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ANNUAL REVIEW master Final3a - St Vincent's University Hospital

ANNUAL REVIEW master Final3a - St Vincent's University Hospital

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targets for the rational development of novel therapies. Analysis of variations (polymorphisms) in the IFNα<br />

and IFNα response genes and the resulting difference in response to interferon alpha may help us determine<br />

patients who are most likely to respond to therapeutic interferon alpha.<br />

Tariq Tajuddin, Emma McGrath, Elizabeth Ryan, John Hegarty, Cliona O’Farrelly.<br />

Regulation of DC-SIGN by IFN-α<br />

DC-SIGN is a C-type lectin receptor expressed by dendritic cells (DC) that binds to a HCV envelope protein.<br />

DC-SIGN expression can be reduced following exposure to IFN-·. In this study we aim to determine the<br />

importance of the expression of this receptor to the outcome of IFN-·/Ribavirin therapy.<br />

Elizabeth Ryan, Cliona O’Farrelly, John Hegarty<br />

The characterisation of T cell subsets in normal and diseased liver<br />

T regulatory cells (CD4+CD25+FoxP3+) that secrete anti-inflammatory cytokines, such as IL-10 and TGFβ<br />

can prevent effective cellular responses. By carefully characterising this population in normal and diseased<br />

human liver tissue we aim to determine their importance in controlling the immune response in the liver.<br />

Previous work in Prof. Kingston Mills’ Laboratory has shown that Fasciola hepatica infection of mice can<br />

lessen the severity of Experimental Autoimmune Encephalitis (EAE). We aim to characterise liver T regulatory<br />

cells in this model to determine their role in mediating the suppression of inflammation.<br />

Eszter Nèmeth, Miriam Brady (TCD), Cliona O’Farrelly, Kingston Mills (TCD)<br />

How does HCV inhibit Interferon-alpha (IFN-·) treatment?<br />

A significant percentage of the Irish population are infected with HCV and IFN-· is the current standard<br />

treatment. However, more than 50% of patients do not respond to this therapy and suffer significant side<br />

effects unnecessarily. The anti-viral action of IFN-α depends on a cellular cascade of proteins known as the<br />

JAK/STAT pathway. We are investigating how HCV affects this pathway and the subsequent anti-viral<br />

response. Our initial results have discovered that a number of proteins of the JAK/STAT pathway are absent<br />

in patients who fail to respond to therapy. We plan to determine how this virus destroys such important<br />

proteins and in doing so we hope to provide clinicians with a predictive tool of response and identify potential<br />

targets of for future therapy.<br />

Nigel <strong>St</strong>evenson, Catherine Keogh, Elizabeth Ryan, Tariq Tajuddin, John Hegarty, Cliona O’ Farrelly,<br />

Aideen Long (TCD), Christine Biron (Brown <strong>University</strong>), Jim Johnston (Queen’s <strong>University</strong>, Belfast),<br />

Charlie Rice (Rockefeller <strong>University</strong>)<br />

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