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*
Liver Research Laboratories and
Department of Rheumatology, Medical Research Council Centre for Immune Regulation, University of Birmingham, Birmingham, United Kingdom; and
LeukoSite, Cambridge, MA 02142
The role played by chemokines in regulating the selective
recruitment of lymphocytes to different tissue compartments in disease
is poorly characterized. In hepatitis C infection, inflammation
confined to portal areas is associated with a less aggressive course,
whereas T cell infiltration of the liver parenchyma is associated with
progressive liver injury and cirrhosis. We propose a mechanism to
explain how lymphocytes are recruited to hepatic lobules during bursts
of necroinflammatory activity in chronic hepatitis C infection. We
report here that lymphocytes infiltrating hepatitis C-infected liver
express high levels of the chemokine receptors CCR5 and CXCR3. However,
whereas the CCR5 ligands macrophage inflammatory protein-1
and -1ß
were largely confined to vessels within portal tracts, the CXCR3
ligands IFN-inducible protein-10 and monokine-induced by IFN-
were
selectively up-regulated on sinusoidal endothelium. In vitro, human
hepatic sinusoidal endothelial cells secreted IFN-inducible protein-10
and monokine-induced by IFN-
in response to stimulation with IFN-
in combination with either IL-1 or TNF-
. This suggests that
intrahepatic Th1 cytokines drive the increased expression of
IFN-inducible protein-10 and monokine-induced by IFN-
and thereby
promote the continuing recruitment of CXCR3-expressing T cells into the
hepatic lobule in chronic hepatitis C infection.
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