Allograft Inflammatory Factor-1 Links T-Cell Activation, Interferon Response, and Macrophage Activation in Chronic

Anne H Rowley1,2,3, Susan C Baker4, Kwang-Youn A Kim5

  • 1Departments of Pediatrics.

Insights

Persistent immune responses, including T lymphocytes and type I interferon, are found in chronic Kawasaki disease (KD) arteritis. Allograft inflammatory factor-1 (AIF1) links these responses and macrophage activation, suggesting its role in KD pathogenesis.

Area of Science:

  • Immunology
  • Cardiovascular Pathology
  • Pediatric Rheumatology

Background:

  • Kawasaki disease (KD) is primarily viewed as acute arteritis, but chronic inflammation and arterial stenosis can persist.
  • Acute KD tissues show upregulated T lymphocyte, type I interferon, and allograft inflammatory factor-1 (AIF1) genes.
  • The persistence of these immune responses and the role of AIF1 in chronic KD are not well understood.

Purpose of the Study:

  • To determine if immune responses identified in acute KD persist in chronic KD arteritis.
  • To investigate the role of allograft inflammatory factor-1 (AIF1) in chronic KD immune responses.

Main Methods:

  • Gene and protein expression analysis (RT-PCR, immunohistochemistry, immunofluorescence) in chronic KD and control arteries.
  • In vitro studies using AIF1 small-interfering RNA to assess AIF1's role in macrophage and T lymphocyte activation.

Main Results:

  • Allograft inflammatory factor-1 (AIF1) protein is highly expressed in stenotic KD arteries, co-localizing with macrophages.
  • Genes related to T lymphocyte and interferon pathways remain significantly upregulated in chronic KD coronary arteries.
  • AIF1 is crucial for macrophage activation (CD80, MHC class II expression) and subsequent antigen-specific T lymphocyte activation.

Conclusions:

  • Allograft inflammatory factor-1 (AIF1) is significantly upregulated in KD stenotic arteries, indicating its involvement beyond acute phases.
  • Persistent T lymphocyte and type I interferon responses are characteristic of chronic KD arteritis.
  • AIF1 likely bridges type I interferon signaling, macrophage activation, and T lymphocyte responses, highlighting lymphocyte-myeloid cell crosstalk in KD pathogenesis and potential therapeutic targets.
Abstract

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