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10.1002/hep.29148

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suck abstract from ncbi


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pmid28295463
      Hepatology 2017 ; 66 (1 ): 57-68
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  • Immune phenotype and function of natural killer and T cells in chronic hepatitis C patients who received a single dose of anti-MicroRNA-122, RG-101 #MMPMID28295463
  • Stelma F ; van der Ree MH ; Sinnige MJ ; Brown A ; Swadling L ; de Vree JML ; Willemse SB ; van der Valk M ; Grint P ; Neben S ; Klenerman P ; Barnes E ; Kootstra NA ; Reesink HW
  • Hepatology 2017[Jul]; 66 (1 ): 57-68 PMID28295463 show ga
  • MicroRNA-122 is an important host factor for the hepatitis C virus (HCV). Treatment with RG-101, an N-acetylgalactosamine-conjugated anti-microRNA-122 oligonucleotide, resulted in a significant viral load reduction in patients with chronic HCV infection. Here, we analyzed the effects of RG-101 therapy on antiviral immunity. Thirty-two chronic HCV patients infected with HCV genotypes 1, 3, and 4 received a single subcutaneous administration of RG-101 at 2 mg/kg (n = 14) or 4 mg/kg (n = 14) or received a placebo (n = 2/dosing group). Plasma and peripheral blood mononuclear cells were collected at multiple time points, and comprehensive immunological analyses were performed. Following RG-101 administration, HCV RNA declined in all patients (mean decline at week 2, 3.27 log10 IU/mL). At week 8 HCV RNA was undetectable in 15/28 patients. Plasma interferon-?-induced protein 10 (IP-10) levels declined significantly upon dosing with RG-101. Furthermore, the frequency of natural killer (NK) cells increased, the proportion of NK cells expressing activating receptors normalized, and NK cell interferon-? production decreased after RG-101 dosing. Functional HCV-specific interferon-? T-cell responses did not significantly change in patients who had undetectable HCV RNA levels by week 8 post-RG-101 injection. No increase in the magnitude of HCV-specific T-cell responses was observed at later time points, including 3 patients who were HCV RNA-negative 76 weeks postdosing. CONCLUSION: Dosing with RG-101 is associated with a restoration of NK-cell proportions and a decrease of NK cells expressing activation receptors; however, the magnitude and functionality of ex vivo HCV-specific T-cell responses did not increase following RG-101 injection, suggesting that NK cells, but not HCV adaptive immunity, may contribute to HCV viral control following RG-101 therapy. (Hepatology 2017;66:57-68).
  • |Dose-Response Relationship, Drug [MESH]
  • |Double-Blind Method [MESH]
  • |Drug Administration Schedule [MESH]
  • |Enzyme-Linked Immunospot Assay/methods [MESH]
  • |Female [MESH]
  • |Flow Cytometry [MESH]
  • |Follow-Up Studies [MESH]
  • |Hepatitis C, Chronic/diagnosis/*drug therapy [MESH]
  • |Humans [MESH]
  • |Injections, Subcutaneous [MESH]
  • |Killer Cells, Natural/*drug effects/immunology [MESH]
  • |Male [MESH]
  • |MicroRNAs/administration & dosage/*antagonists & inhibitors [MESH]
  • |Middle Aged [MESH]
  • |Molecular Targeted Therapy/methods [MESH]
  • |Netherlands [MESH]
  • |Phenotype [MESH]
  • |T-Lymphocytes/*drug effects/immunology [MESH]


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