Enhanced CD95 and interleukin 18 signalling accompany T cell receptor Vβ21.3+ activation in multi-inflammatory syndrome in children.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
18 May 2024
Historique:
received: 31 10 2022
accepted: 10 05 2024
medline: 19 5 2024
pubmed: 19 5 2024
entrez: 18 5 2024
Statut: epublish

Résumé

Multisystem inflammatory syndrome in children is a post-infectious presentation SARS-CoV-2 associated with expansion of the T cell receptor Vβ21.3+ T-cell subgroup. Here we apply muti-single cell omics to compare the inflammatory process in children with acute respiratory COVID-19 and those presenting with non SARS-CoV-2 infections in children. Here we show that in Multi-Inflammatory Syndrome in Children (MIS-C), the natural killer cell and monocyte population demonstrate heightened CD95 (Fas) and Interleuking 18 receptor expression. Additionally, TCR Vβ21.3+ CD4+ T-cells exhibit skewed differentiation towards T helper 1, 17 and regulatory T cells, with increased expression of the co-stimulation receptors ICOS, CD28 and interleukin 18 receptor. We observe no functional evidence for NLRP3 inflammasome pathway overactivation, though MIS-C monocytes show elevated active caspase 8. This, coupled with raised IL18 mRNA expression in CD16- NK cells on single cell RNA sequencing analysis, suggests interleukin 18 and CD95 signalling may trigger activation of TCR Vβ21.3+ T-cells in MIS-C, driven by increased IL-18 production from activated monocytes and CD16- Natural Killer cells.

Identifiants

pubmed: 38762592
doi: 10.1038/s41467-024-48699-y
pii: 10.1038/s41467-024-48699-y
doi:

Substances chimiques

IL18 protein, human 0
FAS protein, human 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

4227

Informations de copyright

© 2024. The Author(s).

