Chronic Hepatitis C Clinical Trial
Official title:
Hepatitis C Virus in Neutrophil Granulocyte Progenitor Cells
Patients with hepatitis C show impaired neutrophil function. It is not known whether this is a direct of an indirect phenomenon. Using bone marrow biopsies from patients with hepatitis C it is possible to see whether neutrophil granulocyte progenitors are already infected with hepatitis C.
Neutrophil granulocytes are important components of the innate immune system and pioneers in
the fight against both fungal and bacterial infections. If pathogens enter the body, they are
marked as foreign by antibodies and the complement system. Afterwards receptors on the
neutrophils recognize and bind on these foreign substances to make them harmless. This
process is called phagocytosis. Hepatitis C virus (HCV) and neutrophils are rarely
associated. The HCV belongs to the Flaviviridae. It is a single-stranded, enveloped RNA virus
with a positive polarity, which cause chronic hepatitis C (CHC) in approximately 170 million
people worldwide. Subsequently, such an infection leads to liver cirrhosis and carcinoma in a
significant proportion of patients. The virus infects mainly hepatocytes, but extrahepatic
replication has also been shown. HCV usually enters the cell through receptor-mediated
endocytosis (claudin-1, cluster of differentiation (CD)81, occludin and scavenger receptor
1), before it abuses the cell's own infrastructure for the viral protein synthesis.
The aim of this study is to determine neutrophil function in chronic hepatitis C infected
patients. Furthermore the investigators want to examine if neutrophils or their precursor
cells are infected with HCV and if this leads to their dysfunction.
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