Xiong Liu-Lin, Du Ruo-Lan, Niu Rui-Ze, Xue Lu-Lu, Chen Li, Huangfu Li-Ren, Cai Xiao-Xing, He Xiu-Ying, Huang Jin, Huang Xue-Yan, Liu Jia, Yu Chang-Yin, Wang Wen-Yuan, Wang Ting-Hua
Institute of Neuroscience, Kunming Medical University, Kunming, 650500, Yunnan, China.
Department of Anesthesiology, The Third Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, China.
NPJ Parkinsons Dis. 2024 Oct 4;10(1):185. doi: 10.1038/s41531-024-00790-3.
Although many researchers of Parkinson's disease (PD) have shifted their focus from the central nervous system (CNS) to the peripheral blood, a significant knowledge gap remains between PD severity and the peripheral immune response. In the current study, we aimed to map the peripheral immunity atlas in peripheral blood mononuclear cells (PBMCs) from PD patients and healthy controls using single-cell RNA sequencing (scRNA-seq). Our study employed scRNA-seq analysis to map the peripheral immunity atlas in PD by profiling PBMCs from PD-Early, PD-Late patients and matched controls. By enlarging the blood sample size, we validated the roles of NK cells in numerous immune-related biological processes. We also detected the infiltration of NK cells into the cerebral motor cortex as the disease progressed, using human brain sections, and elucidated the communication between the periphery and CNS and its implications for PD. As a result, cell subpopulation atlases in PBMCs from PD patients and healthy controls along with differentially expressed genes in NK cells were identified by scRNA-seq analysis, representing 6 major immune cell subsets among which NK cells declined in the progression of PD. We further validated NK cell reduction in increasing samples and found that they participated in numerous immune-related biological processes and infiltration into the cerebral motor cortex as the disease proceeded, evidencingd the close communication between the peripheral immune response and CNS. Strikingly, XCL2 positively correlated with PD severity, with good predictive performance of PD and specific expression in subclusters C2 and C5 of NK cells. All these findings delineated the critical role of peripheral immune response mediated by NK cells in the pathogenesis of PD. NK cell-specific XCL2 could be used as a diagnostic marker for treating PD. The indispensable function of NK cells and NK cell-specific molecular biomarkers highlighted the implication of the peripheral immune response in PD progression. Trial registration: ChiCTR, ChiCTR1900023975. Registered 20 June 2019 - Retrospectively registered, https://www.chictr.org.cn/showproj.html?proj=31035 .
尽管许多帕金森病(PD)研究人员已将重点从中枢神经系统(CNS)转移到外周血,但PD严重程度与外周免疫反应之间仍存在重大知识差距。在本研究中,我们旨在使用单细胞RNA测序(scRNA-seq)绘制PD患者和健康对照外周血单个核细胞(PBMC)中的外周免疫图谱。我们的研究采用scRNA-seq分析,通过对早期PD、晚期PD患者及匹配对照的PBMC进行分析,绘制PD中的外周免疫图谱。通过扩大血样规模,我们验证了自然杀伤(NK)细胞在众多免疫相关生物学过程中的作用。我们还利用人脑切片检测到随着疾病进展NK细胞向大脑运动皮质的浸润,并阐明了外周与CNS之间的通讯及其对PD的影响。结果,通过scRNA-seq分析确定了PD患者和健康对照PBMC中的细胞亚群图谱以及NK细胞中的差异表达基因,代表6个主要免疫细胞亚群,其中NK细胞在PD进展过程中减少。我们在更多样本中进一步验证了NK细胞减少,并发现随着疾病进展它们参与了众多免疫相关生物学过程并浸润到大脑运动皮质,证明外周免疫反应与CNS之间存在密切通讯。引人注目的是,XCL2与PD严重程度呈正相关,对PD具有良好的预测性能且在NK细胞的C2和C5亚群中特异性表达。所有这些发现都描绘了NK细胞介导的外周免疫反应在PD发病机制中的关键作用。NK细胞特异性XCL2可作为治疗PD的诊断标志物。NK细胞的不可或缺功能和NK细胞特异性分子生物标志物突出了外周免疫反应在PD进展中的意义。试验注册:中国临床试验注册中心,ChiCTR1900023975。2019年6月20日注册 - 回顾性注册,https://www.chictr.org.cn/showproj.html?proj=31035 。