利用常染色体显性遗传高免疫球蛋白 E 综合征小鼠模型评价 在肺炎球菌免疫接种和感染中诱导抗体和 T17 介导应答中的作用。
Evaluation of the Role of in Antibody and T17-Mediated Responses to Pneumococcal Immunization and Infection by Use of a Mouse Model of Autosomal Dominant Hyper-IgE Syndrome.
机构信息
Boston Children's Hospital, Division of Infectious Diseases, Boston, Massachusetts, USA
Boston Children's Hospital, Division of Infectious Diseases, Boston, Massachusetts, USA.
出版信息
Infect Immun. 2018 Apr 23;86(5). doi: 10.1128/IAI.00024-18. Print 2018 May.
Loss-of-function mutations in the signal transducer and activator of transcription 3 gene () result in autosomal dominant hyper-IgE syndrome (AD-HIES), a condition in which patients have recurrent debilitating infections, including frequent pneumococcal and staphylococcal pneumonias. mutations cause defective adaptive T17 cellular responses, an immune mechanism believed to be critical for clearance of pneumococcal colonization and diminished antibody responses. Here we wished to evaluate the role of in the clearance of pneumococcal carriage and immunity using mice with a mutation recapitulating AD-HIES. We show here that naive AD-HIES mice have prolonged nasal carriage of pneumococcus compared to WT mice. Mutant and wild-type mice were then immunized with a pneumococcal whole-cell vaccine (WCV) that provides T17-mediated protection against pneumococcal colonization and antibody-mediated protection against pneumonia and sepsis. WCV-immunized AD-HIES mice made significantly less pneumococcus-specific interleukin-17A (IL-17A) and antibody than WT mice. The WCV-elicited protection against colonization was abrogated in AD-HIES mice, but immunization with WCV still protected AD-HIES mice against aspiration pneumonia/sepsis. Taken together, our results suggest that impaired clearance of nasopharyngeal carriage due to poor adaptive IL-17A responses may contribute to the increased rates of pneumococcal respiratory infection in AD-HIES patients.
信号转导子和转录激活因子 3 基因 () 的功能丧失突变导致常染色体显性高免疫球蛋白 E 综合征 (AD-HIES),患者反复出现使人衰弱的感染,包括频繁的肺炎球菌和葡萄球菌性肺炎。 突变导致适应性 T17 细胞反应缺陷,这种免疫机制被认为对清除肺炎球菌定植和减弱抗体反应至关重要。在这里,我们希望使用模拟 AD-HIES 的 突变小鼠来评估 在清除肺炎球菌定植和免疫中的作用。我们在这里表明,与 WT 小鼠相比,幼稚的 AD-HIES 小鼠具有延长的鼻腔携带肺炎球菌的时间。然后,突变型和野生型小鼠用肺炎球菌全细胞疫苗 (WCV) 免疫,该疫苗提供 T17 介导的对肺炎球菌定植的保护和针对肺炎和败血症的抗体介导的保护。与 WT 小鼠相比,WCV 免疫的 AD-HIES 小鼠产生的肺炎球菌特异性白细胞介素 17A (IL-17A) 和抗体明显减少。WCV 诱导的对定植的保护在 AD-HIES 小鼠中被消除,但 WCV 免疫仍然保护 AD-HIES 小鼠免受吸入性肺炎/败血症的侵害。总之,我们的结果表明,由于适应性 IL-17A 反应不良导致鼻咽携带清除不良可能导致 AD-HIES 患者肺炎球菌呼吸道感染率增加。