Original Articles

Association of TNF-α, IFN-γ, IL-6, and IL-10 with different clinical manifestations of hepatitis B infection

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Published: 18 July 2023
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Cytokines have a crucial part in the pathogenesis, persistence of infection, and prognosis of hepatitis B virus (HBV) infection as HBV does not cause direct liver destruction; rather, disease-related complications and prognosis are more associated with immune system action, specifically cytokines such as TNF-α, IFN-γ, IL-6, IL-10, and other cytokines. This study sought to link TNF-, IFN-, IL-6, and IL-10 to various clinical manifestations of HBV infection. Ninety sera were taken from HBV-infected patients, 30 (33.3%) of whom had liver cirrhosis, 30 (33.3%) were HBV carriers, 19 (21.2%) were acute HBV patients, and 11 (12.2%) were recently HBV infected. ELISA was used to determine the serum levels of TNF-α, IFN-γ, IL-6, and IL-10. HBV-infected patients with liver cirrhosis had considerably higher mean serum levels of IFN-γ (P=0.005) and IL-10 (P=0.003), but TNF-α and IL-6 were significantly higher in recent HBV-infected patients (P values 0.034 and 0.004, respectively). There were substantial changes in mean serum levels of TNF-α, IFN-γ, IL-6, and IL-10 at different phases of HBV infection, implying a role for cytokines in HBV etiology, chronicity, and consequences.

