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针对结核分枝杆菌ESAT-6中显性和隐性表位的CD4+T细胞应答的质量和疫苗效力

Quality and vaccine efficacy of CD4+ T cell responses directed to dominant and subdominant epitopes in ESAT-6 from Mycobacterium tuberculosis.

作者信息

Aagaard Claus Sindbjerg, Hoang Truc Thi Kim Thanh, Vingsbo-Lundberg Carina, Dietrich Jes, Andersen Peter

机构信息

Department of Infectious Immunology, Statens Serum Institute, Copenhagen, Denmark.

出版信息

J Immunol. 2009 Aug 15;183(4):2659-68. doi: 10.4049/jimmunol.0900947. Epub 2009 Jul 20.

Abstract

The ESAT-6 (early secretory antigenic target) molecule is a very important target for T cell recognition during infection with Mycobacterium tuberculosis. Although ESAT-6 contains numerous potential T cell epitopes, the immune response during infection is often focused toward a few immunodominant epitopes. By immunization with individual overlapping synthetic peptides in cationic liposomes (cationic adjuvant formulation, CAF01) we demonstrate that the ESAT-6 molecule contains several subdominant epitopes that are not recognized in H-2(d/b) mice either during tuberculosis infection or after immunization with ESAT-6/CAF01. Immunization with a truncated ESAT-6 molecule (Delta15ESAT-6) that lacks the immunodominant ESAT-6(1-15) epitope refocuses the response to include T cells directed to these subdominant epitopes. After aerosol infection of immunized mice, T cells directed to both dominant (ESAT-6-immunized) and subdominant epitopes (Delta15ESAT-6-immunized) proliferate and are recruited to the lung. The vaccine-promoted response consists mainly of double- (TNF-alpha and IL-2) or triple-positive (IFN-gamma, TNF-alpha, and IL-2) polyfunctional T cells. This polyfunctional quality of the CD4(+) T cell response is maintained unchanged even during the later stages of infection, whereas the naturally occurring infection stimulates a response to the ESAT-6(1-15) epitope that consist almost exclusively of CD4(+) effector T cells. ESAT-6 and Delta15ESAT-6 both give significant protection against aerosol challenge with tuberculosis, but the most efficient protection against pulmonary infection is mediated by the subdominant T cell repertoire primed by Delta15ESAT-6.

摘要

早期分泌性抗原靶标6(ESAT-6)分子是结核分枝杆菌感染期间T细胞识别的非常重要的靶标。尽管ESAT-6含有众多潜在的T细胞表位,但感染期间的免疫反应通常集中于少数免疫显性表位。通过在阳离子脂质体(阳离子佐剂配方,CAF01)中用单个重叠合成肽进行免疫,我们证明ESAT-6分子含有几个亚显性表位,这些表位在结核感染期间或用ESAT-6/CAF01免疫后在H-2(d/b)小鼠中未被识别。用缺乏免疫显性ESAT-6(1-15)表位的截短ESAT-6分子(Delta15ESAT-6)进行免疫可使反应重新聚焦,以纳入针对这些亚显性表位的T细胞。免疫小鼠经气溶胶感染后,针对显性(ESAT-6免疫)和亚显性表位(Delta15ESAT-6免疫)的T细胞增殖并被募集到肺部。疫苗促进的反应主要由双阳性(TNF-α和IL-2)或三阳性(IFN-γ、TNF-α和IL-2)多功能T细胞组成。即使在感染后期,CD4(+) T细胞反应的这种多功能特性也保持不变,而自然发生的感染刺激对ESAT-6(1-15)表位的反应,该反应几乎完全由CD4(+)效应T细胞组成。ESAT-6和Delta15ESAT-6均对结核气溶胶攻击提供显著保护,但对肺部感染最有效的保护是由Delta15ESAT-6引发的亚显性T细胞库介导的。

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