Unraveling the Multifaceted Nature of CD8 T Cell Exhaustion Provides the Molecular Basis for Therapeutic T Cell Reconstitution in Chronic Hepatitis B and C.


Journal

Cells
ISSN: 2073-4409
Titre abrégé: Cells
Pays: Switzerland
ID NLM: 101600052

Informations de publication

Date de publication:
28 09 2021
Historique:
received: 13 08 2021
revised: 22 09 2021
accepted: 23 09 2021
entrez: 23 10 2021
pubmed: 24 10 2021
medline: 6 1 2022
Statut: epublish

Résumé

In chronic hepatitis B and C virus infections persistently elevated antigen levels drive CD8+ T cells toward a peculiar differentiation state known as T cell exhaustion, which poses crucial constraints to antiviral immunity. Available evidence indicates that T cell exhaustion is associated with a series of metabolic and signaling deregulations and with a very peculiar epigenetic status which all together lead to reduced effector functions. A clear mechanistic network explaining how intracellular metabolic derangements, transcriptional and signaling alterations so far described are interconnected in a comprehensive and unified view of the T cell exhaustion differentiation profile is still lacking. Addressing this issue is of key importance for the development of innovative strategies to boost host immunity in order to achieve viral clearance. This review will discuss the current knowledge in HBV and HCV infections, addressing how innate immunity, metabolic derangements, extensive stress responses and altered epigenetic programs may be targeted to restore functionality and responsiveness of virus-specific CD8 T cells in the context of chronic virus infections.

Identifiants

pubmed: 34685543
pii: cells10102563
doi: 10.3390/cells10102563
pmc: PMC8533840
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Ministero della Salute
ID : RF 2013-02359333
Organisme : Regione Emilia-Romagna
ID : PRUa1RI-2012-006
Organisme : Ministero dell'Istruzione, dell'Università e della Ricerca
ID : 2017MPCWPY_002

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Auteurs

Valeria Barili (V)

Laboratory of Viral Immunopathology, Unit of Infectious Diseases and Hepatology, Azienda Ospedaliero-Universitaria di Parma, 43126 Parma, Italy.
Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Andrea Vecchi (A)

Laboratory of Viral Immunopathology, Unit of Infectious Diseases and Hepatology, Azienda Ospedaliero-Universitaria di Parma, 43126 Parma, Italy.

Marzia Rossi (M)

Laboratory of Viral Immunopathology, Unit of Infectious Diseases and Hepatology, Azienda Ospedaliero-Universitaria di Parma, 43126 Parma, Italy.
Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Ilaria Montali (I)

Laboratory of Viral Immunopathology, Unit of Infectious Diseases and Hepatology, Azienda Ospedaliero-Universitaria di Parma, 43126 Parma, Italy.
Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Camilla Tiezzi (C)

Laboratory of Viral Immunopathology, Unit of Infectious Diseases and Hepatology, Azienda Ospedaliero-Universitaria di Parma, 43126 Parma, Italy.

Amalia Penna (A)

Laboratory of Viral Immunopathology, Unit of Infectious Diseases and Hepatology, Azienda Ospedaliero-Universitaria di Parma, 43126 Parma, Italy.

Diletta Laccabue (D)

Laboratory of Viral Immunopathology, Unit of Infectious Diseases and Hepatology, Azienda Ospedaliero-Universitaria di Parma, 43126 Parma, Italy.
Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Gabriele Missale (G)

Laboratory of Viral Immunopathology, Unit of Infectious Diseases and Hepatology, Azienda Ospedaliero-Universitaria di Parma, 43126 Parma, Italy.
Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Paola Fisicaro (P)

Laboratory of Viral Immunopathology, Unit of Infectious Diseases and Hepatology, Azienda Ospedaliero-Universitaria di Parma, 43126 Parma, Italy.
Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Carolina Boni (C)

Laboratory of Viral Immunopathology, Unit of Infectious Diseases and Hepatology, Azienda Ospedaliero-Universitaria di Parma, 43126 Parma, Italy.

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