Références

Clark, J. A. & Pathan, N. Hide and seek in a pandemic: review of SARS-CoV-2 infection and sequelae in children. Exp Physiol https://doi.org/10.1113/EP089399 (2021).
Hoste, L. et al. TIM3+ TRBV11-2 T cells and IFNγ signature in patrolling monocytes and CD16+ NK cells delineate MIS-C. J. Exp. Med. 219, e20211381 (2021).
pubmed: 34914824 pmcid: 8685281 doi: 10.1084/jem.20211381
Porritt, R. A. et al. HLA class I–associated expansion of TRBV11-2 T cells in multisystem inflammatory syndrome in children. J. Clin. Invest. 131, e146614 (2021).
pubmed: 33705359 pmcid: 8121516 doi: 10.1172/JCI146614
Moreews, M. et al. Polyclonal expansion of TCR Vβ 21.3+ CD4+ and CD8+ T cells is a hallmark of multisystem inflammatory syndrome in children. Sci. Immunol. 6, eabh1516 (2021).
pubmed: 34035116 pmcid: 8815705 doi: 10.1126/sciimmunol.abh1516
Ramaswamy, A. et al. Immune dysregulation and autoreactivity correlate with disease severity in SARS-CoV-2-associated multisystem inflammatory syndrome in children. Immunity 54, 1083–1095.e7 (2021).
pubmed: 33891889 pmcid: 8043654 doi: 10.1016/j.immuni.2021.04.003
Choi, Y. et al. Interaction of Staphylococcus aureus toxin ‘superantigens’ with human T cells. Proc. Natl Acad. Sci. USA 86, 8941 (1989).
pubmed: 2479030 pmcid: 298406 doi: 10.1073/pnas.86.22.8941
Noval Rivas, M., Porritt, R. A., Cheng, M. H., Bahar, I. & Arditi, M. Multisystem inflammatory syndrome in children and long COVID: the SARS-CoV-2 viral superantigen hypothesis. Front. Immunol. 13, 941009 (2022).
pubmed: 35874696 pmcid: 9300823 doi: 10.3389/fimmu.2022.941009
McCormick, J. K., Yarwood, J. M. & Schlievert, P. M. Toxic shock syndrome and bacterial superantigens: an update. Annu. Rev. Microbiol. https://doi.org/10.1146/annurev.micro.55.1.77 (2001).
Arad, G., Levy, R. & Kaempfer, R. Superantigen concomitantly induces Th1 cytokine genes and the ability to shut off their expression on re-exposure to superantigen. Immunol. Lett. 82, 75–78 (2002).
pubmed: 12008037 doi: 10.1016/S0165-2478(02)00021-4
Hsieh, L.-E. et al. T cells in multisystem inflammatory syndrome in children (MIS-C) have a predominant CD4+ T helper response to SARS-CoV-2 peptides and numerous virus-specific CD4- CD8- double-negative T cells. Int J. Mol. Sci. 23, 7219 (2022).
pubmed: 35806225 pmcid: 9266459 doi: 10.3390/ijms23137219
Sacco, K. et al. Immunopathological signatures in multisystem inflammatory syndrome in children and pediatric COVID-19. Nat. Med. 28, 1050–1062 (2022).
pubmed: 35177862 pmcid: 9119950 doi: 10.1038/s41591-022-01724-3
Lee, D. et al. Inborn errors of OAS–RNase L in SARS-CoV-2–related multisystem inflammatory syndrome in children. Science https://doi.org/10.1126/SCIENCE.ABO3627/SUPPL_FILE/SCIENCE.ABO3627_DATA_S1_AND_S2.ZIP (2022).
Lee, P. Y. et al. Immune dysregulation and multisystem inflammatory syndrome in children (MIS-C) in individuals with haploinsufficiency of SOCS1. J. Allergy Clin. Immunol. 146, 1194–1200.e1 (2020).
pubmed: 32853638 pmcid: 7445138 doi: 10.1016/j.jaci.2020.07.033
Chou, J. et al. Mechanisms underlying genetic susceptibility to multisystem inflammatory syndrome in children (MIS-C). J. Allergy Clin. Immunol. 148, 732–738.e1 (2021).
pubmed: 34224783 pmcid: 8252701 doi: 10.1016/j.jaci.2021.06.024
Lee, Y. et al. Interleukin-1β is crucial for the induction of coronary artery inflammation in a mouse model of Kawasaki disease. Circulation https://doi.org/10.1161/CIRCULATIONAHA.111.072769 (2012).
