpressionViral Hepatitis PathogenesisViral Nucleocapsid Structure
A unique characteristic of the hepatitis B virus is the production of a secreted form (precore or HBeAg) of the structural nucleocapsid (core or HBcAg). By using T cell receptor (TCR) transgenic (Tg) and TCR x HBc/HBeAg double- and triple-Tg pairs, we demonstrate that HBeAg elicits T cell tolerance, whereas HBcAg is nontolerogenic in this system. In fact, TCR x HBc double-Tg mice spontaneously seroconvert to IgG anti-HBc positivity at an early age. However, the presence of HBeAg in the serum of TCR x HBc x HBe triple-Tg mice prevents anti-HBc seroconversion. HBeAg mediates its immunoregulatory effect by eliciting tolerance in HBc/HBeAg-specific T cells. The results suggest that hepadnaviruses have retained a secretory form of the nucleoprotein because it functions as a T cell tolerogen and regulates the immune response to the intracellular nucleocapsid. This HBeAg-mediated immune regulation may predispose to chronicity during perinatal infections and prevent severe liver injury during adult infections.
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A Hepatitis B Virus Mutant Associated with an Epidemic of Fulminant Hepatitis
T. Jake Liang, Kiyoshi Hasegawa, Nurit Rimon et al. · New England Journal of Medicine · 1991 · 465 citations · Full text