Purinergic signaling modulates CD4+ T cells with cytotoxic potential during Trypanosoma cruzi infection

Gastón Bergero1,2,3, Yanina L Mazzocco1,2, Sebastian Del Rosso1,2

  • 1Universidad Nacional de Córdoba, Facultad de Ciencias Químicas, Departamento de Bioquímica Clínica, Córdoba, Argentina.

Insights

Hypoxia stabilizes HIF-1 in Chagas disease, promoting immunosuppressive adenosine via CD39/CD73 on CD4+ T cells. This impairs T cell killing, aiding parasite persistence and chronic inflammation.

Area of Science:

  • Immunology
  • Parasitology
  • Molecular Biology

Background:

  • Chagas disease, caused by Trypanosoma cruzi, leads to chronic cardiac inflammation and parasite persistence.
  • Tissue hypoxia in infected areas may stabilize Hypoxia-Inducible Factor 1 (HIF-1) and influence ATP metabolism.
  • Extracellular adenosine (ADO), generated by CD39 and CD73 ectonucleotidases from ATP, acts as a potent immunosuppressor.

Purpose of the Study:

  • To investigate the role of HIF-1 stabilization and the CD39/CD73/ADO axis in CD4+ T cells during Trypanosoma cruzi infection.
  • To understand how these pathways contribute to parasite persistence and chronic inflammation in Chagas disease.

Main Methods:

  • Analysis of myocardial tissue from infected models and patients with end-stage Chagas disease.
  • Assessment of HIF-1α stabilization in T cells within hypoxic cardiac tissues.
  • Evaluation of CD39 and CD73 expression and activity on infiltrating CD4+ T cells.
  • Functional assays to determine the impact of HIF-1 stabilization and CD73 activity on CD4+ T cell cytotoxicity.
  • RNA-Seq analysis to identify overrepresented pathways in cardiac tissues.

Main Results:

  • Myocardial infection with T. cruzi induced significant hypoxia and HIF-1α stabilization in cardiac T cells.
  • Early infiltration of CD39+CD73+CD4+ T cells correlated with hypoxia.
  • HIF-1 stabilization and CD73 activity were associated with reduced CD4+ T cell cytotoxic function.
  • RNA-Seq data showed enrichment of HIF-1 and purinergic signaling pathways in end-stage Chagas disease cardiac tissues.

Conclusions:

  • HIF-1 stabilization and the CD39/CD73/ADO pathway in CD4+ T cells play a critical role in facilitating Trypanosoma cruzi persistence.
  • These findings reveal a significant impact of purinergic signaling on cytotoxic CD4+ T cells during Chagas disease.
  • The study suggests potential therapeutic targets within the purinergic signaling pathway for Chagas disease treatment.

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