This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. This study will test the hypothesis that hepatitis C virus induces a specific cellular immune deficiency in which CD4 lymphocytes play a central role that precludes HCV clearance by induction of a mechanism that maintains adequate levels of virus-specific antibody but impairs cellular immune clearance. A cohort of hemophilic patients infected with HCV are followed over time; cellulor and humerol immune responses to HCV antigens are characterized and correlated with the extent of liver disease and response to therapy.
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