VISTA Stimulation of VSIG4-Positive Macrophages Strongly Suppresses T Cell Proliferation via Excessive Nitric Oxide

Soo-Woong Lee1,2

  • 1Innovative Therapeutics Research Institute, College of Medicine, Inje University.

Insights

Sepsis-induced immune suppression involves V-set immunoglobulin domain-containing 4 (VSIG4) positive macrophages that inhibit T cell proliferation. Blocking VSIG4 migration or V-domain Ig suppressor of T cell activation (VISTA) on these cells may offer new sepsis therapies.

Area of Science:

  • Immunology
  • Sepsis Pathophysiology
  • Macrophage Biology

Background:

  • Sepsis causes organ damage and immune deficiency due to an overactive immune response.
  • The precise mechanisms driving sepsis-induced immune suppression remain debated.
  • Macrophages play a critical role in regulating immune responses during sepsis.

Purpose of the Study:

  • To investigate the role of macrophages in T cell immunity during sepsis.
  • To identify specific macrophage populations involved in immune suppression.
  • To explore the function of V-set immunoglobulin (Ig)-domain-containing 4 (VSIG4) positive macrophages in sepsis.

Main Methods:

  • Cecal ligation and puncture (CLP) model in mice to induce sepsis.
  • Isolation and characterization of peritoneal macrophages.
  • Co-culture experiments with splenic T cells.
  • Analysis of T cell proliferation, cytokine gene expression, nitric oxide (NO) release, and phagocytosis.

Main Results:

  • VSIG4 positive macrophages migrated to organs, notably the spleen, post-CLP induction.
  • VSIG4 positive macrophages inhibited T cell proliferation via nitric oxide (NO) release.
  • Stimulation with V-domain Ig suppressor of T cell activation (VISTA) antibody enhanced NO secretion and T cell suppression by VSIG4 positive macrophages.
  • VISTA acts as a costimulatory receptor on VSIG4 positive macrophages.

Conclusions:

  • VSIG4 positive peritoneal macrophages contribute significantly to sepsis-induced immunosuppression.
  • VISTA signaling on VSIG4 positive macrophages exacerbates T cell suppression.
  • Targeting VSIG4 positive macrophage migration or VISTA signaling presents potential therapeutic strategies for sepsis.