Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, California, USA.
Ludwig Cancer Center, Stanford University School of Medicine, Stanford, California, USA.
mBio. 2020 Jun 23;11(3):e01293-20. doi: 10.1128/mBio.01293-20.
It is well understood that the adaptive immune response to infectious agents includes a modulating suppressive component as well as an activating component. We now show that the very early innate response also has an immunosuppressive component. Infected cells upregulate the CD47 "don't eat me" signal, which slows the phagocytic uptake of dying and viable cells as well as downstream antigen-presenting cell (APC) functions. A CD47 mimic that acts as an essential virulence factor is encoded by all poxviruses, but CD47 expression on infected cells was found to be upregulated even by pathogens, including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), that encode no mimic. CD47 upregulation was revealed to be a host response induced by the stimulation of both endosomal and cytosolic pathogen recognition receptors (PRRs). Furthermore, proinflammatory cytokines, including those found in the plasma of hepatitis C patients, upregulated CD47 on uninfected dendritic cells, thereby linking innate modulation with downstream adaptive immune responses. Indeed, results from antibody-mediated CD47 blockade experiments as well as CD47 knockout mice revealed an immunosuppressive role for CD47 during infections with lymphocytic choriomeningitis virus and Since CD47 blockade operates at the level of pattern recognition receptors rather than at a pathogen or antigen-specific level, these findings identify CD47 as a novel potential immunotherapeutic target for the enhancement of immune responses to a broad range of infectious agents. Immune responses to infectious agents are initiated when a pathogen or its components bind to pattern recognition receptors (PRRs). PRR binding sets off a cascade of events that activates immune responses. We now show that, in addition to activating immune responses, PRR signaling also initiates an immunosuppressive response, probably to limit inflammation. The importance of the current findings is that blockade of immunomodulatory signaling, which is mediated by the upregulation of the CD47 molecule, can lead to enhanced immune responses to any pathogen that triggers PRR signaling. Since most or all pathogens trigger PRRs, CD47 blockade could be used to speed up and strengthen both innate and adaptive immune responses when medically indicated. Such immunotherapy could be done without a requirement for knowing the HLA type of the individual, the specific antigens of the pathogen, or, in the case of bacterial infections, the antimicrobial resistance profile.
众所周知,适应性免疫反应包括调节抑制性成分和激活成分。我们现在表明,早期的固有反应也具有免疫抑制成分。感染细胞上调 CD47“不要吃我”信号,从而减缓死亡和存活细胞的吞噬作用以及下游抗原呈递细胞 (APC) 功能。所有痘病毒都编码一种作为必需毒力因子的 CD47 模拟物,但即使是没有模拟物的病原体,如严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2),也发现感染细胞的 CD47 表达上调。CD47 上调被揭示是一种由内体和细胞质病原体识别受体 (PRR) 的刺激诱导的宿主反应。此外,包括丙型肝炎患者血浆中发现的促炎细胞因子在内的细胞因子上调了未感染树突状细胞的 CD47,从而将固有调节与下游适应性免疫反应联系起来。事实上,抗体介导的 CD47 阻断实验以及 CD47 敲除小鼠的结果表明,在淋巴细胞性脉络丛脑膜炎病毒和感染期间,CD47 发挥免疫抑制作用。由于 CD47 阻断作用发生在模式识别受体的水平上,而不是在病原体或抗原特异性水平上,因此这些发现确定 CD47 是增强对广泛传染性病原体的免疫反应的新的潜在免疫治疗靶点。当病原体或其成分与模式识别受体 (PRR) 结合时,就会引发对传染性病原体的免疫反应。PRR 结合引发一连串事件,激活免疫反应。我们现在表明,除了激活免疫反应外,PRR 信号还会引发免疫抑制反应,可能是为了限制炎症。当前发现的重要性在于,阻断由 CD47 分子上调介导的免疫调节信号可以导致对任何引发 PRR 信号的病原体的免疫反应增强。由于大多数或所有病原体都触发 PRR,因此在医学上需要时,CD47 阻断可用于加速和增强固有和适应性免疫反应。这种免疫疗法可以在不需要知道个体的 HLA 类型、病原体的特定抗原或在细菌感染的情况下,不需要知道抗生素耐药性特征的情况下进行。