Association of Premature Immune Aging and Cytomegalovirus After Solid Organ Transplant.

Association of Premature Immune Aging and Cytomegalovirus After Solid Organ Transplant.
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DOI:
10.3389/fimmu.2021.661551
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发表时间:
2021
影响因子:
7.3
通讯作者:
Maltzman JS
Maltzman JS
中科院分区:
医学2区
文献类型:
--
作者:
Higdon LE;Gustafson CE;Ji X;Sahoo MK;Pinsky BA;Margulies KB;Maecker HT;Goronzy J;Maltzman JS

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Immune function is altered with increasing age. Infection with cytomegalovirus (CMV) accelerates age-related immunological changes resulting in expanded oligoclonal memory CD8 T cell populations with impaired proliferation, signaling, and cytokine production. As a consequence, elderly CMV seropositive (CMV+) individuals have increased mortality and impaired responses to other infections in comparison to seronegative (CMV–) individuals of the same age. CMV is also a significant complication after organ transplantation, and recent studies have shown that CMV-associated expansion of memory T cells is accelerated after transplantation. Thus, we investigated whether immune aging is accelerated post-transplant, using a combination of telomere length, flow cytometry phenotyping, and single cell RNA sequencing. Telomere length decreased slightly in the first year after transplantation in a subset of both CMV+ and CMV– recipients with a strong concordance between CD57+ cells and short telomeres. Phenotypically aged cells increased post-transplant specifically in CMV+ recipients, and clonally expanded T cells were enriched for terminally differentiated cells post-transplant. Overall, these findings demonstrate a pattern of accelerated aging of the CD8 T cell compartment in CMV+ transplant recipients.
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