Verhoeven David, Perry Sheldon, Pryharski Karin
Rochester General Hospital Research Institute, Rochester General Hospital, Rochester, New York, USA; and Department of Biomedical Sciences, Iowa State University, Ames, Iowa, USA
Rochester General Hospital Research Institute, Rochester General Hospital, Rochester, New York, USA; and.
J Leukoc Biol. 2016 Jul;100(1):203-12. doi: 10.1189/jlb.4A1014-497RR. Epub 2016 Jan 28.
Respiratory viral infections, such as influenza, can lead to delayed viral clearance in toddlers, possibly exacerbating disease morbidity. We hypothesized that defective CD4 T cells in toddlers may contribute to a failure to clear virus at a similar rate to adults. Thus, we developed a young mouse model to examine potential divergent responses between toddlers and adults. We determined that young mice (toddler mice, 21 d old) were actively generating and recruiting effector/memory T cells, whereas memory populations were firmly established in older, adult mice (8-10 wk old). We infected toddler and adult mice with influenza A/PR8/34 (H1N1) and found young mice had elevated morbidity, as measured by enhanced weight loss and lower partial pressure of oxygen levels, throughout the infection, thus, modeling the higher morbidity observed in children (<2 y old) during infection. Early viral loads were comparable to adult mice, but toddler mice failed to clear virus by 10 d postinfection. This delayed clearance corresponded to poor lung recruitment of CD4 T cells, lower antiviral T cell responses, and lower B cell/antibodies in the lungs. Mechanistically, diminished interferon-γ was detected in the lungs of toddler mice throughout the infection and corresponded to intrinsic, rather than extrinsic, CD4 T cell limitations in interferon-γ transcription. Moreover, defects in interferon-γ production appeared downstream from signal transducer and activator of transcription 4 in the interleukin-12 signaling pathway, suggesting maturational delays different from neonates. Importantly, recombinant interferon-γ supplementation rescued CD4 T cell numbers in the lungs and influenza-specific antibody formation. This study highlights the intrinsic limitations in CD4 T cell effector functions that may arise in toddlers and contribute to disease pathology.
呼吸道病毒感染,如流感,可导致幼儿病毒清除延迟,可能会加重疾病的发病率。我们推测,幼儿中存在缺陷的CD4 T细胞可能导致其无法像成年人那样以相似的速度清除病毒。因此,我们建立了一个幼鼠模型来研究幼儿和成年人之间可能存在的不同反应。我们发现幼鼠(21日龄的幼儿鼠)正在积极产生并募集效应/记忆T细胞,而记忆细胞群在年龄较大的成年鼠(8 - 10周龄)中已稳固建立。我们用甲型流感病毒A/PR8/34(H1N1)感染幼儿鼠和成年鼠,发现在整个感染过程中,幼鼠的发病率升高,表现为体重减轻加剧和氧分压降低,从而模拟了2岁以下儿童在感染期间观察到的较高发病率。早期病毒载量与成年鼠相当,但幼儿鼠在感染后10天未能清除病毒。这种清除延迟与肺中CD4 T细胞募集不良、抗病毒T细胞反应降低以及肺中B细胞/抗体减少相对应。从机制上讲,在整个感染过程中,幼儿鼠肺中检测到的干扰素 - γ减少,这与干扰素 - γ转录中内在而非外在的CD4 T细胞限制相对应。此外,干扰素 - γ产生的缺陷出现在白细胞介素 - 12信号通路中转录信号转导子和激活子4的下游,表明存在与新生儿不同的成熟延迟。重要的是,补充重组干扰素 - γ可挽救肺中CD4 T细胞数量并促进流感特异性抗体的形成。这项研究强调了幼儿中可能出现的CD4 T细胞效应功能的内在限制及其对疾病病理的影响。