STAT1 功能获得性慢性黏膜皮肤念珠菌病中单核细胞的免疫表型分析。

Immunoprofiling of monocytes in STAT1 gain-of-function chronic mucocutaneous candidiasis.

机构信息

Department of Immunology, 2ndFaculty of Medicine Charles University, University Hospital in Motol, Prague, Czechia.

Department of Paediatrics, Thomayer University Hospital, First Faculty of Medicine, Charles University, Prague, Czechia.

出版信息

Front Immunol. 2022 Sep 12;13:983977. doi: 10.3389/fimmu.2022.983977. eCollection 2022.

Abstract

Patients with STAT1 gain-of-function (GOF) mutations suffer from an inborn error of immunity hallmarked by chronic mucocutaneous candidiasis (CMC). The pathogenesis behind this complex and heterogeneous disease is still incompletely understood. Beyond the well-recognized Th17 failure, linked to the STAT1/STAT3 dysbalance-driven abrogation of antifungal defense, only little is known about the consequences of augmented STAT1 signaling in other cells, including, interestingly, the innate immune cells. STAT1-mediated signaling was previously shown to be increased in STAT1 GOF CD14+ monocytes. Therefore, we hypothesized that monocytes might represent important co-orchestrators of antifungal defense failure, as well as various immunodysregulatory phenomena seen in patients with STAT1 GOF CMC, including autoimmunity. In this article, we demonstrate that human STAT1 GOF monocytes are characterized by proinflammatory phenotypes and a strong inflammatory skew of their secretory cytokine profile. Moreover, they exhibit diminished CD16 expression, and reduction of classical (CD14++C16-) and expansion of intermediate (CD14++16+) subpopulations. Amongst the functional aberrations, a selectively enhanced responsiveness to TLR7/8 stimulation, but not to other TLR ligands, was noted, which might represent a contributing mechanism in the pathogenesis of STAT1 GOF-associated autoimmunity. Importantly, some of these features extend to STAT1 GOF monocyte-derived dendritic cells and to STAT1 GOF peripheral myeloid dendritic cells, suggesting that the alterations observed in monocytes are, in fact, intrinsic due to STAT1 mutation, and not mere bystanders of chronic inflammatory environment. Lastly, we observe that the proinflammatory bias of STAT1 GOF monocytes may be ameliorated with JAK inhibition. Taken together, we show that monocytes likely play an active role in both the microbial susceptibility and autoimmunity in STAT1 GOF CMC.

摘要

患有 STAT1 功能获得性(GOF)突变的患者患有先天性免疫缺陷,其特征为慢性黏膜皮肤念珠菌病(CMC)。这种复杂且异质性疾病的发病机制尚未完全了解。除了众所周知的 Th17 失败(与 STAT1/STAT3 失衡驱动的抗真菌防御功能丧失有关)之外,人们对增强的 STAT1 信号在其他细胞(包括有趣的固有免疫细胞)中的后果知之甚少。先前已经表明,在 STAT1 GOF CD14+单核细胞中,STAT1 介导的信号转导增加。因此,我们假设单核细胞可能是抗真菌防御失败以及 STAT1 GOF CMC 患者中所见的各种免疫调节现象(包括自身免疫)的重要共同协调者。在本文中,我们证明人类 STAT1 GOF 单核细胞的特点是促炎表型和其分泌细胞因子谱的强烈炎症偏倚。此外,它们表现出 CD16 表达减少,以及经典(CD14++C16-)和中间(CD14++16+)亚群的扩张减少。在功能异常中,注意到对 TLR7/8 刺激的选择性增强反应,但对其他 TLR 配体没有反应,这可能是 STAT1 GOF 相关自身免疫发病机制的一个促成机制。重要的是,这些特征中的一些扩展到 STAT1 GOF 单核细胞衍生的树突状细胞和 STAT1 GOF 外周髓样树突状细胞,这表明在单核细胞中观察到的改变实际上是由于 STAT1 突变,而不仅仅是慢性炎症环境的旁观者。最后,我们观察到 JAK 抑制可改善 STAT1 GOF 单核细胞的促炎偏倚。总之,我们表明单核细胞可能在 STAT1 GOF CMC 中的微生物易感性和自身免疫中发挥积极作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed96/9510987/037a133270ac/fimmu-13-983977-g001.jpg

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