Phenotypic and Functional Analyses Guiding Combination Immune Checkpoint Immunotherapeutic Strategies in HTLV-1 Infection.

Phenotypic and Functional Analyses Guiding Combination Immune Checkpoint Immunotherapeutic Strategies in HTLV-1 Infection.
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DOI:
10.3389/fimmu.2021.608890
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发表时间:
2021
影响因子:
7.3
通讯作者:
Jain P
Jain P
中科院分区:
医学2区
文献类型:
--
作者:
Clements DM;Crumley B;Chew GM;Davis E;Bruhn R;Murphy EL;Ndhlovu LC;Jain P

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人类 T 细胞淋巴细胞病毒 1 型 (HTLV-1) 相关性脊髓病/热带痉挛性截瘫 (HAM/TSP) 在 1-5% 的 HTLV-1 感染者中发生。我们和其他人之前的研究表明,在各种慢性病毒感染中,CD8 T 细胞上阴性免疫检查点受体 (NCR) 的表达显着增加,并且与抗病毒免疫力差有关。我们之前已经确定了 HAM/TSP 患者血液和 HTLV-1 感染人源化小鼠中枢神经系统 (CNS) 组织中 CD8 T 细胞上 NCR 的差异表达,并确定了与神经系统并发症的关联。在这项研究中,我们确定了 HTLV-1 感染中几个关键 NCR(PD-1、TIGIT、TIM-3 和 LAG-3)及其同源配体的共表达模式,并评估了针对这些途径的组合策略如何影响 HTLV-1 特异性 CD8 T 细胞效应器功能,作为减少 CNS 疾病结果的方法。我们发现,HAM/TSP 患者的整体 CD8 T 细胞共表达多个 NCR 的频率明显高于无症状携带者 (AC)。此外,与 AC 相比,HAM/TSP 中浆细胞和髓系树突细胞上的 NCR 配体(PVR 和 PD-LI)也以更高的频率表达。在 AC 和 HAM/TSP 受试者中,双重 PD-L1/TIGIT 或三重 PD-L1/TIGIT/TIM-3 阻断与单克隆抗体的组合导致病毒刺激后 CD8 T 细胞中细胞内细胞因子表达增加,特别是脱颗粒标记物 CD107a 和可直接抑制病毒复制的关键细胞因子 TNF-α。有趣的是,几乎所有阻断组合都会导致 HAM/TSP 受试者中 IL-2+ HTLV-1 特异性 CD8 T 细胞频率降低,但在 AC 中则不然。这些结果定义了一种新的组合 NCR 免疫治疗阻断策略,以减轻 HAM/TSP 疾病负担。
Human T-cell lymphotropic virus type 1 (HTLV-1)-associated myelopathy/tropical spastic paraparesis (HAM/TSP) develops in 1–5% of HTLV-1-infected individuals. Previous studies by us and others have shown that the expression of negative immune checkpoint receptors (NCRs) is significantly increased on CD8 T cells in various chronic viral infections and are associated with poor anti-viral immunity. We have previously identified the differential expression of NCRs on CD8 T cells in blood from patients with HAM/TSP and in central nervous system (CNS) tissues of HTLV-1 infected humanized mice and defined the association with neurological complications. In this study, we determined the co-expression patterns of several key NCRs (PD-1, TIGIT, TIM-3, and LAG-3) and their cognate ligands in HTLV-1 infection and assessed how combination strategies targeting these pathways would impact HTLV-1-specific CD8 T-cell effector functions as an approach to reduce CNS disease outcomes. We found that global CD8 T cells from HAM/TSP patients co-express multiple NCRs at significantly higher frequencies than asymptomatic carriers (AC). Moreover, NCR ligands (PVR and PD-LI) on both plasmacytoid and myeloid dendritic cells were also expressed at higher frequencies in HAM/TSP compared to AC. In both AC and HAM/TSP subjects, combination dual PD-L1/TIGIT or triple PD-L1/TIGIT/TIM-3 blockade with monoclonal antibodies resulted in increases in intracellular cytokine expression in CD8 T cells after virus stimulation, particularly CD107a, a marker of degranulation, and TNF-α, a key cytokine that can directly inhibit viral replication. Interestingly, almost all blockade combinations resulted in reduced IL-2+ HTLV-1-specific CD8 T cell frequencies in HAM/TSP subjects, but not in AC. These results define a novel combinatorial NCR immunotherapeutic blockade strategy to reduce HAM/TSP disease burden.
DOI: 10.4049/jimmunol.1000841
发表时间: 2010-09-15
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影响因子: --
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并非所有免疫检查点都是相等的。
DOI: 10.3389/fimmu.2018.01909
发表时间: 2018
影响因子: 7.3
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