Functional Restoration of Exhausted CD8 T Cells in Chronic HIV-1 Infection by Targeting Mitochondrial Dysfunction.

Functional Restoration of Exhausted CD8 T Cells in Chronic HIV-1 Infection by Targeting Mitochondrial Dysfunction.
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DOI:
10.3389/fimmu.2022.908697
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发表时间:
2022
影响因子:
7.3
通讯作者:
--
中科院分区:
医学2区
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--
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CD 8 T细胞耗竭是HIV-1感染的一个标志,其特征是尽管多年有效的抗逆转录病毒治疗(ART),但仍持续存在表型和功能性CD 8 T细胞异常。最近,细胞代谢在塑造T细胞抗病毒功能中的重要性已经成为旨在重新激活耗尽的CD 8 T细胞的免疫治疗的一个关键方面,但在HIV-1感染中仍然研究不足。为了更好地了解这一过程并确定有效CD 8 T细胞恢复的新靶点,我们检查了HIV-1感染中耗尽的CD 8 T细胞的代谢谱。我们发现,相对于HIV-1精英控制者(EC)和HIV-1血清阴性供体,来自HIV-1病毒血症个体的CD 8 T细胞偏向于在ART期间维持的PD-1hiEOMEShiT-betlowTIGIT+表型。与CMV特异性CD 8 T细胞群体相比,这种耗尽的特征在HIV特异性CD 8 T细胞中富集,并进一步通过葡萄糖转运蛋白Glut-1,线粒体功能和生物发生受损,反映了潜在的代谢缺陷。通过线粒体抗氧化剂治疗结合线粒体动力学的药理学调节和IL-15治疗,引起抗病毒HIV特异性CD 8 T细胞功能的显著改善。这些发现将线粒体确定为HIV-1感染中联合重建疗法的有希望的靶点。
CD8 T cell exhaustion is a hallmark of HIV-1 infection, characterized by phenotypic and functional CD8 T cell abnormalities that persist despite years of effective antiretroviral treatment (ART). More recently, the importance of cellular metabolism in shaping T cell antiviral function has emerged as a crucial aspect of immunotherapeutics aimed at re-invigorating exhausted CD8 T cells but remains under-investigated in HIV-1 infection. To gain a better insight into this process and identify new targets for effective CD8 T cell restoration we examined the metabolic profile of exhausted CD8 T cells in HIV-1 infection. We show that relative to HIV-1 elite controllers (EC) and HIV-1 seronegative donors, CD8 T cells from HIV-1 viraemic individuals are skewed toward a PD-1hiEOMEShiT-betlowTIGIT+ phenotype that is maintained during ART. This exhausted signature is enriched in HIV-specific CD8 T cells, compared to CMV-specific CD8 T cell populations, and further delineated by higher expression of the glucose transporter, Glut-1, impaired mitochondrial function and biogenesis, reflecting underlying metabolic defects. A notable improvement in antiviral HIV-specific CD8 T cell function was elicited via mitochondrial antioxidant treatment in combination with pharmacological modulation of mitochondrial dynamics and IL-15 treatment. These findings identify mitochondria as promising targets for combined reconstitution therapies in HIV-1 infection.
记忆CD8(+)T细胞使用细胞中性脂解来支持开发所需的代谢编程。
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