Anzai, F. et al. Crucial role of NLRP3 inflammasome in a murine model of Kawasaki disease. J. Mol. Cell. Cardiol. https://doi.org/10.1016/j.yjmcc.2019.11.158 (2020).
Syrimi, E. et al. The immune landscape of SARS-CoV-2-associated multisystem inflammatory syndrome in children (MIS-C) from acute disease to recovery. iScience https://doi.org/10.1016/j.isci.2021.103215 (2021).
Bryant, C. & Fitzgerald, K. A. Molecular mechanisms involved in inflammasome activation. Trends Cell Biol. https://doi.org/10.1016/j.tcb.2009.06.002 (2009).
Kelley, N., Jeltema, D., Duan, Y. & He, Y. The NLRP3 inflammasome: an overview of mechanisms of activation and regulation. Int. J. Mol. Sci. https://doi.org/10.3390/ijms20133328 (2019).
Vella, L. A. et al. Deep immune profiling of MIS-C demonstrates marked but transient immune activation compared to adult and pediatric COVID-19. Sci. Immunol. https://doi.org/10.1126/SCIIMMUNOL.ABF7570 (2021).
Sacco, K. et al. Multi-omics approach identifies novel age-, time- and treatment-related immunopathological signatures in MIS-C and pediatric COVID-19. Nat Med. 28, 1050–1062 (2022).
Carter, M. J. et al. Peripheral immunophenotypes in children with multisystem inflammatory syndrome associated with SARS-CoV-2 infection. Nat. Med. https://doi.org/10.1038/s41591-020-1054-6 (2020).
Kumar, D. et al. Distinguishing immune activation and inflammatory signatures of multisystem inflammatory syndrome in children (MIS-C) versus hemophagocytic lymphohistiocytosis (HLH). J. Allergy Clin. Immunol. 149, 1592–1606.e16 (2022).
pubmed: 35304157 pmcid: 8923010 doi: 10.1016/j.jaci.2022.02.028
Dinarello, C. A., Novick, D., Kim, S. & Kaplanski, G. Interleukin-18 and IL-18 binding protein. Front. Immunol. 4, 289 (2013).
pubmed: 24115947 pmcid: 3792554 doi: 10.3389/fimmu.2013.00289
Abbate, A. et al. Interleukin-1 and the inflammasome as therapeutic targets in cardiovascular disease. Circ. Res. 126, 1260–1280 (2020).
pubmed: 32324502 pmcid: 8760628 doi: 10.1161/CIRCRESAHA.120.315937
Puren, A. J., Razeghi, P., Fantuzzi, G. & Dinarello, C. A. Interleukin-18 enhances lipopolysaccharide-induced interferon-γ Production in human whole blood cultures. J. Infect. Dis. 178, 1830–1834 (1998).
pubmed: 9815245 doi: 10.1086/314481
de Cevins, C. et al. A monocyte/dendritic cell molecular signature of SARS-CoV-2-related multisystem inflammatory syndrome in children with severe myocarditis. Med 2, 1072 (2021).
pubmed: 34414385 doi: 10.1016/j.medj.2021.08.002
Kapellos, T. S. et al. Human monocyte subsets and phenotypes in major chronic inflammatory diseases. Front. Immunol. 10, 2035 (2019).
pubmed: 31543877 pmcid: 6728754 doi: 10.3389/fimmu.2019.02035
Nakanishi, K. Unique action of Interleukin-18 on T cells and other immune cells. Front. Immunol. 9, 763 (2018).
pubmed: 29731751 pmcid: 5920033 doi: 10.3389/fimmu.2018.00763
Grinstein, L. et al. An optimized whole blood assay measuring expression and activity of NLRP3, NLRC4 and AIM2 inflammasomes. Clin. Immunol. https://doi.org/10.1016/j.clim.2017.11.011 (2018).
Bossaller, L. et al. Cutting edge: FAS (CD95) mediates noncanonical IL-1β and IL-18 maturation via caspase-8 in an RIP3-independent manner. J. Immunol. 189, 5508–5512 (2012).
pubmed: 23144495 doi: 10.4049/jimmunol.1202121
Yoshida, M. et al. Local and systemic responses to SARS-CoV-2 infection in children and adults. Nature 602, 321–327 (2021). 2021 602:7896.
pubmed: 34937051 pmcid: 8828466 doi: 10.1038/s41586-021-04345-x
Yonker, L. M. et al. Multisystem inflammatory syndrome in children is driven by zonulin-dependent loss of gut mucosal barrier. J. Clin. Invest. 131, e149633 (2021).
