Mycobacterial growth inhibition is associated with trained innate immunity

Autor: Mihai G. Netea, Rob J.W. Arts, Tom H. M. Ottenhoff, Krista E. van Meijgaarden, Gro Ellen Korsvold, Simone A. Joosten, Fredrik Oftung, Sandra V. Kik, Sandra M. Arend, Corine Prins, Reinout van Crevel
Rok vydání: 2018
Předmět:
0301 basic medicine
Male
Receptors
CXCR3

Population
lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4]
chemical and pharmacologic phenomena
Biology
CXCR3
Peripheral blood mononuclear cell
Mycobacterium tuberculosis
03 medical and health sciences
0302 clinical medicine
All institutes and research themes of the Radboud University Medical Center
Immunity
Latent Tuberculosis
medicine
CXCL10
Humans
education
education.field_of_study
Innate immune system
Monocyte
General Medicine
biology.organism_classification
Immunity
Innate

3. Good health
030104 developmental biology
medicine.anatomical_structure
lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4]
Immunology
Host-Pathogen Interactions
BCG Vaccine
Leukocytes
Mononuclear

Female
Chemokines
CXC

030215 immunology
Research Article
Zdroj: Journal of Clinical Investigation, 128, 5, pp. 1837-1851
Journal of Clinical Investigation
Journal of Clinical Investigation, 128(5), 1837-1851
Journal of Clinical Investigation, 128, 1837-1851
ISSN: 0021-9738
Popis: The lack of defined correlates of protection hampers development of vaccines against tuberculosis (TB). In vitro mycobacterial outgrowth assays are thought to better capture the complexity of the human host/Mycobacterium tuberculosis (Mtb) interaction. Here, we used a mycobacterial growth inhibition assay (MGIA) based on peripheral blood mononuclear cells to investigate the capacity to control outgrowth of bacille Calmette-Guerin (BCG). Interestingly, strong control of BCG outgrowth was observed almost exclusively in individuals with recent exposure to Mtb, but not in (long-term) latent TB infection, and only modestly in BCG vaccinees. Mechanistically, control of mycobacterial outgrowth strongly correlated with the presence of a CD14dim monocyte population, but also required the presence of T cells. The nonclassical monocytes produced CXCL10, and CXCR3 receptor blockade inhibited the capacity to control BCG outgrowth. Expression of CXCR3 splice variants was altered in recently Mtb-exposed individuals. Cytokines previously associated with trained immunity were detected in MGIA supernatants, and CXCL9, CXCL10, and CXCL11 represent new markers of trained immunity. These data indicate that CXCR3 ligands are associated with trained immunity and are critical factors in controlling mycobacterial outgrowth. In conclusion, control of mycobacterial outgrowth early after exposure to Mtb is the result of trained immunity mediated by a CXCL10-producing nonclassical CD14dim monocyte subset.
Databáze: OpenAIRE