Effects of intrauterine exposure to maternal-derived HBeAg on T cell immunity in cord blood

Scand J Immunol. 2020 Aug;92(2):e12914. doi: 10.1111/sji.12914. Epub 2020 Jun 29.

Abstract

Immature immune system and immune tolerance induced by exposure to HBeAg in utero and/or shortly after infection in newborns were reportedly the causes of chronic HBV infection. To investigate the effect of maternal-derived HBeAg on neonatal T cell immunity, we analysed and compared T cell phenotypes and functions among neonates born to HBsAg+ /HBeAg+ mothers (HBeAg+ neonates), HBsAg+ /HBeAg- mothers (HBeAg- neonates) and healthy control mothers (HC neonates), using flow cytometry. The results showed that neonatal T cell phenotypes were similar regardless of HBeAg exposure. Upon anti-CD3 and anti-CD28 stimulation in HBeAg+ neonates, CD4+ T cell production of IFN-γ (P < .05) was significantly enhanced, while CD8+ T cells secreted significantly more IL-2 compared with those in HBeAg- and HC groups (P < .05). Moreover, similar levels of IFN-γ and IL-10 were observed in the culture supernatant after stimulation with rHBsAg, rHBcAg or rHBeAg among HBeAg+ , HBeAg- and HC neonates, whereas HBeAg+ neonates produced more TNF-α than HBeAg- neonates upon stimulation with rHBcAg. In conclusion, the results indicated that the HBsAg+ /HBeAg+ maternal environment did not influence the phenotypes of cord blood T cells but boosted neonatal non-specific Th1-type cytokine production.

Keywords: HBeAg; T cells; neonates.

MeSH terms

  • Cytokines / immunology
  • Female
  • Fetal Blood / immunology*
  • Hepatitis B / immunology
  • Hepatitis B e Antigens / immunology*
  • Humans
  • Infant, Newborn
  • Infectious Disease Transmission, Vertical
  • Pregnancy
  • Pregnancy Complications, Infectious / immunology*
  • Prenatal Exposure Delayed Effects / immunology*
  • T-Lymphocytes / immunology*

Substances

  • Cytokines
  • Hepatitis B e Antigens