HLA-B*15:01-阳性严重的COVID-19患者缺乏CD8+T细胞池,具有高度扩展的公共克隆类型
Louise C Rowntree1, Lilith F Allen1, Ruth R Hagen1
1Department of Microbiology and Immunology, University of Melbourne, at the Peter Doherty Institute for Infection and Immunity, Melbourne, VIC 3000, Australia.
概括
在HLA-B*15:01个体中,严重的COVID-19与轻度病例不同,与不同的T细胞受体相关. 这种T细胞受体克隆性的差异可能解释了为什么T细胞在严重疾病中提供较少的保护.
科学领域:
- 免疫学
- 病毒学
- 遗传学
背景情况:
- 宿主因素影响COVID-19的严重程度.
- 由于特定的CD8+T细胞反应,HLA-B*15:01与无症状的SARS-CoV-2感染有关.
- 在HLA-B*15:01个体中,严重的COVID-19中T细胞受体 (TCR) 的表现尚不清楚.
研究的目的:
- 调查严重COVID-19的HLA-B*15:01阳性患者中CD8+T细胞反应的克隆性质.
- 为了比较COVID-19疾病严重程度的T细胞反应.
- 了解TCR在COVID-19结果中的作用.
主要方法:
- 在三个大陆的独立HLA型COVID-19患者群体中分析B15/S919+CD8+T细胞反应.
- 与疾病严重程度相关的T细胞受体 (TCR) 克隆性评估 (无症状至危急).
- 评估T细胞频率,记忆表型和激活特征.
主要成果:
- 严重/危急的COVID-19患者缺乏在轻度病例中发现的主流公共TCR (TRAV9-2/TRBV7-2).
- 危及生命的疾病显示出替代TCR动机的流行 (TRAV38-2/ DV8/ TRBV20-1).
- 虽然T细胞的频率,表型和激活程度没有差异,但B15/S919+ CD8+ T细胞在康复期更好地维持.
结论:
- 在 HLA-B*15:01 个体中,TCR 克隆谱在轻度和严重的COVID-19 之间存在差异.
- 在严重的COVID-19中,替代性TCR克隆类型可能会导致保护性免疫力下降.
- 了解TCR变异对于控制病毒感染至关重要.
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