Cui Na, Wang Hao, Su Long-Xiang, Zhang Jia-Hui, Long Yun, Liu Da-Wei
Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, China.
Chin Med J (Engl). 2017 May 20;130(10):1211-1217. doi: 10.4103/0366-6999.205850.
Triggering receptor expressed on myeloid cell-1 (TREM-1) may play a vital role in mammalian target of rapamycin (mTOR) modulation of CD8+ T-cell differentiation through the transcription factors T-box expressed in T-cells and eomesodermin during the immune response to invasive pulmonary aspergillosis (IPA). This study aimed to investigate whether the mTOR signaling pathway modulates the proliferation and differentiation of CD8+ T-cells during the immune response to IPA and the role TREM-1 plays in this process.
Cyclophosphamide (CTX) was injected intraperitoneally, and Aspergillus fumigatus spore suspension was inoculated intranasally to establish the immunosuppressed IPA mouse model. After inoculation, rapamycin (2 mg.kg-1.d-1) or interleukin (IL)-12 (5 μg/kg every other day) was given for 7 days. The number of CD8+ effector memory T-cells (Tem), expression of interferon (IFN)-γ, mTOR, and ribosomal protein S6 kinase (S6K), and the levels of IL-6, IL-10, galactomannan (GM), and soluble TREM-1 (sTREM-1) were measured.
Viable A. fumigatus was cultured from the lung tissue of the inoculated mice. Histological examination indicated greater inflammation, hemorrhage, and lung tissue injury in both IPA and CTX + IPA mice groups. The expression of mTOR and S6K was significantly increased in the CTX + IPA + IL-12 group compared with the control, IPA (P = 0.01; P= 0.001), and CTX + IPA (P = 0.034; P= 0.032) groups, but significantly decreased in the CTX + IPA + RAPA group (P < 0.001). Compared with the CTX + IPA group, the proportion of Tem, expression of IFN-γ, and the level of sTREM-1 were significantly higher after IL-12 treatment (P = 0.024, P= 0.032, and P= 0.017, respectively), and the opposite results were observed when the mTOR pathway was blocked by rapamycin (P < 0.001). Compared with the CTX + IPA and CTX + IPA + RAPA groups, IL-12 treatment increased IL-6 and downregulated IL-10 as well as GM, which strengthened the immune response to the IPA infection.
mTOR modulates CD8+ T-cell differentiation during the immune response to IPA. TREM-1 may play a vital role in signal transduction between mTOR and the downstream immune response.
髓样细胞触发受体-1(TREM-1)可能在侵袭性肺曲霉病(IPA)免疫反应过程中,通过T细胞表达的T盒转录因子和胚外中胚层决定因子,在雷帕霉素哺乳动物靶点(mTOR)调节CD8+T细胞分化中发挥重要作用。本研究旨在探讨mTOR信号通路在IPA免疫反应过程中是否调节CD8+T细胞的增殖和分化,以及TREM-1在此过程中所起的作用。
腹腔注射环磷酰胺(CTX),经鼻接种烟曲霉菌孢子悬液,建立免疫抑制的IPA小鼠模型。接种后,给予雷帕霉素(2mg·kg-1·d-1)或白细胞介素(IL)-12(每隔一天5μg/kg),持续7天。检测CD8+效应记忆T细胞(Tem)数量、干扰素(IFN)-γ、mTOR和核糖体蛋白S6激酶(S6K)的表达,以及IL-6、IL-10、半乳甘露聚糖(GM)和可溶性TREM-1(sTREM-1)水平。
接种小鼠的肺组织培养出了活的烟曲霉。组织学检查表明,IPA组和CTX+IPA组小鼠的炎症、出血和肺组织损伤更严重。与对照组、IPA组(P = 0.01;P = 0.001)和CTX+IPA组(P = 0.034;P = 0.032)相比,CTX+IPA+IL-12组中mTOR和S6K的表达显著增加,但在CTX+IPA+RAPA组中显著降低(P < 0.001)。与CTX+IPA组相比,IL-12治疗后Tem比例、IFN-γ表达和sTREM-1水平显著升高(分别为P = 0.024、P = 0.032和P = 0.017),而当mTOR通路被雷帕霉素阻断时则出现相反结果(P < 0.001)。与CTX+IPA组和CTX+IPA+RAPA组相比,IL-12治疗增加了IL-6,下调了IL-10以及GM,增强了对IPA感染的免疫反应。
mTOR在IPA免疫反应过程中调节CD8+T细胞分化。TREM-1可能在mTOR与下游免疫反应之间的信号转导中起重要作用。