Systemic inflammatory response syndrome triggered by blood-borne pathogens induces prolonged dendritic cell paralysis and immunosuppression
Details
Publication Year 2024-02-13,Volume 43,Issue #2,Page 113754
Journal Title
Cell Reports
Abstract
Blood-borne pathogens can cause systemic inflammatory response syndrome (SIRS) followed by protracted, potentially lethal immunosuppression. The mechanisms responsible for impaired immunity post-SIRS remain unclear. We show that SIRS triggered by pathogen mimics or malaria infection leads to functional paralysis of conventional dendritic cells (cDCs). Paralysis affects several generations of cDCs and impairs immunity for 3-4 weeks. Paralyzed cDCs display distinct transcriptomic and phenotypic signatures and show impaired capacity to capture and present antigens in vivo. They also display altered cytokine production patterns upon stimulation. The paralysis program is not initiated in the bone marrow but during final cDC differentiation in peripheral tissues under the influence of local secondary signals that persist after resolution of SIRS. Vaccination with monoclonal antibodies that target cDC receptors or blockade of transforming growth factor β partially overcomes paralysis and immunosuppression. This work provides insights into the mechanisms of paralysis and describes strategies to restore immunocompetence post-SIRS.
Publisher
Cell Press
Keywords
CP: Immunology; T cells; antigen presentation; cell development; cross-presentation; immunosuppression; infection; inflammation; malaria; phagocytosis; spatiotemporal adaptations
Research Division(s)
Immunology; Bioinformatics
PubMed ID
38354086
Open Access at Publisher's Site
https://doi.org/10.1016/j.celrep.2024.113754.
Terms of Use/Rights Notice
Refer to copyright notice on published article.


Creation Date: 2024-02-29 09:16:07
Last Modified: 2024-02-29 09:16:37
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