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靶向贫血诱导的CD71网织红细胞可保护小鼠免受感染。

Targeting anemia-induced CD71 reticulocytes protects mice from infection.

作者信息

Zeydabadinejad Sareh, Kim Jong Sung Anthony, Zheng Anna, Kandalgaonkar Mrunmayee Rajendra, Ababio Prince Boakye, Gohara Amira, Vijay-Kumar Matam, San Yeoh Beng, Saha Piu

机构信息

Center for Hypertension and Precision Medicine, Department of Physiology and Pharmacology, University of Toledo College of Medicine and Life Sciences, Toledo, Ohio, USA.

The University of Toledo College of Medicine and Life Sciences, Toledo, Ohio, USA.

出版信息

Infect Immun. 2025 Aug 12;93(8):e0009325. doi: 10.1128/iai.00093-25. Epub 2025 Jul 1.

Abstract

Malaria, caused by spp., is a global health concern linked to anemia and increased mortality. Compensatory erythropoiesis seen during acute anemia results in an increased circulating reticulocyte count (i.e., immature RBC), a key factor in understanding the relationship between pre-existing anemia and burden. Reticulocytes in mice are marked by transferrin receptor (CD71) and glycophorin A-associated protein (Ter119). To model acute anemia with increased reticulocytes, C57BL/6J mice were either bled (i.e., phlebotomized) or administered phenylhydrazine before being infected with (), a mouse-specific strain with a preference for reticulocytes. In -infected anemic mice, we observed heightened parasitemia and significant body weight loss compared with non-anemic -infected mice. Additionally, serum inflammatory cytokines, erythropoietin, and liver injury markers, along with hemozoin deposition, significantly increased in anemic -infected mice. Blood transfusion from healthy normal donors to -infected anemic recipient mice ameliorated anemia by reducing overall reticulocyte count and increasing mature RBC count. Blood transfusion rescued body weight loss, decreased parasitemia, and reduced serum erythropoietin levels. Finally, to confirm the role of reticulocytes in infection, reticulocytes were depleted using anti-CD71 monoclonal antibody in -infected mice. We observed improvement in hematologic parameters and stark reduction in parasitemia in both pre-existing anemic and non-anemic -infected mice. Collectively, our results suggest that pre-existing anemia may increase the risk of infection due to the greater reticulocyte population. Anti-CD71 treatment in infection may offer a novel therapeutic strategy to combat infection and malaria.

摘要

由疟原虫属物种引起的疟疾是一个与贫血和死亡率增加相关的全球健康问题。急性贫血期间出现的代偿性红细胞生成导致循环网织红细胞计数(即未成熟红细胞)增加,这是理解既往贫血与疟疾负担之间关系的关键因素。小鼠中的网织红细胞以转铁蛋白受体(CD71)和血型糖蛋白A相关蛋白(Ter119)为标志。为了模拟网织红细胞增加的急性贫血,在感染疟原虫(一种对网织红细胞有偏好的小鼠特异性菌株)之前,对C57BL/6J小鼠进行放血(即静脉切开术)或给予苯肼。在感染疟原虫的贫血小鼠中,与未感染疟原虫的非贫血小鼠相比,我们观察到寄生虫血症加剧和体重显著减轻。此外,感染疟原虫的贫血小鼠的血清炎症细胞因子、促红细胞生成素和肝损伤标志物以及疟色素沉积均显著增加。将健康正常供体的血液输给感染疟原虫的贫血受体小鼠,通过降低总体网织红细胞计数和增加成熟红细胞计数改善了贫血。输血挽救了体重减轻,降低了寄生虫血症,并降低了血清促红细胞生成素水平。最后,为了证实网织红细胞在疟原虫感染中的作用,在感染疟原虫的小鼠中使用抗CD71单克隆抗体清除网织红细胞。我们观察到,在既往贫血和未感染疟原虫的非贫血小鼠中,血液学参数均有改善,寄生虫血症明显降低。总体而言,我们的结果表明,既往贫血可能由于网织红细胞数量较多而增加疟原虫感染的风险。在疟原虫感染中进行抗CD71治疗可能为对抗疟原虫感染和疟疾提供一种新的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aed/12341372/0784496a5852/iai.00093-25.f001.jpg

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