Domitien Payet Léa, Coléon Anthony, Bedin Anne Sophie, Auguste Lucas, Duroyon Maël Morvan, Mollevi Caroline, Blain Hubert, Mennechet Franck, Jeziorski Éric, Tuaillon Édouard
Department of General Pediatrics, Infectiology and Clinical Immunology, Montpellier University Hospital, Arnaud de Villeneuve UHC, 371, Avenue du Doyen Gaston GIRAUD, 34295, Montpellier, France.
Pathogenesis and Control of Chronic Infections, INSERM U1058, Montpellier, UHC, University of Montpellier, Montpellier, France.
Sci Rep. 2025 Aug 1;15(1):28186. doi: 10.1038/s41598-025-13883-7.
The severity of certain viral infectious diseases varies across the age; we hypothesize that these variations could be related to the variation of immune responses to viral immune complexes (ICs) among the age. This study aimed to investigate monocyte activation in response to ICs in children, adults, and elderly individuals. An experimental in vitro model was established using peripheral blood mononuclear cells from healthy individuals. Monocyte activation markers (CD169, CD38, HLA-DR), the negative co-stimulatory molecule (PD-L1), and cytokine production were measured under basal conditions and upon stimulation with human adenovirus 5-IgG immune complex (Ad5-ICs), interferon-alpha (IFN-α), and lipopolysaccharide (LPS). Monocytes from children and adults displayed similar activation profiles in response to ICs and IFN-α stimulation, characterized by increased expression of CD169 and PD-L1. In contrast, monocytes from elderly individuals exhibited weak or no overexpression of CD169 and PD-L1 coupled with a diminished PBMC cytokine response. Notably, cells from elderly participants produced high levels of TNF-α, IL-1α, and IL-6 in the absence of stimulation. Multiple comparisons confirmed reduced monocyte activation and PBMC cytokine responses in the elderly compared to adults and children. Although children exhibited a significant response to ICs, their secretion of IFN-α, IP-10, IFN-γ, IL-8, and IL-2 was lower than that observed in adults. Our findings suggest that elderly individuals have poor and dysregulated responses to ICs, likely due to immunosenescence and chronic inflammation. Adults exhibit a robust and balanced response to ICs, while children display a moderate response, possibly influenced by 'trained immunity' resulting from frequent early-life exposures to pathogens. These insights highlight the importance of further research to develop age-specific therapeutic strategies to modulate immune function during viral IC exposure.
某些病毒性传染病的严重程度因年龄而异;我们推测这些差异可能与不同年龄段对病毒免疫复合物(ICs)的免疫反应差异有关。本研究旨在调查儿童、成年人和老年人对ICs反应时的单核细胞活化情况。使用健康个体的外周血单核细胞建立了一个体外实验模型。在基础条件下以及用人腺病毒5-IgG免疫复合物(Ad5-ICs)、干扰素-α(IFN-α)和脂多糖(LPS)刺激后,测量单核细胞活化标志物(CD169、CD38、HLA-DR)、负性共刺激分子(PD-L1)和细胞因子产生情况。儿童和成年人的单核细胞对ICs和IFN-α刺激表现出相似的活化特征,其特点是CD169和PD-L1表达增加。相比之下,老年人的单核细胞CD169和PD-L1表达微弱或无过度表达,同时PBMC细胞因子反应减弱。值得注意的是,老年参与者的细胞在未受刺激时产生高水平的TNF-α、IL-1α和IL-6。多重比较证实,与成年人和儿童相比,老年人的单核细胞活化和PBMC细胞因子反应降低。虽然儿童对ICs有显著反应,但其IFN-α、IP-10、IFN-γ、IL-8和IL-2的分泌低于成年人。我们的研究结果表明,老年人对ICs的反应较差且失调,可能是由于免疫衰老和慢性炎症。成年人对ICs表现出强烈且平衡的反应,而儿童表现出中等反应,这可能受到早期频繁接触病原体导致的“训练免疫”的影响。这些见解凸显了进一步研究以制定针对特定年龄的治疗策略来调节病毒IC暴露期间免疫功能的重要性。