Vγ9Vδ2-T lymphocytes have impaired antiviral function in small-for-gestational-age and preterm neonates

Jinrong Li1, Hong Li, Huawei Mao

  • 1The Joint Research Center of West China Second University Hospital of Sichuan University and Faculty of Medicine of the University of Hong Kong, Chengdu, China.

Insights

Neonates, especially preterm and small-for-gestational-age (SGA) infants, have fewer Vγ9Vδ2-T cells with reduced antiviral function. This immune deficiency increases their susceptibility to infections, suggesting Vγ9Vδ2-T cell enhancement as a potential therapeutic strategy.

Area of Science:

  • Immunology
  • Neonatal Medicine
  • Infectious Diseases

Background:

  • Vγ9Vδ2-T cells are crucial for adult antiviral defense.
  • Preterm and small-for-gestational-age (SGA) neonates are highly susceptible to infections.
  • The role of Vγ9Vδ2-T cells in neonatal immunity is not well understood.

Purpose of the Study:

  • To investigate the frequency and antiviral function of Vγ9Vδ2-T cells in neonates.
  • To compare neonatal Vγ9Vδ2-T cell characteristics with those of adults.
  • To explore the correlation between Vγ9Vδ2-T cell function and gestational age/birth weight.

Main Methods:

  • Analysis of Vγ9Vδ2-T cell frequency in neonatal blood samples.
  • Assessment of Vγ9Vδ2-T cell cytokine responses upon influenza virus stimulation.
  • Evaluation of Vγ9Vδ2-T cell expansion using isopentenyl pyrophosphate (IPP).

Main Results:

  • Neonates exhibit significantly lower Vγ9Vδ2-T cell percentages compared to adults.
  • Neonatal Vγ9Vδ2-T cells, particularly in preterm and SGA infants, show diminished and delayed antiviral cytokine responses.
  • Antiviral responses correlate positively with gestational age and birth weight, with weaker T cell expansion observed in neonates.

Conclusions:

  • Depressed Vγ9Vδ2-T cell frequency and function contribute to increased microbial infection susceptibility in neonates, especially preterm and SGA infants.
  • Targeting Vγ9Vδ2-T cell function may offer a novel approach for preventing viral infections in newborns.
  • Further research into enhancing neonatal Vγ9Vδ2-T cell activity is warranted.

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