IMR Press / FBL / Volume 29 / Issue 3 / DOI: 10.31083/j.fbl2903128
Open Access Original Research
Chronic Viral Infection Compromises the Quality of Circulating Mucosal–Associated Invariant T Cells and Follicular T Helper Cells via Expression of Inhibitory Receptors
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1 Infection and Inflammation, Department of Biotechnology, Central University of Tamil Nadu, 610005 Thiruvarur, India
2 Laboratory Centre, Xiamen University Malaysia, 43900 Sepang, Selangor, Malaysia
3 Kelip‐kelip! Center of Excellence for Light Enabling Technologies, Xiamen University Malaysia, 43900 Sepang, Selangor, Malaysia
4 Department of Microbiology, Government Theni Medical College and Hospital, 625512 Theni, India
5 School of Traditional Chinese Medicine, Xiamen University Malaysia, 43900 Sepang, Selangor, Malaysia
6 Chemical Engineering, Xiamen University Malaysia, 43900 Sepang, Selangor, Malaysia
7 State Public Health Laboratory, Directorate of Public Health and Preventive Medicine, DMS Campus, 600018 Teynampet, Chennai, India
8 Center for Infectious Diseases, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, 602105 Chennai, Tamil Nadu, India
9 Division of Molecular Medicine and Virology, Department of Biomedical and Clinical Sciences, Linköping University, 58185 Linköping, Sweden
10 Department of Pathology and Laboratory Medicine, Emory National Primate Research Center, Emory University, Atlanta, GA 30322, USA
*Correspondence: shankarem@cutn.ac.in (Esaki M Shankar)
Front. Biosci. (Landmark Ed) 2024, 29(3), 128; https://doi.org/10.31083/j.fbl2903128
Submitted: 26 September 2023 | Revised: 12 February 2024 | Accepted: 29 February 2024 | Published: 22 March 2024
Copyright: © 2024 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: Chronic viral infection results in impaired immune responses rendering viral persistence. Here, we compared the quality of T-cell responses among chronic hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV)-infected individuals by examining the levels of expression of selected immune activation and exhaustion molecules on circulating MAIT cells and Tfh cells. Methods: Cytokines were measured using a commercial Bio-plex Pro Human Cytokine Grp I Panel 17-plex kit (BioRad, Hercules, CA, USA). Inflammation was assessed by measuring an array of plasma cytokines, and phenotypic alterations in CD4+ T cells including circulating Tfh cells, CD8+ T cells, and TCR iVα7.2+ MAIT cells in chronic HBV, HCV, and HIV-infected patients and healthy controls. The cells were characterized based on markers pertaining to immune activation (CD69, ICOS, and CD27) proliferation (Ki67), cytokine production (TNF-α, IFN-γ) and exhaustion (PD-1). The cytokine levels and T cell phenotypes together with cell markers were correlated with surrogate markers of disease progression. Results: The activation marker CD69 was significantly increased in CD4+hi T cells, while CD8+ MAIT cells producing IFN-γ were significantly increased in chronic HBV, HCV and HIV infections. Six cell phenotypes, viz., TNF-α+CD4+lo T cells, CD69+CD8+ T cells, CD69+CD4+ MAIT cells, PD-1+CD4+hi T cells, PD-1+CD8+ T cells, and Ki67+CD4+ MAIT cells, were independently associated with decelerating the plasma viral load (PVL). TNF-α levels showed a positive correlation with increase in cytokine levels and decrease in PVL. Conclusion: Chronic viral infection negatively impacts the quality of peripheral MAIT cells and Tfh cells via differential expression of both activating and inhibitory receptors.

Keywords
HBV
HIV
MAIT cells
PD-1
T cell exhaustion
Funding
CRG/2019/006096/Department of Science and Technology-Science and Engineering Research Board, Government of India
AI52731
Swedish Research Council
Swedish, Physicians against AIDS Research Foundation
Swedish International Development Cooperation Agency
SIDA SARC
VINNMER for Vinnova
Linköping University Hospital Research Fund
CALF
Swedish Society of Medicine
P51 OD011132/The NIH Office of Research Infrastructure Programs
P30 AI050409/Emory CFAR
XMUMRF/2020-C5/ITCM/0003/Xiamen University Malaysia Research Fund
12020/04/2018-HR/Start-Up-Grant from the Department of Health Research, Government of India
Figures
Fig. 1.
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