Chronic systemic 'latent'
viral infections such as
Cytomegalovirus infection (CMV) are known to leave a fingerprint in the total T-cell population. We investigated whether
chronic infections with a 'persistent'
viremia, such as
chronic hepatitis B and C (CHB, CHC), characterized by local organ-specific
inflammation, also impact the total peripheral T-cell population or other virus specific T-cells that do not target hepatitis viruses. No phenotypic or functional differences were found between CD8(+) T-cells or CMV- or Epstein-Barr virus specific T-cells in viral
hepatitis and healthy controls (HC). However, expression of
chemokine-receptor CXCR3 was significantly higher on total peripheral CD8(+) T-cells of CHB or CHC patients compared to HC (p<0.005) which may reflect the pervasive influence of a persistent
viral infection, even when restricted to the liver. In CHB higher CXCR3 expression was associated with positive
HBeAg-status and correlated with the percentage of
HBsAg expressing hepatocytes found in liver biopsies, both pointing to a relation between CXCR3 expression and disease activity. In fact
chemokine-receptors such as CXCR3 are important for T-cell recruitment to the liver and
chemokine-
ligands specific for CXCR3 are upregulated in
chronic hepatitis. Modulating
chemokine(receptor) expression could be a potential target for future
therapy to optimize the anti-viral immunologic environment in the liver.