Laboratory of Persistent Viral Diseases, Rocky Mountain Laboratories, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, MT, USA.
Laboratory of Virology, Rocky Mountain Laboratories, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, MT, USA.
Antiviral Res. 2022 Jan;197:105226. doi: 10.1016/j.antiviral.2021.105226. Epub 2021 Dec 17.
It has been shown that a very early cell-intrinsic response to infection is the upregulation of CD47 cell surface expression, a molecule known for delivering a "don't eat me signal" that inhibits macrophage-mediated phagocytosis and antigen presentation. Thus, blockade of CD47 signaling during lymphocytic choriomenigitis virus infections of mice has been shown to enhance the kinetics and potency of immune responses, thereby producing faster recovery. It seems counterintuitive that one of the earliest responses to infection would be immunoinhibitory, but it has been hypothesized that CD47 induction acts as an innate immune system checkpoint to prevent immune overactivation and immunopathogenic responses during certain infections. In the current study we examined the effect of CD47 blockade on lethal Ebola virus infection of mice. At 6 days post-infection, CD47 blockade was associated with significantly increased activation of B cells along with increases in recently cytolytic CD8 T cells. However, the anti-CD47-treated mice exhibited increased weight loss, higher virus titers, and succumbed more rapidly. The anti-CD47-treated mice also had increased inflammatory cytokines in the plasma indicative of a "cytokine storm". Thus, in the context of this rapid hemorrhagic disease, CD47 blockade indeed exacerbated immunopathology and disease severity.
研究表明,感染后早期的一个固有细胞反应是上调 CD47 细胞表面表达,该分子以传递“不要吃我信号”而闻名,可抑制巨噬细胞介导的吞噬作用和抗原呈递。因此,在淋巴细胞性脉络丛脑膜炎病毒感染的小鼠中阻断 CD47 信号已被证明可增强免疫反应的动力学和效力,从而更快地恢复。一种早期的反应是免疫抑制,这似乎违反直觉,但有人假设 CD47 的诱导作用作为先天免疫系统的检查点,以防止在某些感染期间免疫过度激活和免疫病理反应。在本研究中,我们研究了 CD47 阻断对致死性埃博拉病毒感染小鼠的影响。在感染后 6 天,CD47 阻断与 B 细胞的显著激活以及最近细胞毒性 CD8 T 细胞的增加有关。然而,抗 CD47 治疗的小鼠表现出体重减轻增加、病毒滴度增加且更快死亡。抗 CD47 治疗的小鼠的血浆中也有更多的炎症细胞因子,表明存在“细胞因子风暴”。因此,在这种快速出血性疾病的情况下,CD47 阻断确实加剧了免疫病理和疾病严重程度。