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Abstract
Annual Review of Immunology
Vol. 25: 71-99 (Volume publication date April 2007)
(doi:10.1146/annurev.immunol.25.022106.141602)
First published online as a Review in Advance on October 26, 2006
Flying Under the Radar: The Immunobiology of Hepatitis C

Lynn B. Dustin and Charles M. Rice
The Rockefeller University, Center for the Study of Hepatitis C, New York, NY 10021; email:

Abstract The hepatitis C virus (HCV) is a remarkably successful pathogen, establishing persistent infection in more than two-thirds of those who contract it. Its success is related to its abilities to blunt innate antiviral pathways and to evade adaptive immune responses. These two themes may be related. We propose that HCV takes advantage of the impaired innate response to delay the organization of an effective adaptive immune attack. The tolerogenic liver environment may provide cover, prolonging this delay. HCV's error-prone replication strategy permits rapid evolution under immune pressure. Persistent high levels of viral antigens may contribute to immune exhaustion. Finally, the virus may benefit from the efficient enlistment of memory T and B cells in the pursuit of a moving target.

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Authors:
Lynn B. Dustin
Charles M. Rice
Keywords:
liver disease
Hepacivirus
persistent infection
cryoglobulin
interferon

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