From the Departments of Surgery and.
From the Departments of Surgery and
J Biol Chem. 2019 Apr 19;294(16):6283-6293. doi: 10.1074/jbc.RA118.007188. Epub 2019 Feb 20.
T cell suppression contributes to immune dysfunction in sepsis. However, the underlying mechanisms are not well-defined. Here, we show that exposure of human peripheral blood mononuclear cells to bacterial lipopolysaccharide (LPS) can rapidly and dose-dependently suppress interleukin-2 (IL-2) production and T cell proliferation. We also report that these effects depend on monocytes. LPS did not prevent the interaction of monocytes with T cells, nor did it induce programmed cell death protein 1 (PD-1) signaling that causes T cell suppression. Instead, we found that LPS stimulation of monocytes led to the accumulation of extracellular ATP that impaired mitochondrial function, cell migration, IL-2 production, and T cell proliferation. Mechanistically, LPS-induced ATP accumulation exerted these suppressive effects on T cells by activating the purinergic receptor P2Y11 on the cell surface of T cells. T cell functions could be partially restored by enzymatic removal of extracellular ATP or pharmacological blocking of P2Y11 receptors. Plasma samples obtained from sepsis patients had similar suppressive effects on T cells from healthy subjects. Our findings suggest that LPS and ATP accumulation in the circulation of sepsis patients suppresses T cells by promoting inappropriate P2Y11 receptor stimulation that impairs T cell metabolism and functions. We conclude that inhibition of LPS-induced ATP release, removal of excessive extracellular ATP, or P2Y11 receptor antagonists may be potential therapeutic strategies to prevent T cell suppression and restore host immune function in sepsis.
T 细胞抑制导致脓毒症免疫功能障碍。然而,其潜在机制尚不清楚。在这里,我们表明,人外周血单核细胞暴露于细菌脂多糖(LPS)可以快速和剂量依赖性地抑制白细胞介素-2(IL-2)的产生和 T 细胞增殖。我们还报告说,这些效应取决于单核细胞。LPS 并没有阻止单核细胞与 T 细胞的相互作用,也没有诱导程序性死亡蛋白 1(PD-1)信号传导,而程序性死亡蛋白 1(PD-1)信号传导会导致 T 细胞抑制。相反,我们发现 LPS 刺激单核细胞导致细胞外 ATP 的积累,从而损害线粒体功能、细胞迁移、IL-2 产生和 T 细胞增殖。从机制上讲,LPS 诱导的 ATP 积累通过激活 T 细胞表面的嘌呤能受体 P2Y11 对 T 细胞发挥这些抑制作用。通过酶去除细胞外 ATP 或药理学阻断 P2Y11 受体,T 细胞的功能可以部分恢复。从脓毒症患者获得的血浆样本对健康受试者的 T 细胞具有类似的抑制作用。我们的研究结果表明,脓毒症患者循环中 LPS 和 ATP 的积累通过促进不适当的 P2Y11 受体刺激来抑制 T 细胞,从而损害 T 细胞代谢和功能。我们得出结论,抑制 LPS 诱导的 ATP 释放、去除过多的细胞外 ATP 或 P2Y11 受体拮抗剂可能是预防 T 细胞抑制和恢复脓毒症宿主免疫功能的潜在治疗策略。