Defining Transition from Fetal to Adult T Cell Predominance in the Human Fetus

描述（由申请人提供）：这是特雷弗伯特博士的K 08奖申请，他是加州大学旧金山分校弗朗西斯科（UCSF）新生儿科系的助理教授，正在将自己确立为人类胎儿和新生儿免疫系统发育和功能的年轻研究者。该K 08奖项将为Burt博士提供必要的支持，以实现以下目标：（1）鉴定造血干/祖细胞（HSPC）的明确基因表达特征，这些造血干/祖细胞（HSPC）产生独特的胎儿（TF）和成人（TA）T细胞，并使用这些HSPC及其后代T细胞的基因表达特征;（2）确定足月新生儿TF和TA混合程度的正常变异性，并确定出生时它们的相对频率（TF/TA）如何影响新生儿免疫应答;（3）获得人类干细胞生物学方面的专业知识，这将使他能够研究胎儿和成人HSPC群体的调节，分化和功能，最后;（4）获得规划和执行儿科患者为导向的研究的专业知识，从而发展作为翻译研究者的独立研究生涯。为了实现这些目标，Burt博士组建了一个指导团队，由主要导师，UCSF实验医学部主任Joseph“Mike”McCune博士和两名共同导师组成：Susan Fisher博士，妇产科和生殖科学教授，在人类HSPC生物学方面具有特定的专业知识;和詹妮弗·帕克博士，儿科教授和加州大学旧金山分校儿科临床研究中心主任，谁在人类免疫学和儿科转化研究的专业知识。人类免疫系统的发育，特别是从胎儿致耐受性免疫应答向成人免疫反应性免疫应答的转变，目前还知之甚少。为了最终解决胎儿和新生儿感染和免疫的具体问题，我们必须首先研究这种转变的正常过程。本文提出的研究旨在回答以下问题：出生时存在的胎儿和成人T细胞的相对频率是否与对抗原产生适应性免疫应答的能力有关？伯特博士将利用他在加州大学旧金山分校的资源：确定在CD 34？产生胎儿和成人T细胞的HSPC（目的1），表征正常足月婴儿中胎儿和成人T细胞和HSPC混合物的正常范围以及该混合物如何影响T细胞免疫的体外测量（目的2），并通过研究T细胞混合物对新生儿疫苗接种应答的影响将这些发现扩展到T细胞免疫的体内测量（目的3）。这将为Burt博士提供必要的技能和初步数据，以准备R 01资助申请，他将最终研究从胎儿到成人T细胞优势过渡的基本监管过程，以及这些过程中的畸变如何与胎儿和新生儿的病理学相关。 公共卫生相关性：即使在广泛的儿童疫苗接种的时代，新生儿期感染仍然是新生儿死亡和疾病的主要原因，并且由于其可能导致的长期残疾而代表着重大的公共卫生负担。人类胎儿和新生儿免疫系统的独特性质导致其对免疫和感染的反应较弱，这一现象知之甚少，研究也非常不足。确定这种弱免疫反应背后的因素将有助于减轻新生儿感染性疾病的负担，从而创造出更好的疫苗和治疗方法，为新生儿免疫系统量身定制，这将降低新生儿感染的频率和严重程度。

DESCRIPTION (provided by applicant): This is an application for a K08 award for Dr. Trevor Burt, an Assistant Professor of Pediatrics in the Division of Neonatology at the University of California, San Francisco (UCSF), who is establishing himself as a young investigator in the development and function of the human fetal and neonatal immune system. This K08 award will provide Dr. Burt with the support necessary to accomplish the following goals: (1) to identify definitive gene-expression signatures for hematopoietic stem/progenitor cells (HSPC) that give rise to unique fetal (TF) and adult (TA) T cells, and using the gene-expression signatures of these HSPC and their progeny T cells; (2) to define the normal variability in the degree of TF and TA admixture in the full-term human neonate, and determine how their relative frequency (TF/TA) at birth affects neonatal immune responses; (3) to gain expertise in human stem cell biology that will prepare him to study the regulation, differentiation and function of fetal and adult HSPC populations, and finally; (4) to gain expertise in planning and executing pediatric patient-oriented research, and thereby develop an independent research career as a translational investigator. To achieve these goals, Dr. Burt has assembled a mentoring team comprised of a primary mentor, Dr. Joseph "Mike" McCune, Chief of the Division of Experimental Medicine at UCSF, who conducts basic and translational research in infectious disease and human immune system ontogeny, and two co-mentors: Dr. Susan Fisher, a Professor of Obstetrics, Gynecology and Reproductive Sciences, who has specific expertise in human HSPC biology; and Dr. Jennifer Puck, a Professor of Pediatrics and Director of the UCSF Pediatric Clinical Research Center, who has expertise in human immunology and pediatric translational research. Development of the human immune system, and especially the transition from the fetal tolerogenic immune response to the adult immunoreactive immune response is very poorly understood. To ultimately address problems that are specific to infection and immunization in the fetus and neonate, we must first study the normal process of this transition. The studies proposed here are designed to answer the question: is the relative frequency of fetal and adult T cells that are present at the time or birth related to the ability to mount an adaptive immune response to antigens? Dr. Burt will use the resources available to him at UCSF to: identify definitive gene expression profiles in the CD34? HSPC that give rise to fetal and adult T cells (Aim 1), characterize the normal range of fetal and adult T cell and HSPC admixture in normal full-term infants and how this admixture affects in vitro measures of T cell immunity (Aim 2), and to extend these findings to in vivo measurement of T cell immunity by studying the effects of T cell admixture on responses to neonatal vaccination (Aim 3). This will provide Dr. Burt the necessary skills and preliminary data to prepare an R01 grant application in which he will ultimately study the underlying regulatory processes that govern the transition from fetal to adult T cell predominance, and how aberrations in these processes may relate to pathology in the fetus and newborn. PUBLIC HEALTH RELEVANCE: PROJECT NARRATIVE Even in the era of widespread childhood vaccination, infection in the newborn period remains a leading cause of neonatal death and disease, and represents a significant public health burden due to long-term disabilities that can result from it. The unique nature of the human fetal and newborn immune system causes it to respond weakly to immunization and infections, a phenomenon that is poorly understood and greatly understudied. Defining the factors behind this weak immune response will help to alleviate the burden of neonatal infectious disease by leading to the creation of better vaccines and treatments, tailored to the newborn immune system, that will reduce the frequency and severity of infections in the newborn.