Dynamics of hepatitis B virus clearance in chimpanzees

JM Murray, SF Wieland, RH Purcell… - Proceedings of the …, 2005 - National Acad Sciences
JM Murray, SF Wieland, RH Purcell, FV Chisari
Proceedings of the National Academy of Sciences, 2005National Acad Sciences
Mathematical modeling was performed to test the extent to which cytopathic and
noncytopathic T cell effector functions contribute to resolution of hepatitis B virus (HBV)
infection in three acutely infected chimpanzees. Simulations based exclusively on cytopathic
functions show a poor fit to the data and would require the destruction and regeneration of≈
11 livers for clearance to occur. In contrast, a simulation based on a combination of
cytopathic and noncytopathic functions provided a significantly better fit to the data (P< …
Mathematical modeling was performed to test the extent to which cytopathic and noncytopathic T cell effector functions contribute to resolution of hepatitis B virus (HBV) infection in three acutely infected chimpanzees. Simulations based exclusively on cytopathic functions show a poor fit to the data and would require the destruction and regeneration of ≈11 livers for clearance to occur. In contrast, a simulation based on a combination of cytopathic and noncytopathic functions provided a significantly better fit to the data (P < 0.001) and required as much as 5-fold less destruction to clear the virus from the liver. The best fit simulation supports the notion that during the early phase of HBV clearance, noncytopathic T cell effector mechanisms inhibit viral replication and greatly shorten the half-life of the long lived covalently closed circular viral DNA transcriptional template, thereby limiting the extent to which cytopathic T cell effector functions and tissue destruction are required to terminate acute HBV infection.
National Acad Sciences