Jci_page_head_homepage_01 Jci_page_head_homepage_02
Henry Radziewicz, Richard M. Dunham, Arash Grakoui
Published in Volume 119, Issue 3
J Clin Invest. 2009; 119(3):450–453 doi:10.1172/JCI38661
Abstract | Full text | PDF
Options: View larger image (or click on image)
Medium
Figure 2
Model for balancing intrahepatic immune responses to HCV.

(i) Teffs and Tregs extravasate from the blood vessel to the site of infection. (ii) Vigorous Teff responses induced by HCV infection promote liver injury, leading to ALT elevation. Increased PD-1 expression on Teffs, and PD-L1 expression on hepatocytes, counter this liver injury by providing an inhibitory signal to the Teffs. (iii) In addition, Tregs proliferate and act to decrease Teff-induced liver injury. Franceschini et al. demonstrate that STAT-5 is phosphorylated in the Tregs at this time (5). (iv) Thereafter, Treg responses are tempered by upregulation of PD-1 (5). (v) After Treg responses wane, PD-1 expression decreases and homeostasis is achieved, preventing further liver injury while maintaining a capacity for future Teff responses if needed.