MAIT and Vδ2 unconventional T cells are supported by a diverse intestinal microbiome and correlate with favorable patient outcome after allogeneic HCT.

MAIT and Vδ2 unconventional T cells are supported by a diverse intestinal microbiome and correlate with favorable patient outcome after allogeneic HCT.
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MAIT和Vδ2非常规T细胞受到多种肠道微生物群的支持,并与异体HCT后良好的患者预后相关。

DOI:
10.1126/scitranslmed.abj2829
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发表时间:
2022-05-25
影响因子:
17.1
通讯作者:
--
中科院分区:
医学1区
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--
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微生物多样性与同种异体造血细胞移植(allo-HCT)受者的预后改善相关,但这一观察结果背后的机制尚不清楚。在接受 allo-HCT 的 174 名患者的队列中,我们证明,allo-HCT 后早期肠道微生物群的多样性与先天样粘膜相关不变 T (MAIT) 细胞数量的增加有关,这反过来又与总生存率的提高和移植物抗宿主病 (aGVHD) 的急性程度降低有关。常规和非常规免疫细胞亚群的免疫分析显示,Vδ2 细胞(γδ T 细胞的主要循环亚群)的流行率与 MAIT 细胞的频率密切相关,并且与较少的 aGVHD 相关。使用单细胞转录组学和流式细胞术对这些群体进行分析表明,移植后出现了向激活表型的转变以及细胞毒性和效应功能的获得。具有为 MAIT 和 Vδ2 细胞产生激活配体的能力的多样化肠道微生物组似乎对于异基因 HCT 后维持这些群体是必要的。这些数据表明肠道微生物多样性、微生物衍生配体和非常规 T 细胞的维持之间存在免疫学联系。同种异体 HCT 后,MAIT 和 Vδ2 细胞得到多种肠道微生物组的支持,并与良好的结果相关。
Microbial diversity is associated with improved outcomes in recipients of allogeneic hematopoietic cell transplantation (allo-HCT), but the mechanism underlying this observation is unclear. In a cohort of 174 patients who underwent allo-HCT, we demonstrate that a diverse intestinal microbiome early after allo-HCT is associated with an increased number of innate-like mucosal-associated invariant T (MAIT) cells, which are in turn associated with improved overall survival and less acute graft-versus-host disease (aGVHD). Immune profiling of conventional and unconventional immune cell subsets revealed that the prevalence of Vδ2 cells, the major circulating subpopulation of γδ T cells, closely correlated with the frequency of MAIT cells and was associated with less aGVHD. Analysis of these populations using both single cell transcriptomics and flow cytometry suggested a shift toward activated phenotypes and a gain of cytotoxic and effector functions after transplantation. A diverse intestinal microbiome with the capacity to produce activating ligands for MAIT and Vδ2 cells appeared to be necessary for the maintenance of these populations after allo-HCT. These data suggest an immunological link between intestinal microbial diversity, microbe-derived ligands, and maintenance of unconventional T cells. MAIT and Vδ2 cells are supported by a diverse intestinal microbiome after allogeneic HCT and correlate with favorable outcome.
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