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Wong DJ, Locarnini SA, Thompson AJV. Hepatitis B virus. In Richman DD, Whitley RJ, Hayden FG. Clinical virology, 4th ed. ASM Press. Washington DC, USA. 2017;713-70.
Sheron N, Lau J, Daniels H, et al. Increased production of tumour necrosis factor alpha in chronic hepatitis B virus infection. J Hepatol 1991;12:241-5.
Cagri BA, Buke M, Altuglu IE, et al. Tumor Necrosis Factor Alpha and Interleukin 6 Productions in Response to Platelet-Activating Factor in Chronic Hepatitis B Virus Infection. J Med Princ Pract 2004;13:273-6.
Bilgic Y, Seckin Y, Cagin YF, et al. Does the tumor necrosis factor a predictor factor in patients with chronic hepatitis B and C. J Biomed Res 2017;28:1683-7.
Lau JY, Bain VG, Naoumov NV, et al. Effect of interferon-gamma on hepatitis B viral antigen expression in primary hepatocyte culture. J Hepatol 1991;14:975-9.
Xia C, Liu Y, Chen Z, Zheng M. Involvement of Interleukin-6 in Hepatitis B Viral Infection. Cell Physiol Biochem 2015;37:677-86.
Tang S, Liu Z, Zhang Y, et al. Rather than rs1800796 polymorphism, expression of interleukin-6 is associated with disease progression of chronic HBV infection in a Chinese han population. Dis Markers 2013;35:799-805.
Luo MX, Wong SH, Chan MT, et al. Autophagy mediates hbx-induced nuclear factor-kappab activation and release of il-6, il-8, and cxcl2 in hepatocytes. J Cell Physiol 2015;230:2382-2389.
Chau G, Wu C, Lui W, et al. Serum interleukin IL-10 but not interleukin-6 is related to clinical outcome in patients with resectable hepatocellular carcinoma. Ann Surg 2000;231:552-8.
Fioravanti J, Lucia PD, Magini D, et al. Effector CD8 + T cell-derived interleukin-10 enhances acute liver immunopathology. J Hepatol 2017;67:543-8.
Weng HL, Cai MW, Wang BE, et al. Clinical study of anti-hepatic fibrosis effect of INF-gamma in patients with chronic hepatitis B. Chin Med J 2003;83:943-47.
Weng HL, Wang BE, Jia JD, et al. Effect of interferongamma on hepatic fibrosis in chronic hepatitis B virus infection: a randomized controlled study. J Clin Gastroenterol Hepatol 2005;3:819-28.
Wu YJ, Cai MW, Li Q, et al. Long-term antifibrotic action of interferon-γ treatment in patients with chronic hepatitis B virus infection. Hepatobiliary Pancreat Dis Int J 2011;10:151-7.
Matskevich AA, Cordelier P, Strayer DS. Conditional expression of INF-alpha and INF-gamma activated by HBV as genetic therapy for hepatitis B. J Interferon Cytokine Res 2003;23:709-21.
Paul S, Tabassum S, Islam MN. Interferon-gamma (INFgamma) response to different hepatitis B virus antigens in hepatitis B infection. J Bangladesh Med Rese Counc Bull 2004;30:72-7.
Quancheng K, Duolu Li, Zujiang Y. Specific expression of human interferon-gamma controls hepatitis B virus replication in vitro in secreting hepatitis B surface antigens hepatocytes. J Virol Methods 2012;180:84-90.
Wieland SF, Vega RG, Müller R, et al. Searching for interferon- induced genes that inhibit hepatitis B virus replication in transgenic mouse hepatocytes. J Virol 200;7:1227-36.
Toyonaga T, Hinot O, Sugai S, et al. Chronic active hepatitis in transgenic mice expressing interferon-y in the liver. Proc Natl Acad Sci USA 1994;91:614-8.
Valaydon Z, Pellegrini M, Thompson A, et al. The role of tumour necrosis factor in hepatitis B infection: Jekyll and Hyde. J Clin Transl Immunol 2016;5:e115.
Nobili L, Albani L, Gabrielli A, Moroncini G. Reactivation of Hepatitis B Virus Infection Associated with Anti-Tumor Necrosis Factor-α Therapy. J Antivir Antiretrovir 2014;6:92-101.
Biermer M, Puro R, Schneider RJ. Tumor Necrosis Factor Alpha Inhibition of Hepatitis B Virus Replication Involves Disruption of Capsid Integrity through Activation of NF-β. J Virol 2003;77:4033-42.
Tzeng HT, Tsai HF, Chyuan IT, et al. Tumor Necrosis Factor-Alpha Induced by Hepatitis B Virus Core Mediating the Immune Response for Hepatitis B Viral Clearance in Mice Model. PLoS ONE 2014;9:e103008.
Bouezzedine F, Fardel O, Gripon P. Interleukin 6 inhibits HBV entry through NTCP down-regulation. Virol J 2015;481:34-42.
Palumbo GA, Scisciani C, Pediconi N, et al. IL-6 Inhibits HBV transcription by targeting the epigenetic control of the nuclear cccDNA minichromosome. PLOS ONE 2015;10:e0142599.
Galun E, Nahor O, Eid A, et al. Human Interleukin-6 Facilitates Hepatitis B Virus Infection in Vitro and in Vivo. J Virol 2000;270:299-309.
Lan T, Chang L, Wu L, Yuan Y. IL-6 Plays a Crucial Role in HBV Infection. J Clin Transl Hepatol 2015;3:271-6.
Zhang F, Yao S, Zhang M, et al. Roles of circulating soluble interleukin (IL)-6 receptor and IL-6 receptor expression on CD4+ T cells in patients with chronic hepatitis B. Int J Infect Dis 2011;15:e267-e271.
Tülek N, Saglam Sk, Saglam M, et al. Soluble interleukin-2 receptor and interleukin-10 levels in patients with chronic hepatitis B infection. J Hepatogastroenterol 2000;47:828-31.
Wang K, Wu Z, Ye Y, et al. Plasma Interleukin-10: A Likely Predictive Marker for Hepatitis B Virus-Related Acute-on-Chronic Liver Failure. J Hepat Mon 2014;14:e19370.
Nabioullin R, Sone S, Mizuno K, et al. Interleukin-10 is a potent inhibitor of tumor cytotoxicity by human monocytes and alveolar macrophages. J Leukoc Biol 1994;55:437-42.
Hyodo N, Nakamura I, Imawari M. Hepatitis B core antigen stimulates interleukin-10 secretion by both T cells and monocytes from peripheral blood of patients with chronic hepatitis B virus infection. J Clin Exp Immunol 2004;135:462-6.
Ӧzgüler M, Akbulut HH, Akbulut A. Evaluation of Interleukin-10 Levels in Patients Diagnosed with Chronic Hepatitis. West Indian Med J 2015;64:71-5.

How to Cite



Association of TNF-α, IFN-γ, IL-6, and IL-10 with different clinical manifestations of hepatitis B infection. (2023). Italian Journal of Medicine, 17(2). https://doi.org/10.4081/itjm.2023.1627