pubmed: 34032635 pmcid: 8279585 doi: 10.1172/JCI149633
Rey-Jurado, E. et al. Deep immunophenotyping reveals biomarkers of multisystemic inflammatory syndrome in children in a Latin American cohort. J. Allergy Clin. Immunol. 150, 1074–1085.e11 (2022).
pubmed: 36116582 pmcid: 9476361 doi: 10.1016/j.jaci.2022.09.006
Kaempfer, R. et al. CD28: direct and critical receptor for superantigen toxins. Toxins 5, 1531 (2013).
pubmed: 24022021 pmcid: 3798871 doi: 10.3390/toxins5091531
Levy, R. et al. Superantigens hyperinduce inflammatory cytokines by enhancing the B7-2/CD28 costimulatory receptor interaction. Proc. Natl Acad. Sci. USA 113, E6437–E6446 (2016).
pubmed: 27708164 pmcid: 5081635 doi: 10.1073/pnas.1603321113
Xu, L. et al. IL-18 signaling is essential for causing streptococcal toxic shock-like syndrome (STSLS). Life 12, 1324 (2022).
pubmed: 36143361 pmcid: 9503922 doi: 10.3390/life12091324
Sähr, A., Förmer, S., Hildebrand, D. & Heeg, K. T-cell activation or tolerization: the Yin and Yang of bacterial superantigens. Front. Microbiol. 6, 1153 (2015).
pubmed: 26539181 pmcid: 4611159 doi: 10.3389/fmicb.2015.01153
Shaler, C. R. et al. MAIT cells launch a rapid, robust and distinct hyperinflammatory response to bacterial superantigens and quickly acquire an anergic phenotype that impedes their cognate antimicrobial function: Defining a novel mechanism of superantigen-induced immunopathology and immunosuppression. PLoS Biol. 15, e2001930 (2017).
pubmed: 28632753 pmcid: 5478099 doi: 10.1371/journal.pbio.2001930
Porritt, R. A. et al. NLRP3 inflammasome mediates immune-stromal interactions in vasculitis. Circ. Res. 129, E183–E200 (2021).
pubmed: 34517723 pmcid: 8555446 doi: 10.1161/CIRCRESAHA.121.319153
Wang, Z. et al. Single-cell RNA sequencing of peripheral blood mononuclear cells from acute Kawasaki disease patients. Nat. Commun. 12, 5444 (2021).
pubmed: 34521850 pmcid: 8440575 doi: 10.1038/s41467-021-25771-5
Penner, J. et al. 6-month multidisciplinary follow-up and outcomes of patients with paediatric inflammatory multisystem syndrome (PIMS-TS) at a UK tertiary paediatric hospital: a retrospective cohort study. Lancet Child Adolesc. Health https://doi.org/10.1016/S2352-4642(21)00138-3 (2021).
Fabi, M. et al. Circulating endothelial cells: a new possible marker of endothelial damage in Kawasaki disease, multisystem inflammatory syndrome in children and acute SARS-CoV-2 infection. Int. J. Mol. Sci. 23, 10106 (2022).
Junqueira, C. et al. FcγR-mediated SARS-CoV-2 infection of monocytes activates inflammation. Nature https://doi.org/10.1038/s41586-022-04702-4 (2022).
Wang, W.-T. et al. Inflammasome activation in children with Kawasaki disease and multisystem inflammatory syndrome. Arterioscler. Thromb. Vasc. Biol. 41, 2509–2511 (2021).
pubmed: 34261329 pmcid: 8387357 doi: 10.1161/ATVBAHA.121.316210
Ross, C. et al. Inflammatory caspases: toward a unified model for caspase activation by inflammasomes. Annu. Rev. Immunol. 40, 249–269 (2022).
pubmed: 35080918 doi: 10.1146/annurev-immunol-101220-030653
Tweedell, R. E., Malireddi, R. K. S. & Kanneganti, T.-D. A comprehensive guide to studying inflammasome activation and cell death. Nat. Protoc. 15, 3284–3333 (2020).
pubmed: 32895525 pmcid: 7716618 doi: 10.1038/s41596-020-0374-9
RECOVERY Collaborative Group. Immunomodulatory therapy in children with paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS, MIS-C; RECOVERY): a randomised, controlled, open-label, platform trial. Lancet Child Adolesc Health 8, 190–200 (2024).
