Circulating follicular helper T cells and subsets are associated with immune response to hepatitis B vaccination
HUMAN VACCINES & IMMUNOTHERAPEUTICS
Authors: Yin, Mingjuan; Xiong, Yongzhen; Huang, Lingfeng; Liu, Gang; Yu, Zuwei; Zhao, Yi; Zhao, Jie; Zhang, Yan; Lian, Tingyu; Huang, Jingxiao; Liang, DongMei; Zeng, JinMei; Ni, Jindong
Abstract
Around 5-10% of healthy vaccinees lack or produce an inadequate antibody response following receipt of a standard hepatitis B vaccination regimen. Studying immune response to hepatitis B vaccination could promote researches of immunological events contributing to this poor response. To address this, we investigated follicular helper T (Tfh) cells and firstly demonstrated similar kinetics between circulating Tfh (cTfh) cells and Tfh cells derived from mice spleen after hepatitis B vaccination. And cTfh cells were positively associated with anti-HBs at one week after vaccination (D7). Furthermore, we found PBMCs stimulated by HBsAg showed preferential activation of CXCR3(-)Tfh cells subsetsin vitro. The expression of transcription factor BCL6 in CD4(+)T cell significantly differed between D7 and four weeks after vaccination (D28). However, dynamic curve of CD19(+)B cells tended to rise then fall but no significant trends were observed. Our findings revealed a decrease in cTfh cells and subset skewing contribute to reduced antibody responses in immune response to hepatitis B vaccination, which indicated the importance of Tfh cell in facilitating the optimization of vaccine efficacy.
Sensitivity and specificity of commercially available rapid diagnostic tests for viral hepatitis B and C screening in serum samples
PLOS ONE
Authors: Jargalsaikhan, Ganbolor; Eichner, Miriam; Boldbaatar, Delgerbat; Bat-Ulzii, Purevjargal; Lkhagva-Ochir, Oyungerel; Oidovsambuu, Odgerel; Dashtseren, Bekhbold; Namjil, Erdenebayar; Genden, Zulkhuu; Yagaanbuyant, Dahgwahdorj; Tuya, Alimaa; Gurjav, Naran; Mordorj, Altankhuu; Bungert, Andreas; Dashdorj, Naranbaatar; Dashdorj, Naranjargal
Abstract
Early diagnosis of chronic hepatitis B virus (HBV) and hepatitis C virus (HCV) infections is pivotal for optimal disease management. Sensitivity and specificity of 19 rapid diagnostic test (RDT) kits by different manufacturers (ABON, CTK Biotech, Cypress Diagnostics, Green Gross, Human Diagnostic, Humasis, InTec, OraSure, SD Bioline, Wondfo) were assessed on serum samples of 270 Mongolians (90 seropositive for hepatitis B surface antigen (HBsAg), 90 seropositive for hepatitis C antibody (HCV-Ab), 90 healthy subjects). All tested RDTs for detection of HBsAg performed with average sensitivities and specificities of 100% and 99%, respectively. Albeit, overall sensitivity and specificity of RDTs for detection of HCV-Ab was somewhat lower compared to that of HBsAg RDTs (average sensitivity 98.9%, average specificity 96.7%). Specificity of RDTs for detection of HCV-Ab was dramatically lower among HBsAg positive individuals, who were 10.2 times more likely to show false positive test results. The results of our prospective study demonstrate that inexpensive, easy to handle RDTs are a promising tool in effective HBV- and HCV-screening especially in resource-limited settings.