TY - JOUR A1 - Phillips, Sandra A1 - Mistry, Sameer A1 - Riva, Antonio A1 - Cooksley, Helen A1 - Hadzhiolova-Lebeau, Tanya A1 - Plavova, Slava A1 - Katzarov, Krum A1 - Simonova, Marieta A1 - Zeuzem, Stefan A1 - Woffendin, Clive A1 - Chen, Pei-Jer A1 - Peng, Cheng-Yuan A1 - Chang, Ting Tsung A1 - Lüth, Stefan A1 - Knegt, Robert Jacobus de A1 - Choi, Moon Seok A1 - Wedemeyer, Heiner A1 - Dao, Michael A1 - Kim, Chang-Wook A1 - Chu, Heng-Chen A1 - Wind-Rotolo, Megan A1 - Williams, Roger A1 - Cooney, Elizabeth A1 - Chokshi, Shilpa T1 - Peg-Interferon lambda treatment induces robust innate and adaptive immunity in chronic Hepatitis B patients T2 - Frontiers in immunology N2 - IFN-lambda (IFNλ) is a member of the type III IFN family and is reported to possess anti-pathogen, anti-cancer, and immunomodulatory properties; however, there are limited data regarding its impact on host immune responses in vivo. We performed longitudinal and comprehensive immunosurveillance to assess the ability of pegylated (peg)-IFNλ to augment antiviral host immunity as part of a clinical trial assessing the efficacy of peg-IFNλ in chronic hepatitis B (CHB) patients. These patients were pretreated with directly acting antiviral therapy (entecavir) for 12 weeks with subsequent addition of peg-IFNλ for up to 32 weeks. In a subgroup of patients, the addition of peg-IFNλ provoked high serum levels of antiviral cytokine IL-18. We also observed the enhancement of natural killer cell polyfunctionality and the recovery of a pan-genotypic HBV-specific CD4+ T cells producing IFN-γ with maintenance of HBV-specific CD8+ T cell antiviral and cytotoxic activities. It was only in these patients that we observed strong virological control with reductions in both viral replication and HBV antigen levels. Here, we show for the first time that in vivo peg-IFNλ displays significant immunostimulatory properties with improvements in the main effectors mediating anti-HBV immunity. Interestingly, the maintenance in HBV-specific CD8+ T cells in the presence of peg-IFNλ is in contrast to previous studies showing that peg-IFNα treatment for CHB results in a detrimental effect on the functionality of this important antiviral T cell compartment. KW - peg-interferon lambda KW - direct antiviral KW - hepatitis B KW - immunity KW - in vivo Y1 - 2017 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/43676 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-436760 SN - 1664-3224 N1 - Copyright © 2017 Phillips, Mistry, Riva, Cooksley, Hadzhiolova-Lebeau, Plavova, Katzarov, Simonova, Zeuzem, Woffendin, Chen, Peng, Chang, Lueth, De Knegt, Choi, Wedemeyer, Dao, Kim, Chu, Wind-Rotolo, Williams, Cooney and Chokshi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. VL - 8 IS - Art. 621 SP - 1 EP - 13 PB - Frontiers Media CY - Lausanne ER -