Natural Killer T cells in Egyptian Patients with HCV-associated Non-alcoholic Fatty Liver Disease | ||
Suez Canal University Medical Journal | ||
Article 12, Volume 22, Issue 1, March 2019, Pages 95-105 PDF (718.56 K) | ||
Document Type: Original Article | ||
DOI: 10.21608/scumj.2019.65514 | ||
Authors | ||
Raghda K Ali1; Soha E Younes2; Adel A Hassan3; Amany M Hassan2; Amro A El-Sakka4; Rasha Emad5; Howayda Hassoba* 2 | ||
1Department of Clinical Pathology, Ismailia Oncology Hospital, Egypt | ||
2Department of Clinical Pathology, Faculty of Medicine, Suez Canal University, Egypt | ||
3Department Tropical Medicine, Faculty of Medicine, Suez Canal University, Egypt | ||
4Fifth year Medical Student, Faculty of Medicine, Suez Canal University, Egypt | ||
5Department of Clinical Pathology, Faculty of Medicine, Port Said University, Egypt | ||
Abstract | ||
Background:Studies on Natural Killer T (NKT) cells in Non-alcoholic fatty liver disease (NAFLD) have shown contradictory results. Moreover, the effect of HCV superinfection on NKT cells in NAFLD patients have not been previously studied. Aim: to assess the effect of the concomitant HCV infection on the frequency of NKT cells and CD8+ T cells in a cohort of Egyptian patients with hepatic steatosis. Subjects and Methods: Two-hundred subjects were divided into four equal groups, 1) concomitant hepatic steatosis/HCV, 2) HCV (without steatosis), 3) steatosis (without HCV), and 4) normal controls. NKT and CD8+ T cells were identified by monoclonal antibodies surface staining for (CD3, CD56, CD161), and (CD3, CD8) respectively using flow cytometry. Results: CD3+/CD56+/CD161+ NKT cells were significantly higher in patients with either steatosis (alone) or concomitant HCV/steatosis compared to control (p<0.0001 each), while comparable NKT frequency was found between HCV group and control (p=0.72). A significant increase in CD3+/CD8+ T cells was noted in the three patients’ groups compared to control (p=0.0001, 0.002 and 0.001, respectively). Interestingly, NKT cells were significantly higher in patients with steatosis/HCV compared to those with HCV alone (p<0.0001), while, they did not differ betweenconcomitant HCV/steatosis and steatosis (alone) group. Higher frequencies of both NKT cells and CD8+ T cells were significantly associated with increased severity of steatosis. In HCV group, NKT frequencies were unrelated to steatosis severity. Conclusion: NKT cells are significantly elevated in patients with hepatic steatosis irrespective to the presence or absence of concomitant HCV infection. | ||
Keywords | ||
NKT; CD8+ T; steatosis; Egypt; HCV | ||
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