肝脏免疫调节装置调控慢性乙型肝炎病毒感染中的 CD8 T 细胞免疫。
A liver immune rheostat regulates CD8 T cell immunity in chronic HBV infection.
机构信息
Institute of Molecular Immunology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Roche Pharmaceutical Research and Early Development (pRED), Roche Innovation Center Basel, Basel, Switzerland.
出版信息
Nature. 2024 Jul;631(8022):867-875. doi: 10.1038/s41586-024-07630-7. Epub 2024 Jul 10.
Chronic hepatitis B virus (HBV) infection affects 300 million patients worldwide, in whom virus-specific CD8 T cells by still ill-defined mechanisms lose their function and cannot eliminate HBV-infected hepatocytes. Here we demonstrate that a liver immune rheostat renders virus-specific CD8 T cells refractory to activation and leads to their loss of effector functions. In preclinical models of persistent infection with hepatotropic viruses such as HBV, dysfunctional virus-specific CXCR6 CD8 T cells accumulated in the liver and, as a characteristic hallmark, showed enhanced transcriptional activity of cAMP-responsive element modulator (CREM) distinct from T cell exhaustion. In patients with chronic hepatitis B, circulating and intrahepatic HBV-specific CXCR6 CD8 T cells with enhanced CREM expression and transcriptional activity were detected at a frequency of 12-22% of HBV-specific CD8 T cells. Knocking out the inhibitory CREM/ICER isoform in T cells, however, failed to rescue T cell immunity. This indicates that CREM activity was a consequence, rather than the cause, of loss in T cell function, further supported by the observation of enhanced phosphorylation of protein kinase A (PKA) which is upstream of CREM. Indeed, we found that enhanced cAMP-PKA-signalling from increased T cell adenylyl cyclase activity augmented CREM activity and curbed T cell activation and effector function in persistent hepatic infection. Mechanistically, CD8 T cells recognizing their antigen on hepatocytes established close and extensive contact with liver sinusoidal endothelial cells, thereby enhancing adenylyl cyclase-cAMP-PKA signalling in T cells. In these hepatic CD8 T cells, which recognize their antigen on hepatocytes, phosphorylation of key signalling kinases of the T cell receptor signalling pathway was impaired, which rendered them refractory to activation. Thus, close contact with liver sinusoidal endothelial cells curbs the activation and effector function of HBV-specific CD8 T cells that target hepatocytes expressing viral antigens by means of the adenylyl cyclase-cAMP-PKA axis in an immune rheostat-like fashion.
慢性乙型肝炎病毒(HBV)感染影响了全球 3 亿患者,其病毒特异性 CD8 T 细胞通过仍未明确的机制失去功能,无法清除 HBV 感染的肝细胞。在这里,我们证明了肝脏免疫调节使病毒特异性 CD8 T 细胞对激活产生抗性,并导致其效应功能丧失。在亲肝病毒(如 HBV)持续感染的临床前模型中,功能失调的病毒特异性 CXCR6 CD8 T 细胞在肝脏中积累,并作为一个特征标志,表现出与 T 细胞耗竭不同的 cAMP 反应元件调节剂(CREM)转录活性增强。在慢性乙型肝炎患者中,循环和肝内 HBV 特异性 CXCR6 CD8 T 细胞中检测到 CREM 表达和转录活性增强,频率为 HBV 特异性 CD8 T 细胞的 12-22%。然而,敲除 T 细胞中的抑制性 CREM/ICER 同工型未能挽救 T 细胞免疫。这表明 CREM 活性是 T 细胞功能丧失的结果,而不是原因,进一步支持了观察到的蛋白激酶 A(PKA)磷酸化增强的观察结果,PKA 是 CREM 的上游。事实上,我们发现,由于 T 细胞腺苷酸环化酶活性增加而导致的 cAMP-PKA 信号增强增强了 CREM 活性,并抑制了持续肝感染中的 T 细胞激活和效应功能。在机制上,识别肝细胞上抗原的 CD8 T 细胞与肝窦内皮细胞建立密切而广泛的接触,从而增强 T 细胞中的腺苷酸环化酶-cAMP-PKA 信号。在这些识别肝细胞上抗原的肝 CD8 T 细胞中,T 细胞受体信号通路的关键信号激酶的磷酸化受损,使它们对激活产生抗性。因此,与肝窦内皮细胞的紧密接触通过腺苷酸环化酶-cAMP-PKA 轴以免疫调节方式抑制针对表达病毒抗原的肝细胞的 HBV 特异性 CD8 T 细胞的激活和效应功能。