Department of Pathology, University of Iowa, Iowa City, United States.
Department of Physics, The George Washington University, Washington, United States.
Elife. 2021 Oct 15;10:e70989. doi: 10.7554/eLife.70989.
The global health burden due to sepsis and the associated cytokine storm is substantial. While early intervention has improved survival during the cytokine storm, those that survive can enter a state of chronic immunoparalysis defined by transient lymphopenia and functional deficits of surviving cells. Memory CD8 T cells provide rapid cytolysis and cytokine production following re-encounter with their cognate antigen to promote long-term immunity, and CD8 T cell impairment due to sepsis can pre-dispose individuals to re-infection. While the acute influence of sepsis on memory CD8 T cells has been characterized, if and to what extent pre-existing memory CD8 T cells recover remains unknown. Here, we observed that central memory CD8 T cells (T) from septic patients proliferate more than those from healthy individuals. Utilizing LCMV immune mice and a CLP model to induce sepsis, we demonstrated that T proliferation is associated with numerical recovery of pathogen-specific memory CD8 T cells following sepsis-induced lymphopenia. This increased proliferation leads to changes in composition of memory CD8 T cell compartment and altered tissue localization. Further, memory CD8 T cells from sepsis survivors have an altered transcriptional profile and chromatin accessibility indicating long-lasting T cell intrinsic changes. The sepsis-induced changes in the composition of the memory CD8 T cell pool and transcriptional landscape culminated in altered T cell function and reduced capacity to control infection. Thus, sepsis leads to long-term alterations in memory CD8 T cell phenotype, protective function and localization potentially changing host capacity to respond to re-infection.
由于脓毒症和相关细胞因子风暴导致的全球健康负担是巨大的。虽然早期干预已经提高了细胞因子风暴期间的存活率,但那些存活下来的人可能会进入慢性免疫麻痹状态,表现为短暂的淋巴细胞减少和存活细胞的功能缺陷。记忆 CD8 T 细胞在再次遇到其同源抗原后提供快速细胞溶解和细胞因子产生,以促进长期免疫,而脓毒症引起的 CD8 T 细胞损伤会使个体容易再次感染。虽然已经描述了脓毒症对记忆 CD8 T 细胞的急性影响,但尚不清楚是否以及在何种程度上恢复了先前存在的记忆 CD8 T 细胞。在这里,我们观察到脓毒症患者的中央记忆 CD8 T 细胞(T 细胞)比健康个体的 T 细胞增殖更多。利用 LCMV 免疫小鼠和 CLP 模型诱导脓毒症,我们证明 T 细胞增殖与脓毒症诱导的淋巴细胞减少后病原体特异性记忆 CD8 T 细胞的数量恢复有关。这种增殖增加导致记忆 CD8 T 细胞区室的组成发生变化,并改变组织定位。此外,脓毒症幸存者的记忆 CD8 T 细胞具有改变的转录谱和染色质可及性,表明存在持久的 T 细胞内在变化。记忆 CD8 T 细胞库组成和转录景观的脓毒症诱导变化最终导致 T 细胞功能改变和控制感染的能力降低。因此,脓毒症导致记忆 CD8 T 细胞表型、保护功能和定位的长期改变,可能改变宿主对再次感染的反应能力。
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