Abstract
Soluble HLA-class I and CD8 molecules were determined by sandwich ELISA in patients with viral-induced hepatic disorders. As a whole, the patients with hepatic disorders (acute hepatitis: AH; chronic hepatitis: CH; liver cirrhosis: LC; hepatocellular carcinoma: HCC) showed higher sHLA-class I and sCD8 levels than normal controls (P<0.001). AH patients had the highest sHLA-class I levels (mean, 3513±2112ng/ml), followed by CH (2896±1290ng/ml), LC (2293±1266ng/ml), and HCC (2221±1212ng/ml) sCD8 levels were highest in AH, followed by HCC, LC, and CH, in that order. Among histologically defined C virus-positive patients, sHLA-I levels were higher in those with chronic active hepatitis (CAH) 2A (3802±1124ng/ml) than in those with chronic persistent hepatitis (CPH; 2200±711ng/ml;P<0.01), the levels then decreased as the disease progressed (CAH2B, 3564±1783ng/ml, LC, 2376±1265ng/ml). In contrast, sCD8 values showed little difference among the disorders. sHLA-class I levels showed a positive correlation with sCD8 values both in whole patients and in patients with AH (P<0.01), but no correlation was shown, in any patients, with biochemical parameters such as GPT and GOT. These findings, taken together, suggest that hepatic destruction is not the only cause of sHLA-class I production, but that sHLA-class I levels, together with sCD8 levels, may reflect immunological activity in hepatic disorders.
Similar content being viewed by others
References
Van Rood JJ, van Leeuwen A, van Santen MCT. Anti HLA-A2 inhibitor in normal human serum. Nature 1970;226:366–367.
Hagihara M, Shimura T, Yamamoto K, et al. Clinical significance of serum soluble HLA class I antigens in systemic lupus erythematosus. Tokai J Exp Clin Med 1993;18:61–64.
Weyand CM, Jendro M, Goronzy JJ. Soluble HLA-DR molecules in patients with HLA class II versus class I associated disorders. Autoimmunity 1991;8:281–287.
Puppo F, Pellicci R, Brenci S, et al. HLA class I-soluble antigen serum levels in liver transplantation: A predictor marker of acute rejection. Hum Immunol 1994;40:166–170.
De Vito-Haynes LD, Jankowska-Gan E, Sollinger HW, et al. Monitoring of kidney and simultaneous pancreas-kidney transplantation rejection by release of donor-specific, soluble HLA class I. Hum Immunol 1994;40:191–201.
Davies HFFS, Pollard SG, Calne RY. Soluble HLA antigens in the circulation of liver graft recipients. Transplantation 1989; 47:524–527.
Brieva JA, Villar LM, Leoro G, et al. Soluble HLA class I antigen secretion by normal lymphocytes: Relationship with cell activation and effect of interferon-gamma. Clin Exp Immunol 1990; 82:390–395.
Wijngaard PLJ, Van der Meulen, Meyling FHIG, et al. Soluble CD8 and CD25 in serum of patients after heart transplantation. Clin Exp Immunol 1994;97:505–509.
Linker-Israeli M, Hyun S, Ozeri-Chen T, et al. Elevated in vivo and in vitro secretion of CD8-molecules in patients with systemic lupus erythematosus. J Immunol 1994;152:3158–3167.
Montano L, Miescher GC, Goodal AH, et al. Hepatitis B virus and HLA display in the liver in chronic hepatitis B virus infection. Hepatology 1982;2:557–561.
Fukusato T, Gerber MA, Thung SN, et al. Expression of HLA class I antigens on hepatocyte in liver disease. Am J Pathol 1986;123:264–270.
Barbatis C, Woods J, Morton JA, et al. Immunohistochemical analysis of HLA (A, B, C) antigens in liver disease using a monoclonal antibody. Gut 1981;22:985–991.
Manabe K, Yamada G, Nagashima H. Immunohistochemical study of HLA class I antigens on the hepatocytes of patients with chronic hepatitis B. Gastroenterol Jpn 1986;21:357–364.
Pignatelli M, Waters J, Broun D, et al. HLA class I antigens on the hepatocyte membrane during recovery from acute hepatitis B virus infection and during interferon therapy in chronic hepatitis B virus infection. Hepatology 1986;6:349–353.
Onji M, Kikuchi T, Kumon I, et al. Intrahepatic lymphocyte subpopulations and HLA class I antigen expression by hepatocytes in chronic hepatitis C. Hepato-Gastroenterol 1992;29: 340–343.
Dienes HP, Hütteroth T, Hess G, et al. Immunoelectron microscopic observation of the inflammatory infiltrates and HLA antigens in hepatitis B and non-A, non-B, hepatitis. Hepatology 1987;7:1317–1325.
Montano L, Aranguibei F, Boffill M et al. An analysis of the composition of the inflammatory infiltrate in autoimmune and hepatitis B virus-induced chronic liver disease. Hepatology 1983;3:292–296.
Pape, GR, Rieber EP, Eisenburg J, et al. Involvement of the cytotoxic/suppressor T cell subset in liver tissue injury of patients with acute and chronic liver disease. Gastroenterology 1983; 85:657–662.
Scheuer PL. Acute and chronic hepatitis revisited: Review by an international group. Lancet 1977;29:914–919.
Hiraki DD, See-Tho K, Filvaroff E, et al. Bioengineered soluble HLA-B7. Hum Immunol 1994;40:235–246.
Pfeffel F, Pindlich J, Petermann D, et al. Soluble CD8 and soluble CD4 antigens in viral hepatitis and alcoholic cirrhosis. J Hepatol 1994;20:245–251.
Wagner F, Assemi C, Lersch C, et al. Soluble interleukin-2 receptor and soluble CD8 in liver cirrhosis and obstructive jaundice. Clin Exp Immunol 1990;82:344–349.
Sakaguchi K, Koide N, Takenami T, et al. Soluble HLA class I antigens in sera of patients with chronic hepatitis. Gastroenterol Jpn 1992;27:206–211.
Onji M, Doi H, Miyaoka T, et al. Serum levels of soluble CD4 and CD8 in patients with chronic vasculitis. Hepato-Gastroenterol 1994;41:377–379.
Shimura T, Hagihara M, Yamamoto K, et al. Quantification of serum-soluble HLA class I antigens in patients with gastric cancer. Hum Immunol 1994;40:183–186.
Tsuji K. Ss (serum soluble) HLA antigens and their biological significance. Tokai J Exp Clin Med 1979;4:117–129.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hagihara, M., Shimura, T., Takebe, K. et al. Serum concentrations of soluble HLA-class I and CD8 forms in patients with viral hepatic disorders. J Gastroenterol 32, 338–343 (1997). https://doi.org/10.1007/BF02934490
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02934490