CD4(+) T-lymphocytes exhibit biphasic kinetics post-myocardial infarction.

CD4(+) T-lymphocytes exhibit biphasic kinetics post-myocardial infarction.
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DOI:
10.3389/fcvm.2022.992653
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发表时间:
2022
影响因子:
3.6
通讯作者:
Bansal, Shyam S.
Bansal, Shyam S.
中科院分区:
医学3区
文献类型:
--
作者:
Kumar, Vinay;Prabhu, Sumanth D.;Bansal, Shyam S.

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CD 4 + T细胞促进心肌梗死(MI)后的伤口愈合,但促进缺血性心力衰竭(HF; MI后8周)期间的左心室(LV)重塑。因此,了解持续的CD4 + T细胞活化是否导致这种病理反应,或者表型不同的T细胞是否在MI与HF期间被活化是至关重要的。使用流式细胞术,我们发现,心脏的CD4 + T细胞表现出两种不同的模式的迁移。第一种模式包括快速的CD4 + T细胞应答,在MI后3天观察到最大水平,14天恢复至基线水平。然而,在HF期间,我们观察到活化的第二阶段,并且与假手术小鼠相比,HF中的CD4 + T细胞高出约20倍。重要的是,在所有主要T细胞亚群(例如Th 1、Th 2、Th 17和调节性T细胞)中观察到这些双相动力学,表明存在全球变化。为了确定T细胞活化的第二个峰的作用,产生CD4-iDTR小鼠,并从MI后28天开始每10天用DT处理,以在慢性HF期间消耗CD4 + T细胞。虽然同窝对照小鼠显示MI后4 - 8周收缩末期和舒张末期容积(ESV和EDV)增加和射血分数(EF)降低,但Cre+小鼠中CD4 + T细胞的耗竭显著减弱LV重塑,并抑制EDV和ESV的进行性增加以及EF的降低。这表明HF期间发生的CD4 + T细胞应答与MI期间发生的应答不同,并促进LV重塑和进行性心功能不全。CD4 + T细胞的时间免疫调节可能是缺血性HF的一种可转化模式。
CD4+ T-cells facilitate wound healing post-myocardial infarction (MI) but promote left-ventricular (LV) remodeling during ischemic heart failure (HF; 8 weeks post-MI). Therefore, it is critical to understand if sustained CD4+ T-cell activation leads to this pathological response, or if phenotypically different T-cells are activated during MI vs. HF. Using flow cytometry, we found that cardiac CD4+ T-cells exhibit two distinct patterns of transmigration. First pattern consisted of a rapid CD4+ T-cell response with maximal levels seen at 3 days post-MI which return to baseline by 14 days. However, during HF we observed a 2nd phase of activation and CD4+ T-cells were ∼20-fold higher in HF as compared to sham-operated mice. Importantly, these biphasic kinetics were observed with all major T-cell subsets such as Th1, Th2, Th17, and regulatory T-cells suggesting a global change. To determine the role of this 2nd peak of T-cell activation, CD4-iDTR mice were generated and treated with DT every 10 from 28 days post-MI to deplete CD4+ T-cells during chronic HF. While littermate control mice showed increased end-systolic and end-diastolic volumes (ESV and EDV) and decreased ejection fraction (EF) from 4 to 8 weeks post-MI, depletion of CD4+ T-cells in Cre + mice significantly blunted LV remodeling and inhibited progressive increases in the EDV and ESV, and reduction in EF. This suggests that CD4+ T-cell responses occurring during HF are different than those occurring during MI and promote LV remodeling and progressive cardiac dysfunction. Temporal immunomodulation of CD4+ T-cells could be a translatable modality for ischemic HF.
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