Keramati Farid, Leijte Guus P, Bruse Niklas, Grondman Inge, Habibi Ehsan, Ruiz-Moreno Cristian, Megchelenbrink Wout, Peters van Ton Annemieke M, Heesakkers Hidde, Bremmers Manita E, van Grinsven Erinke, Tesselaar Kiki, van Staveren Selma, van der Velden Walter J, Preijers Frank W, Te Pas Brigit, van de Loop Raoul, Gerretsen Jelle, Netea Mihai G, Stunnenberg Hendrik G, Pickkers Peter, Kox Matthijs
Department of Molecular Biology, Faculty of Science, Radboud University, Nijmegen, The Netherlands.
Princess Maxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Nat Immunol. 2025 May;26(5):737-747. doi: 10.1038/s41590-025-02136-4. Epub 2025 Apr 18.
Systemic inflammatory conditions are classically characterized by an acute hyperinflammatory phase, followed by a late immunosuppressive phase that elevates the susceptibility to secondary infections. Comprehensive mechanistic understanding of these phases is largely lacking. To address this gap, we leveraged a controlled, human in vivo model of lipopolysaccharide (LPS)-induced systemic inflammation encompassing both phases. Single-cell RNA sequencing during the acute hyperinflammatory phase identified an inflammatory CD163SLC39A8CALR monocyte-like subset (infMono) at 4 h post-LPS administration. The late immunosuppressive phase was characterized by diminished expression of type I interferon (IFN)-responsive genes in monocytes, impaired myelopoiesis and a pronounced attenuation of the immune response on a secondary LPS challenge 1 week after the first. The infMono gene program and impaired myelopoiesis were also detected in patient cohorts with bacterial sepsis and coronavirus disease. IFNβ treatment restored type-I IFN responses and proinflammatory cytokine production and induced monocyte maturation, suggesting a potential treatment option for immunosuppression.
全身炎症性疾病的典型特征是急性期的急性高炎症状态,随后是晚期免疫抑制期,这会增加继发感染的易感性。目前在很大程度上缺乏对这些阶段的全面机制理解。为了填补这一空白,我们利用了一种可控的、人类体内脂多糖(LPS)诱导的全身炎症模型,该模型涵盖了两个阶段。在急性高炎症期进行的单细胞RNA测序发现在LPS给药后4小时存在一种炎症性CD163SLC39A8CALR单核细胞样亚群(infMono)。晚期免疫抑制期的特征是单核细胞中I型干扰素(IFN)反应基因的表达减少、骨髓生成受损以及在首次LPS刺激1周后再次接受LPS刺激时免疫反应明显减弱。在患有细菌性败血症和冠状病毒病的患者队列中也检测到了infMono基因程序和骨髓生成受损。IFNβ治疗可恢复I型IFN反应和促炎细胞因子的产生,并诱导单核细胞成熟,这表明免疫抑制有潜在的治疗选择。