Cytotoxic CD8+ T cells promote granzyme B-dependent adverse post-ischemic cardiac remodeling

被引:137
作者
Santos-Zas, Icia [1 ]
Lemarie, Jeremie [1 ]
Zlatanova, Ivana [1 ]
Cachanado, Marine [2 ,3 ]
Seghezzi, Jean-Christophe [4 ]
Benamer, Hakim [5 ]
Goube, Pascal [6 ]
Vandestienne, Marie [1 ]
Cohen, Raphael [1 ]
Ezzo, Maya [1 ]
Duval, Vincent [1 ]
Zhang, Yujiao [1 ]
Su, Jin-Bo [7 ]
Bize, Alain [7 ]
Sambin, Lucien [7 ]
Bonnin, Philippe [8 ]
Branchereau, Maxime [9 ]
Heymes, Christophe [9 ]
Tanchot, Corinne [1 ]
Vilar, Jose [1 ]
Delacroix, Clement [1 ]
Hulot, Jean-Sebastien [1 ]
Cochain, Clement [10 ]
Bruneval, Patrick [1 ,11 ]
Danchin, Nicolas [12 ]
Tedgui, Alain [1 ]
Mallat, Ziad [1 ,13 ]
Simon, Tabassome [2 ,3 ,14 ,15 ,16 ]
Ghaleh, Bijan [7 ]
Silvestre, Jean-Sebastien [1 ]
Ait-Oufella, Hafid [1 ,17 ]
机构
[1] Univ Paris, INSERM, PARCC, F-75015 Paris, France
[2] Hop St Antoine, AP HP, APHP SU, Paris, France
[3] Hop St Antoine, Dept Clin Pharmacol & Clin Res Platform URCEST CR, Paris, France
[4] Ctr Hosp Compiegne, Serv Cardiol, Compiegne, France
[5] Inst Cardiovasc Paris Sud, Serv Cardiol, Paris, France
[6] Ctr Hosp Corbeil, Serv Cardiol, Corbeil Essonnes, France
[7] Ecole Natl Vet Alfort, UPEC, Equipe 03, Inserm U955 IMRB, Maisons Alfort, France
[8] Hop Lariboisiere, AP HP, Dept Physiol, Inserm U965, Paris, France
[9] Univ Paul Sabatier, Inserm U1048, Inst Malad Metab & Cardiovasc I2MC, Toulouse, France
[10] Univ Hosp Wurzburg, Inst Expt Biomed, Wurzburg, Germany
[11] Hop Europeen Georges Pompidou, AP HP, Serv Anatomopathol, Paris, France
[12] Hop Europeen Georges Pompidou, AP HP, Serv Cardiol, Paris, France
[13] Univ Cambridge, Addenbrookes Hosp, Div Cardiovasc Med, Cambridge CB2 2QQ, England
[14] Sorbonne Univ, UPMC Site St Antoine, APHP SU, AP HP,Serv Pharmacol, Paris, France
[15] Sorbonne Univ, Dept Clin Pharmacol, Paris, France
[16] Sorbonne Univ, Hop St Antoine, Clin Res Platform URCEST CRB CRC EST, Paris, France
[17] Sorbonne Univ, Serv Med Intens Reanimat, AP HP, Paris, France
关键词
LYMPHOPENIA-INDUCED PROLIFERATION; MYOCARDIAL-INFARCTION; ST-ELEVATION; HEART; LYMPHOCYTES; INJURY; ACTIVATION; DETERMINANTS; MANAGEMENT; PERFORIN;
D O I
10.1038/s41467-021-21737-9
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Acute myocardial infarction is a common condition responsible for heart failure and sudden death. Here, we show that following acute myocardial infarction in mice, CD8(+) T lymphocytes are recruited and activated in the ischemic heart tissue and release Granzyme B, leading to cardiomyocyte apoptosis, adverse ventricular remodeling and deterioration of myocardial function. Depletion of CD8(+) T lymphocytes decreases apoptosis within the ischemic myocardium, hampers inflammatory response, limits myocardial injury and improves heart function. These effects are recapitulated in mice with Granzyme B-deficient CD8(+) T cells. The protective effect of CD8 depletion on heart function is confirmed by using a model of ischemia/reperfusion in pigs. Finally, we reveal that elevated circulating levels of GRANZYME B in patients with acute myocardial infarction predict increased risk of death at 1-year follow-up. Our work unravels a deleterious role of CD8(+) T lymphocytes following acute ischemia, and suggests potential therapeutic strategies targeting pathogenic CD8(+) T lymphocytes in the setting of acute myocardial infarction. Immune cells contribute to adverse remodeling following myocardial infarction. Here the authors show in mice and pigs that CD8(+) lymphocytes release Granzyme B in the infarcted heart leading to cardiomyocyte death, enhanced inflammation and deterioration of cardiac function.
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页数:13
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