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10.1002/hep.29148

http://scihub22266oqcxt.onion/10.1002/hep.29148
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C5850982!5850982!28295463
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suck abstract from ncbi


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pmid28295463      Hepatology 2017 ; 66 (1): 57-68
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  • A single dose of anti-miR-122, RG-101, in CHC patients results in NK cell normalization with no effect on HCV-specific CD8+ T cell function #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 PMID28295463show ga
  • MicroRNA-122 (miR-122) is an important host factor for the hepatitis C virus. Treatment with RG-101, a GalNAc conjugated anti-miR-122 oligonucleotide, resulted in a significant viral load reduction in patients with chronic hepatitis C (CHC) infection. Here, we analyzed the effects of RG-101 therapy on antiviral immunity. 32 CHC patients HCV genotype 1, 3 and 4 received a single subcutaneous administration with RG-101 at 2 mg/kg (n=14), 4 mg/kg (n=14) or placebo (n=2 per dosing group). Plasma and PBMCs 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 IP-10 levels declined significantly upon dosing with RG-101. Furthermore, the frequency of NK cells increased, the proportion of NK cells expressing activating receptors normalized and NK cell IFN-? production decreased after RG-101 dosing. By week 8 post RG-101 injection, functional HCV-specific IFN-?-T cell responses declined significantly in patients who had undetectable HCV RNA. 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 post dosing.Conclusions: 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. Our data suggests that NK cells, but not HCV adaptive immunity may contribute to HCV viral control following RG-101 therapy.
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