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Annual Review - St Vincent's University Hospital

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<strong>St</strong>. Vincent’s Healthcare Group Limited - <strong>Annual</strong> <strong>Review</strong> 2008<br />

Education and Research Centre<br />

Research Activities<br />

generation of a ‘tolergenic’ dendritic cell phenotype.<br />

These results were published in the Journal ‘Human<br />

Immunology’.<br />

The recombinant canarypox virus ALVAC is being<br />

extensively studied as vaccine vector for the<br />

development of new vaccine strategies against chronic<br />

infectious diseases and cancer. Gene profiling analysis<br />

of human monocyte derived dendritic cells (MDDCs)<br />

upon ALVAC infection (Anke Harenburg, Nicolas Burdin<br />

and Franca Spada, Sanofi Pasteur) demonstrated that<br />

the majority of the genes that were up-regulated by<br />

ALVAC belong to the type I interferon signaling pathway,<br />

this may have important implications for the use of this<br />

vaccine system in patients with suppressed IFN<br />

responses such as those with chronic HCV infection.<br />

These results were published in the Journal ‘Vaccine’.<br />

Effect of Chronic HCV infection on Dendritic Cell<br />

phenotype and function.<br />

However, to exploit DC targeted therapies in patients<br />

with chronic infections such as HCV or cancer we need<br />

to understand how DCs in these patient groups differ<br />

from those of healthy individuals. We have made a<br />

number of interesting discoveries, such as finding that<br />

Dendritic cells of HCV+ patients do not produce IFNalpha<br />

in response to poly(I:C) stimulation. Conversely,<br />

MDDCs from HCV+ patients secrete high levels of the<br />

molecule Osteoprotegerin (OPG) a cytokine that plays<br />

an important role in protecting bone from degradation<br />

by osteoclasts.<br />

We are also evaluating DC numbers and phenotype in<br />

the blood and liver of HCV patients.<br />

Elizabeth J. Ryan, John Hegarty, Cliona O’Farrelly<br />

The characterisation of T cell subsets in normal and<br />

diseased liver<br />

T regulatory cells (CD4+CD25+FoxP3+) that secrete<br />

anti-inflammatory cytokines, such as IL-10 and TGF-β<br />

can prevent effective cellular responses. By carefully<br />

characterising this population in normal and diseased<br />

human liver tissue we aim to determine their importance<br />

in controlling the immune response in the liver. Previous<br />

work in Prof. Kingston Mills’ Laboratory has shown that<br />

Fasciola hepatica infection of mice can lessen the<br />

severity of Experimental Autoimmune Encephalitis<br />

(EAE). We aim to characterise liver T regulatory cells in<br />

this model to determine their role in mediating the<br />

suppression of inflammation.<br />

Eszter Nèmeth, Miriam Brady (TCD), Cliona O’Farrelly,<br />

Kingston Mills (TCD)<br />

How does HCV inhibit IFN-α treatment?<br />

The anti-viral action of IFN-α depends on proteins<br />

within the cell known as the Janus kinases (Jak) and<br />

Signal Transducers and Activators of Transcription (STAT)<br />

that make up the JAK/STAT pathway. Since more than<br />

50% of patients do not respond to IFN-α, we are<br />

investigating how HCV affects this pathway and its antiviral<br />

response.<br />

We have discovered that a number of proteins of the<br />

JAK/STAT pathway, essential for an antiviral response,<br />

are absent in many HCV patients. We have also found<br />

that HCV acts to degrade these proteins, which may<br />

explain the lack of response to therapy. We plan to<br />

determine exactly how this virus destroys such<br />

important proteins and in doing so we hope to provide<br />

clinicians with a predictive tool of response and identify<br />

potential targets of for future therapy.<br />

Nigel <strong>St</strong>evenson, Nollaig Bourke, Catherine Keogh,<br />

John Hegarty, Cliona O’ Farrelly, Aideen Long (TCD),<br />

Christine Biron (Brown <strong>University</strong>), Jim Johnston (Queen’s<br />

<strong>University</strong>, Belfast), Charlie Rice (Rockefeller <strong>University</strong>)<br />

What role does Suppressors of cytokine signalling<br />

(SOCS) play in HCV resistance to IFN-α treatment?<br />

IFN-α is a powerful intracellular defence system against<br />

viruses and resistance to it is manifested by a reduced<br />

induction of anti-viral genes. SOCS proteins control<br />

cytokine signalling and have been documented to<br />

regulate IFN-α signalling and be triggered by HCV<br />

26<br />

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