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PD-1 阻断可逆转小鼠动物模型中的免疫功能障碍和乙型肝炎病毒持续感染。

PD-1 blockage reverses immune dysfunction and hepatitis B viral persistence in a mouse animal model.

机构信息

Graduate Institute of Immunology, College of Medicine, National Taiwan University, Taipei, Taiwan.

出版信息

PLoS One. 2012;7(6):e39179. doi: 10.1371/journal.pone.0039179. Epub 2012 Jun 22.

Abstract

Persistent hepatitis B viral (HBV) infection results in chronic hepatitis, liver cirrhosis, and hepatocellular carcinoma (HCC). Recent studies in animal models of viral infection indicate that the interaction between the inhibitory receptor, programmed death (PD)-1, on lymphocytes and its ligand (PD-L1) play a critical role in T-cell exhaustion by inducing T-cell inactivation. High PD-1 expression levels by peripheral T-lymphocytes and the possibility of improving T-cell function by blocking PD-1-mediated signaling confirm the importance of this inhibitory pathway in inducing T-cell exhaustion. We studied T-cell exhaustion and the effects of PD-1 and PD-L1 blockade on intrahepatic infiltrating T-cells in our recently developed mouse model of HBV persistence. In this mouse animal model, we demonstrated that there were increased intrahepatic PD-1-expressing CD8+ and CD4+ T cells in mice with HBV persistence, but PD-1 upregulation was resolved in mice which had cleared HBV. The Intrahepatic CD8+ T-cells expressed higher levels of PD-1 and lower levels of CD127 in mice with HBV persistence. Blockade of PD-1/PD-L1 interactions increased HBcAg-specific interferon (IFN)-γ production in intrahepatic T lymphocytes. Furthermore, blocking the interaction of PD-1 with PD-L1 by an anti-PD-1 monoclonal antibody (mAb) reversed the exhausted phenotype in intrahepatic T lymphocytes and viral persistence to clearance of HBV in vivo. Our results indicated that PD-1 blockage reverses immune dysfunction and viral persistence of HBV infection in a mouse animal model, suggesting that the anti-PD-1 mAb might be a good therapeutic candidate for chronic HBV infection.

摘要

持续的乙型肝炎病毒 (HBV) 感染可导致慢性肝炎、肝硬化和肝细胞癌 (HCC)。最近在病毒感染的动物模型中的研究表明,淋巴细胞上的抑制性受体程序性死亡 (PD)-1与其配体 (PD-L1) 的相互作用通过诱导 T 细胞失活在 T 细胞耗竭中起关键作用。外周 T 淋巴细胞中 PD-1 的高表达水平以及通过阻断 PD-1 介导的信号转导来改善 T 细胞功能的可能性,证实了这条抑制途径在诱导 T 细胞耗竭中的重要性。我们在最近开发的 HBV 持续感染的小鼠模型中研究了 T 细胞耗竭以及 PD-1 和 PD-L1 阻断对肝内浸润 T 细胞的影响。在这个小鼠动物模型中,我们证明在 HBV 持续感染的小鼠中,肝内 PD-1 表达的 CD8+和 CD4+T 细胞增加,但在清除 HBV 的小鼠中,PD-1 的上调得到解决。在 HBV 持续感染的小鼠中,肝内 CD8+T 细胞表达更高水平的 PD-1 和更低水平的 CD127。阻断 PD-1/PD-L1 相互作用增加了肝内 T 淋巴细胞中乙型肝炎核心抗原 (HBcAg)特异性干扰素 (IFN)-γ的产生。此外,通过抗 PD-1 单克隆抗体 (mAb) 阻断 PD-1 与 PD-L1 的相互作用,可逆转肝内 T 淋巴细胞的耗竭表型,并使体内 HBV 从持续感染中清除。我们的研究结果表明,PD-1 阻断在小鼠动物模型中逆转了 HBV 感染的免疫功能障碍和病毒持续存在,提示抗 PD-1 mAb 可能是慢性 HBV 感染的一个很好的治疗候选物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff4/3382233/01f247431634/pone.0039179.g001.jpg

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