Therapeutic potential of co-signaling receptor modulation in hepatitis B

被引:18
作者
Andreata, Francesco [1 ,2 ]
Laura, Chiara [1 ,2 ,3 ]
Rava, Micol [1 ,2 ]
Krueger, Caroline C. [1 ,2 ]
Ficht, Xenia [1 ,2 ]
Kawashima, Keigo [1 ]
Beccaria, Cristian G. [1 ,2 ]
Moalli, Federica [1 ]
Partini, Bianca [1 ,2 ]
Fumagalli, Valeria [1 ,2 ]
Nosetto, Giulia [1 ,2 ]
Di Lucia, Pietro [1 ,2 ]
Montali, Ilaria [4 ]
Garcia-Manteiga, JoseM. [1 ,3 ]
Bono, Elisa B.
Giustini, Leonardo [1 ]
Perucchini, Chiara [1 ]
Venzin, Valentina [1 ]
Ranucci, Serena [1 ]
Inverso, Donato [1 ,2 ]
De Giovanni, Marco [1 ]
Genua, Marco [5 ]
Ostuni, Renato [2 ,5 ]
Lugli, Enrico [6 ]
Isogawa, Masanori [7 ]
Ferrari, Carlo [4 ,8 ]
Boni, Carolina [4 ,8 ]
Fisicaro, Paola [4 ]
Guidotti, Luca G. [2 ]
Iannacone, Matteo [1 ,2 ]
机构
[1] IRCCS San Raffaele Sci Inst, Div Immunol Transplantat & Infect Dis, Milan, Italy
[2] Univ Vita Salute San Raffaele, Milan, Italy
[3] IRCCS San Raffaele Sci Inst, Ctr Om Sci, Milan, Italy
[4] Azienda Osped Univ Parma, Unit Infect Dis & Hepatol, Lab Viral Immunopathol, Parma, Italy
[5] San Raffaele Telethon Inst Gene Therapy SR Tiget, Milan, Italy
[6] IRCSS Humanitas Res Hosp, Rozzano, Italy
[7] Natl Inst Infect Dis, Res Ctr Drug & Vaccine Dev, Tokyo, Japan
[8] Univ Parma, Dept Med & Surg, Parma, Italy
基金
欧洲研究理事会;
关键词
CD8(+) T-CELLS; SET ENRICHMENT ANALYSIS; LIVER; IMAGE;
D O I
10.1016/j.cell.2024.05.038
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Reversing CD8+ + T cell dysfunction is crucial in treating chronic hepatitis B virus (HBV) infection, yet specific molecular targets remain unclear. Our study analyzed co-signaling receptors during hepatocellular priming and traced the trajectory and fate of dysfunctional HBV-specific CD8+ + T cells. Early on, these cells upregulate PD-1, CTLA-4, LAG-3, OX40, 4-1BB, and ICOS. While blocking co-inhibitory receptors had minimal effect, activating 4-1BB and OX40 converted them into antiviral effectors. Prolonged stimulation led to a self-renewing, long-lived, heterogeneous population with a unique transcriptional profile. This includes dysfunctional progenitor/stem-like (TSL) SL ) cells and two distinct dysfunctional tissue-resident memory (TRM) RM ) populations. While 4-1BB expression is ubiquitously maintained, OX40 expression is limited to TSL. SL . In chronic settings, only 4-1BB stimulation conferred antiviral activity. In HBeAg+ + chronic patients, 4-1BB activation showed the highest potential to rejuvenate dysfunctional CD8+ + T cells. Targeting all dysfunctional T cells, rather than only stem-like precursors, holds promise for treating chronic HBV infection.
引用
收藏
页码:4078 / 4094.e21
页数:39
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