Hepatitis C Virus-Specific Cd4(+) T Cell Response After Liver Transplantation Occurs Early, Is Multispecific, Compartmentalizes To The Liver, And Does Not Correlate With Recurrent Disease

The role of hepatitis C virus (HCV)-specific CD4(+) T cells in recurrent HCV infection after orthotopic liver transplantation (OLTx) is unclear. In parallel, 73 intrahepatic and 73 blood-derived T cell lines were established from 34 patients. At a single cell level, virus-specific interferon (IFN)-gamma production to various HCV proteins was determined by ELISPOT assay: 45 (62%) of 73 liver- or blood-derived T cell lines produced IFN-g in response to one of the HCV antigens. HCV specificity was detected mainly in the liver (47% vs. 23% in the blood; P < .05, (2) test) and was detectable earlier (less than or equal to6 months) significantly more often than later (>6 months) months) after OLTx (78% vs 49%; P < .05, (2) test). Histology, histologic activity index, liver enzymes, and virus load did not correlate with the occurrence of HCV-specific CD4(+) T cells. Despite strong immunosuppressive treatment, OLTx recipients can develop an early, multispecific, preferentially intrahepatic CD4(+) T cell response that decreases over time, making it a potential candidate target for novel therapeutic approaches in the transplant setting.