Rasmussen's encephalitis is characterized by relatively lower production of IFN-β and activated cytotoxic T cell upon herpes viruses infection.


Journal

Journal of neuroinflammation
ISSN: 1742-2094
Titre abrégé: J Neuroinflammation
Pays: England
ID NLM: 101222974

Informations de publication

Date de publication:
26 Mar 2022
Historique:
received: 08 08 2021
accepted: 14 12 2021
entrez: 26 3 2022
pubmed: 27 3 2022
medline: 8 4 2022
Statut: epublish

Résumé

The etiology of Rasmussen's encephalitis (RE), a rare chronic neurological disorder characterized by CD8+ T cell infiltration and unihemispheric brain atrophy, is still unknown. Various human herpes viruses (HHVs) have been detected in RE brain, but their contribution to RE pathogenesis is unclear. HHVs infection and relevant immune response were compared among brain tissues from RE, temporal lobe epilepsy (TLE) and traumatic brain injury (TBI) patients. Viral antigen or genome, CD8+ T cells, microglia and innate immunity molecules were analyzed by immunohistochemical staining, DNA dot blot assay or immunofluorescence double staining. Cytokines were measured by multiplex flow cytometry. Cell apoptosis was visualized by TUNEL staining. Viral infection, immune response and the severity of unihemispheric atrophy were subjected to correlation analysis. Antigens of various HHVs were prevalent in RE and TLE brains, and the cumulative viral score of HHVs positively correlated with the unihemispheric atrophy in RE patients. CD8+ T cells infiltration were observed in both RE and TLE brains and showed co-localization with HHV antigens, but their activation, as revealed by Granzyme B (GZMB) release and apoptosis, was found only in RE. In comparison to TLE, RE brain tissues contained higher level of inflammatory cytokines, but the interferon-β level, which was negatively correlated with cumulative viral score, was relatively lower. In line with this, the DNA sensor STING and IFI16, rather than other innate immunity signaling molecules, were insufficiently activated in RE. Compared with TBI, both RE and TLE had prevalently HHV infection and immune response in brain tissues. However, in comparison to TLE, RE showed insufficient activation of antiviral innate immunity but overactivation of cytotoxic T cells. Our results show the relatively lower level of antiviral innate immunity and overactivation of cytotoxic T cells in RE cases upon HHV infection, the overactivated T cells might be a compensate to the innate immunity but the causative evidence is lack in our study and need more investigation in the future.

Sections du résumé

BACKGROUND BACKGROUND
The etiology of Rasmussen's encephalitis (RE), a rare chronic neurological disorder characterized by CD8+ T cell infiltration and unihemispheric brain atrophy, is still unknown. Various human herpes viruses (HHVs) have been detected in RE brain, but their contribution to RE pathogenesis is unclear.
METHODS METHODS
HHVs infection and relevant immune response were compared among brain tissues from RE, temporal lobe epilepsy (TLE) and traumatic brain injury (TBI) patients. Viral antigen or genome, CD8+ T cells, microglia and innate immunity molecules were analyzed by immunohistochemical staining, DNA dot blot assay or immunofluorescence double staining. Cytokines were measured by multiplex flow cytometry. Cell apoptosis was visualized by TUNEL staining. Viral infection, immune response and the severity of unihemispheric atrophy were subjected to correlation analysis.
RESULTS RESULTS
Antigens of various HHVs were prevalent in RE and TLE brains, and the cumulative viral score of HHVs positively correlated with the unihemispheric atrophy in RE patients. CD8+ T cells infiltration were observed in both RE and TLE brains and showed co-localization with HHV antigens, but their activation, as revealed by Granzyme B (GZMB) release and apoptosis, was found only in RE. In comparison to TLE, RE brain tissues contained higher level of inflammatory cytokines, but the interferon-β level, which was negatively correlated with cumulative viral score, was relatively lower. In line with this, the DNA sensor STING and IFI16, rather than other innate immunity signaling molecules, were insufficiently activated in RE.
CONCLUSIONS CONCLUSIONS
Compared with TBI, both RE and TLE had prevalently HHV infection and immune response in brain tissues. However, in comparison to TLE, RE showed insufficient activation of antiviral innate immunity but overactivation of cytotoxic T cells. Our results show the relatively lower level of antiviral innate immunity and overactivation of cytotoxic T cells in RE cases upon HHV infection, the overactivated T cells might be a compensate to the innate immunity but the causative evidence is lack in our study and need more investigation in the future.

Identifiants

pubmed: 35337341
doi: 10.1186/s12974-022-02379-0
pii: 10.1186/s12974-022-02379-0
pmc: PMC8957159
doi:

Substances chimiques

Interferon-beta 77238-31-4

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

70

Subventions

Organisme : National Natural Science Foundation of China
ID : 81972979
Organisme : National Natural Science Foundation of China
ID : U1902210
Organisme : National Natural Science Foundation of China
ID : 81871641
Organisme : Project of High-level Teachers in Beijing Municipal Universities in the Period of 13th Five-year Plan
ID : IDHT20190510

Informations de copyright

© 2022. The Author(s).

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Auteurs

Yi-Song Wang (YS)

Department of Microbiology, School of Basic Medical Sciences, Capital Medical University, Beijing, 100069, China.

Dong Liu (D)

Department of Neurosurgery, Sanbo Brain Hospital, Capital Medical University, Beijing, 100093, China.

Xin Wang (X)

Clinical Laboratory, Peking University International Hospital, Beijing, 102206, China.

Qiao-Li Luo (QL)

Department of Microbiology, School of Basic Medical Sciences, Capital Medical University, Beijing, 100069, China.

Ling Ding (L)

MOE & NHC & CAMS Key Laboratory of Medical Molecular Virology, School of Basic Medical Science, Shanghai Medical College, Fudan University, Shanghai, 200032, People's Republic Of China.

Dong-Ying Fan (DY)

Department of Microbiology, School of Basic Medical Sciences, Capital Medical University, Beijing, 100069, China.

Qi-Liang Cai (QL)

MOE & NHC & CAMS Key Laboratory of Medical Molecular Virology, School of Basic Medical Science, Shanghai Medical College, Fudan University, Shanghai, 200032, People's Republic Of China.

Chong-Yang Tang (CY)

Department of Neurosurgery, Sanbo Brain Hospital, Capital Medical University, Beijing, 100093, China.

Wei Yang (W)

Department of Neurosurgery, Sanbo Brain Hospital, Capital Medical University, Beijing, 100093, China.

Yu-Guang Guan (YG)

Department of Neurosurgery, Sanbo Brain Hospital, Capital Medical University, Beijing, 100093, China.

Tian-Fu Li (TF)

Department of Neurosurgery, Sanbo Brain Hospital, Capital Medical University, Beijing, 100093, China.

Pei-Gang Wang (PG)

Department of Microbiology, School of Basic Medical Sciences, Capital Medical University, Beijing, 100069, China. pgwang@ccmu.edu.cn.

Guo-Ming Luan (GM)

Department of Neurosurgery, Sanbo Brain Hospital, Capital Medical University, Beijing, 100093, China. luangm3@163.com.
Center of Epilepsy, Beijing Institute for Brain Disorders, Beijing, 100093, China. luangm3@163.com.

Jing An (J)

Department of Microbiology, School of Basic Medical Sciences, Capital Medical University, Beijing, 100069, China. anjing@ccmu.edu.cn.
Center of Epilepsy, Beijing Institute for Brain Disorders, Beijing, 100093, China. anjing@ccmu.edu.cn.

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