联合免疫检查点阻断增强了接受抗逆转录病毒治疗的 HIV 感染者体内 HIV 特异性 T 细胞的 IL-2 和 CD107a 的体外产生。

Combination Immune Checkpoint Blockade Enhances IL-2 and CD107a Production from HIV-Specific T Cells Ex Vivo in People Living with HIV on Antiretroviral Therapy.

机构信息

Department of Infectious Diseases, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia.

Vaccine and Gene Therapy Institute, Oregon Health & Science University, Beaverton, OR.

出版信息

J Immunol. 2022 Jan 1;208(1):54-62. doi: 10.4049/jimmunol.2100367. Epub 2021 Dec 1.

Abstract

In people with HIV (PWH) on antiretroviral therapy (ART), immune dysfunction persists, including elevated expression of immune checkpoint (IC) proteins on total and HIV-specific T cells. Reversing immune exhaustion is one strategy to enhance the elimination of HIV-infected cells that persist in PWH on ART. We aimed to evaluate whether blocking CTL-associated protein 4 (CTLA-4), programmed cell death protein 1 (PD-1), T cell Ig domain and mucin domain 3 (TIM-3), T cell Ig and ITIM domain (TIGIT) and lymphocyte activation gene-3 (LAG-3) alone or in combination would enhance HIV-specific CD4 and CD8 T cell function ex vivo. Intracellular cytokine staining was performed using human PBMCs from PWH on ART ( = 11) and expression of CD107a, IFN-γ, TNF-α, and IL-2 was quantified with HIV peptides and Abs to IC. We found the following: 1) IC blockade enhanced the induction of CD107a and IL-2 but not IFN-γ and TNF-α in response to Gag and Nef peptides; 2) the induction of CD107a and IL-2 was greatest with multiple combinations of two Abs; and 3) Abs to LAG-3, CTLA-4, and TIGIT in combinations showed synergistic induction of IL-2 in HIV-specific CD8 and CD107a and IL-2 production in HIV-specific CD4 and CD8 T cells. These results demonstrate that the combination of Abs to LAG-3, CTLA-4, or TIGIT can increase the frequency of cells expressing CD107a and IL-2 that associated with cytotoxicity and survival of HIV-specific CD4 and CD8 T cells in PWH on ART. These combinations should be further explored for an HIV cure.

摘要

在接受抗逆转录病毒疗法(ART)的艾滋病毒(HIV)感染者(PWH)中,免疫功能仍然存在障碍,包括总 T 细胞和 HIV 特异性 T 细胞上免疫检查点(IC)蛋白的表达升高。逆转免疫衰竭是增强清除 ART 中持续存在的 HIV 感染细胞的策略之一。我们旨在评估单独或联合阻断 CTLA-4、程序性细胞死亡蛋白 1(PD-1)、T 细胞免疫球蛋白和粘蛋白域 3(TIM-3)、T 细胞免疫球蛋白和 ITIM 域(TIGIT)和淋巴细胞激活基因-3(LAG-3)是否会增强 HIV 特异性 CD4 和 CD8 T 细胞的体外功能。使用来自接受 ART 的 PWH(n = 11)的人外周血单核细胞(PBMC)进行细胞内细胞因子染色,并使用 HIV 肽和 IC 抗体定量测定 CD107a、IFN-γ、TNF-α和 IL-2 的表达。我们发现:1)IC 阻断增强了对 Gag 和 Nef 肽的反应中 CD107a 和 IL-2 的诱导,但不能诱导 IFN-γ和 TNF-α的诱导;2)两种抗体的多种组合诱导 CD107a 和 IL-2 的效果最大;3)LAG-3、CTLA-4 和 TIGIT 的 Abs 组合协同诱导 HIV 特异性 CD8 和 CD107a 的 IL-2,以及 HIV 特异性 CD4 和 CD8 T 细胞中 IL-2 的产生。这些结果表明,LAG-3、CTLA-4 或 TIGIT 的 Abs 组合可以增加表达 CD107a 和 IL-2 的细胞的频率,这些细胞与 ART 中 HIV 特异性 CD4 和 CD8 T 细胞的细胞毒性和存活相关。这些组合应进一步探索用于 HIV 治愈。

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