Instituto de Investigaciones Hematológicas, Academia Nacional de Medicina, Buenos Aires, Argentina.
Immunol Cell Biol. 2010 Oct;88(7):716-26. doi: 10.1038/icb.2010.22. Epub 2010 Mar 9.
During a chronic infection such as tuberculosis, the pool of tissue dendritic cells (DC) must be renewed by recruitment of both circulating DC progenitors and monocytes (Mo). However, the microenvironment of the inflammatory site affects Mo differentiation. As DC are critical for initiating a Mycobacterium tuberculosis-specific T-cell response, we argue that interference of M. tuberculosis with a correct DC generation would signify a mechanism of immune evasion. In this study, we showed that early interaction of γ-irradiated M. tuberculosis with Mo subverts DC differentiation in vitro. We found that irradiated M. tuberculosis effect involves (1) the loss of a significant fraction of monocyte population and (2) an altered differentiation process of the surviving monocyte subpopulation. Moreover, in the absence of irradiated M. tuberculosis, DC consist in a major DC-specific intercellular adhesion molecule 3-grabbing non-integrin receptor (DC-SIGN(high))/CD86(low) and minor DC-SIGN(low)/CD86(high) subpopulations, whereas in the presence of bacteria, there is an enrichment of DC-SIGN(low)/CD86(high) population. Besides, this population enlarged by irradiated M. tuberculosis, which is characterized by a reduced CD1b expression, correlates with a reduced induction of specific T-lymphocyte proliferation. The loss of CD1molecules partially involves toll-like receptors (TLR-2)/p38 MAPK activation. Finally, several features of Mo, which have been differentiated into DC in the presence of irradiated M. tuberculosis, resemble the features of DC obtained from patients with active tuberculosis. In conclusion, we suggest that M. tuberculosis escapes from acquired immune response in tuberculosis may be caused by an altered differentiation into DC leading to a poor M. tuberculosis-specific T-cell response.
在慢性感染(如肺结核)期间,组织树突状细胞(DC)库必须通过循环 DC 祖细胞和单核细胞(Mo)的募集来更新。然而,炎症部位的微环境会影响 Mo 的分化。由于 DC 对于启动结核分枝杆菌特异性 T 细胞反应至关重要,我们认为结核分枝杆菌干扰正确的 DC 生成将意味着一种免疫逃避机制。在这项研究中,我们表明,γ 射线照射的结核分枝杆菌与 Mo 的早期相互作用会使体外 DC 分化发生逆转。我们发现,照射后的结核分枝杆菌的作用涉及到(1)单核细胞群体的显著损失,以及(2)存活的单核细胞亚群分化过程的改变。此外,在没有照射的结核分枝杆菌的情况下,DC 主要由细胞间黏附分子 3 抓取非整合素受体(DC-SIGN(high)/CD86(low))和次要的 DC-SIGN(low)/CD86(high)亚群组成,而在存在细菌的情况下,存在 DC-SIGN(low)/CD86(high)群体的富集。此外,由照射后的结核分枝杆菌扩大的这个群体,其特征是 CD1b 表达减少,与特异性 T 淋巴细胞增殖的诱导减少相关。CD1m 分子的丢失部分涉及 Toll 样受体(TLR-2)/p38 MAPK 的激活。最后,在照射后的结核分枝杆菌存在下分化为 DC 的 Mo 的几个特征与从活动性肺结核患者中获得的 DC 的特征相似。总之,我们认为结核分枝杆菌在肺结核中逃避获得性免疫反应可能是由于向 DC 的分化改变导致结核分枝杆菌特异性 T 细胞反应减弱所致。