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一项系统比较揭示了急性缓解型与慢性乙肝病毒复制的早期适应性免疫反应中的动态差异。

A systematic comparison reveals dynamic differences in early adaptive immune responses of acute-resolving versus chronic HBV replication.

作者信息

Wang Qin, Liu Yanan, Luo Jinzhuo, Yang Shangqing, Wang Lu, Lu Yinping, Feng Xuemei, Yang Xuecheng, Sutter Kathrin, Dittmer Ulf, Lu Mengji, Zheng Xin, Yang Dongliang, Liu Jia

机构信息

Department of Infectious Diseases, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Department of Clinical Laboratory, The Second Hospital of Anhui Medical University, Hefei, China.

出版信息

J Med Virol. 2023 Mar;95(3):e28670. doi: 10.1002/jmv.28670.

Abstract

Chronic hepatitis B virus (HBV) infection has been characterized by lack of effective adaptive immune responses which are vital for the viral clearance. However, very little is known about the dynamics of adaptive immune responses during the early phase of chronic HBV infection especially in spleen and liver. Here, we used the hydrodynamic injection (HDI) mouse model to kinetically characterize differences in the features of adaptive immunity, including the frequencies, phenotypes and function of antigen-presenting cells and T cells in the spleen, peripheral blood mononuclear cells (PBMCs) and liver, of chronic versus acute-resolving HBV replication (AR). We found that mice with AR mice and mice with chronic HBV replication (CH) mice showed early splenomegaly accompanied by T cell expansion in spleen but not in liver after HDI. Interestingly, the early and continuous increase in HBV-specific CD8+ T cells in spleen of CH mice was comparable to that in the AR mice. However, the splenic T cells of CH mice showed no activation phenotype compared with those in AR mice. Besides, increases in activated effector CD8+ T cells in PBMCs and liver at later time points were only observed in AR mice but not CH mice. CH mice also showed insufficient expansion of dendritic cells (DCs) in spleen and increased programmed death-1 expression in DCs of the liver compared to AR mice. The adoptive transfer of total splenocytes or splenic CD8+ T cells of AR mice to CH mice demonstrated that their ability to break HBV tolerance varies at different stages of HBV clearance. Moreover, the adoptive transfer of splenocytes from AR mice induce functional activation of endogenous HBV-specific CD8+ T cells of CH mice. Our results suggest that early T cell priming and expansion initially happens in the periphery after HBV antigen exposure in acute-resolving and chronic replication. The paucity of T cell activation, and subsequent migration and liver infiltration is a key feature of the adaptive immune responses during the early phase of CH, which is probably caused by the dysfunction of DCs.

摘要

慢性乙型肝炎病毒(HBV)感染的特征是缺乏对病毒清除至关重要的有效适应性免疫反应。然而,对于慢性HBV感染早期阶段适应性免疫反应的动态变化,尤其是在脾脏和肝脏中的情况,人们了解甚少。在此,我们使用了水动力注射(HDI)小鼠模型,从动力学角度表征了适应性免疫特征的差异,包括慢性与急性清除性HBV复制(AR)小鼠脾脏、外周血单核细胞(PBMC)和肝脏中抗原呈递细胞及T细胞的频率、表型和功能。我们发现,急性清除性HBV复制(AR)小鼠和慢性HBV复制(CH)小鼠在HDI后早期均出现脾肿大,伴有脾脏中T细胞扩增,但肝脏中未出现。有趣的是,CH小鼠脾脏中HBV特异性CD8⁺T细胞的早期持续增加与AR小鼠相当。然而,与AR小鼠相比,CH小鼠的脾脏T细胞未表现出活化表型。此外,仅在AR小鼠而非CH小鼠中观察到后期PBMC和肝脏中活化效应CD8⁺T细胞的增加。与AR小鼠相比,CH小鼠还表现出脾脏中树突状细胞(DC)扩增不足以及肝脏DC中程序性死亡-1表达增加。将AR小鼠的全脾细胞或脾脏CD8⁺T细胞过继转移至CH小鼠表明,它们打破HBV耐受性的能力在HBV清除的不同阶段有所不同。此外,AR小鼠脾细胞的过继转移可诱导CH小鼠内源性HBV特异性CD8⁺T细胞的功能活化。我们的结果表明,在急性清除性和慢性复制过程中,HBV抗原暴露后早期T细胞致敏和扩增最初发生在外周。T细胞活化的缺乏以及随后的迁移和肝脏浸润是CH早期适应性免疫反应的关键特征,这可能是由DC功能障碍引起的。

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