Department of Microbiology and Immunology, The Pennsylvania State University College of Medicine, Hershey, PA 17033, USA.
J Immunol. 2010 Feb 15;184(4):1867-75. doi: 10.4049/jimmunol.0902469. Epub 2010 Jan 20.
The systemic elevation of psychological stress-induced glucocorticoids strongly suppresses CD8(+) T cell immune responses resulting in diminished antiviral immunity. However, the specific cellular targets of stress/glucocorticoids, the timing of exposure, the chronology of immunological events, and the underlying mechanisms of this impairment are incompletely understood. In this study, we address each of these questions in the context of a murine cutaneous HSV infection. We show that exposure to stress or corticosterone in only the earliest stages of an HSV-1 infection is sufficient to suppress, in a glucocorticoid receptor-dependent manner, the subsequent antiviral immune response after stress/corticosterone has been terminated. This suppression resulted in early onset and delayed resolution of herpetic lesions, reduced viral clearance at the site of infection and draining popliteal lymph nodes (PLNs), and impaired functions of HSV-specific CD8(+) T cells in PLNs, including granzyme B and IFN-gamma production and the ability to degranulate. In knockout mice lacking glucocorticoid receptors only in T cells, we show that these impaired CD8(+) T cell functions are not due to direct effects of stress/corticosterone on the T cells, but the ability of PLN-derived dendritic cells to prime HSV-1-specific CD8(+) T cells is functionally impaired. These findings highlight the susceptibility of critical early events in the generation of an antiviral immune response to neuroendocrine modulation and implicate dendritic cells as targets of stress/glucocorticoids in vivo. These findings also provide insight into the mechanisms by which the clinical use of glucocorticoids contributes to altered immune responses in patients with viral infections or tumors.
心理应激诱导的糖皮质激素系统升高强烈抑制 CD8(+) T 细胞免疫反应,导致抗病毒免疫减弱。然而,应激/糖皮质激素的具体细胞靶点、暴露时间、免疫事件的时间顺序以及这种损伤的潜在机制尚不完全清楚。在这项研究中,我们在小鼠皮肤单纯疱疹病毒感染的背景下研究了这些问题。我们发现,在单纯疱疹病毒 1 感染的最早阶段仅暴露于应激或皮质酮,就足以以糖皮质激素受体依赖性的方式抑制应激/皮质酮终止后的随后抗病毒免疫反应。这种抑制导致疱疹病变的早期发作和延迟消退,感染部位和引流的腘淋巴结 (PLN) 中的病毒清除减少,以及 PLN 中单纯疱疹病毒特异性 CD8(+) T 细胞的功能受损,包括颗粒酶 B 和 IFN-γ的产生和脱颗粒能力。在缺乏糖皮质激素受体仅在 T 细胞中的敲除小鼠中,我们表明这些受损的 CD8(+) T 细胞功能不是由于应激/皮质酮对 T 细胞的直接作用,而是 PLN 衍生的树突状细胞激活单纯疱疹病毒 1 特异性 CD8(+) T 细胞的能力受损。这些发现强调了抗病毒免疫反应产生过程中的关键早期事件易受神经内分泌调节的影响,并暗示树突状细胞是体内应激/糖皮质激素的靶标。这些发现还为糖皮质激素的临床应用如何导致病毒感染或肿瘤患者免疫反应改变的机制提供了深入了解。
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