Go to JCI Insight
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Alerts
  • Advertising/recruitment
  • Subscribe
  • Contact
  • Current Issue
  • Past Issues
  • By specialty
    • Cardiology
    • Gastroenterology
    • Immunology
    • Metabolism
    • Nephrology
    • Neuroscience
    • Oncology
    • Pulmonology
    • Vascular biology
    • All...
  • Videos
    • Conversations with Giants in Medicine
    • Author's Takes
  • Reviews
    • View all reviews...
    • Mechanisms Underlying the Metabolic Syndrome (Oct 2019)
    • Reparative Immunology (Jul 2019)
    • Allergy (Apr 2019)
    • Biology of familial cancer predisposition syndromes (Feb 2019)
    • Mitochondrial dysfunction in disease (Aug 2018)
    • Lipid mediators of disease (Jul 2018)
    • Cellular senescence in human disease (Apr 2018)
    • View all review series...
  • Collections
    • Recently published
    • In-Press Preview
    • Commentaries
    • Concise Communication
    • Editorials
    • Viewpoint
    • Scientific Show Stoppers
    • Top read articles
  • Clinical Medicine
  • JCI This Month
    • Current issue
    • Past issues

  • About
  • Editors
  • Consulting Editors
  • For authors
  • Current issue
  • Past issues
  • By specialty
  • Subscribe
  • Alerts
  • Advertise
  • Contact
  • Conversations with Giants in Medicine
  • Author's Takes
  • Recently published
  • Brief Reports
  • Technical Advances
  • Commentaries
  • Editorials
  • Hindsight
  • Review series
  • Reviews
  • The Attending Physician
  • First Author Perspectives
  • Scientific Show Stoppers
  • Top read articles
  • Concise Communication
Emerging concepts in immunity to hepatitis C virus infection
Hugo R. Rosen
Hugo R. Rosen
Published October 1, 2013
Citation Information: J Clin Invest. 2013;123(10):4121-4130. https://doi.org/10.1172/JCI67714.
View: Text | PDF
Category: Review

Emerging concepts in immunity to hepatitis C virus infection

  • Text
  • PDF
Abstract

Since the discovery of hepatitis C virus (HCV) by molecular cloning almost a quarter of a century ago, unprecedented at the time because the virus had never been grown in cell culture or detected serologically, there have been impressive strides in many facets of our understanding of the natural history of the disease, the viral life cycle, the pathogenesis, and antiviral therapy. It is apparent that the virus has developed multiple strategies to evade immune surveillance and eradication. This Review covers what we currently understand of the temporal and spatial immunological changes within the human innate and adaptive host immune responses that ultimately determine the outcomes of HCV infection.

Authors

Hugo R. Rosen

×

Figure 4

Paradigm for avidity and cross-reactivity pertaining to HCV-specific CTLs, their antiviral efficacy and probability of mutational escape.

Options: View larger image (or click on image) Download as PowerPoint
Paradigm for avidity and cross-reactivity pertaining to HCV-specific CTL...
(i) CTLs with low functional avidity rarely select for escape variants, particularly with broad cross-recognition of mutant virus. HCV-specific CTLs that respond effectively to low concentrations of peptide have greater potency than those requiring high peptide concentrations. (ii) CTL responses rapidly selecting for HCV escape variants require a low concentration of peptide for stimulation (high avidity), (iii) but if coupled with poor cross-recognition, they are associated with decreased antiviral efficacy and potentially impaired recognition of variant peptides as they emerge (note that there is the least amount of supportive data in this poor cross-recognition paradigm). (iv) CTLs with low functional avidity rarely select for escape variants. The most effective CTL specificities express both functional attributes (in light purple) during the earliest stages of infection and predate the resolution of viremia. Taken together, the data suggest that strong immunity will eradicate HCV infection, weak immunity will drive few mutations, and intermediate immunity will select for escape but allow for persistence, resulting in a broader viral quasispecies.
Follow JCI:
Copyright © 2019 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

Sign up for email alerts