Wilson, N. S. et al. Inflammasome-dependent and -independent IL-18 production mediates immunity to the ISCOMATRIX adjuvant. J. Immunol. 192, 3259–3268 (2014).
pubmed: 24610009 doi: 10.4049/jimmunol.1302011
Harel, M., Fauteux-Daniel, S., Girard-Guyonvarc’h, C. & Gabay, C. Balance between Interleukin-18 and Interleukin-18 binding protein in auto-inflammatory diseases. Cytokine 150, 155781 (2022).
pubmed: 34923222 doi: 10.1016/j.cyto.2021.155781
Cooper, M. A., Fehniger, T. A. & Caligiuri, M. A. The biology of human natural killer-cell subsets. Trends Immunol. 22, 633–640 (2001).
pubmed: 11698225 doi: 10.1016/S1471-4906(01)02060-9
Abel, A. M., Yang, C., Thakar, M. S. & Malarkannan, S. Natural killer cells: development, maturation, and clinical utilization. Front. Immunol. 9, 1869 (2018).
pubmed: 30150991 pmcid: 6099181 doi: 10.3389/fimmu.2018.01869
Rodriguez-Smith, J. J. et al. Inflammatory biomarkers in COVID-19-associated multisystem inflammatory syndrome in children, Kawasaki disease, and macrophage activation syndrome: a cohort study. Lancet Rheumatol. 3, e574–e584 (2021).
pubmed: 34124694 pmcid: 8186852 doi: 10.1016/S2665-9913(21)00139-9
Migliorini, P. et al. Serum and urinary levels of IL-18 and its inhibitor IL-18BP in systemic lupus erythematosus. Eur. Cytokine Netw. 21, 264–271 (2010).
pubmed: 21126942
Crowell H., Z. v. CATALYST: cytometry dATa anALYSis tools. R package version 1.22.0 https://github.com/HelenaLC/CATALYST (2022).
Mousset, C. M. et al. Comprehensive phenotyping of T cells using flow cytometry. Cytom. A 95, 647–654 (2019).
doi: 10.1002/cyto.a.23724
Wolf, F. A., Angerer, P. & Theis, F. J. SCANPY: large-scale single-cell gene expression data analysis. Genome Biol. 19, 1–5 (2018).
doi: 10.1186/s13059-017-1382-0
Stephenson, E. et al. Single-cell multi-omics analysis of the immune response in COVID-19. Nat. Med. 27, 904–916 (2021).
pubmed: 33879890 pmcid: 8121667 doi: 10.1038/s41591-021-01329-2
Korsunsky, I. et al. Fast, sensitive and accurate integration of single-cell data with Harmony. Nat. Methods 16, 1289–1296 (2019).
pubmed: 31740819 pmcid: 6884693 doi: 10.1038/s41592-019-0619-0
Domínguez Conde, C. et al. Cross-tissue immune cell analysis reveals tissue-specific features in humans. Science 376, eabl5197 (2022).
Dann, E., Henderson, N. C., Teichmann, S. A., Morgan, M. D. & Marioni, J. C. Differential abundance testing on single-cell data using k-nearest neighbor graphs. Nat. Biotechnol. 40, 245–253 (2021).
pubmed: 34594043 doi: 10.1038/s41587-021-01033-z
Darby, C. A., Stubbington, M. J. T., Marks, P. J., Martínez Barrio, Á. & Fiddes, I. T. scHLAcount: allele-specific HLA expression from single-cell gene expression data. Bioinformatics 36, 3905–3906 (2020).
pubmed: 32330223 pmcid: 7320622 doi: 10.1093/bioinformatics/btaa264

Auteurs

Zhenguang Zhang (Z)

Departments of Paediatrics, University of Cambridge, Cambridge, UK.

Iain R L Kean (IRL)

Departments of Paediatrics, University of Cambridge, Cambridge, UK.

Lisa M Dratva (LM)

Wellcome Sanger Institute, Wellcome Genome Campus, Cambridge, UK.

John A Clark (JA)

Departments of Paediatrics, University of Cambridge, Cambridge, UK.

Eleni Syrimi (E)

Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.

Naeem Khan (N)

Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.

Esther Daubney (E)

Paediatric Intensive Care Unit, Addenbrookes Hospital, Cambridge, UK.

Deborah White (D)

Paediatric Intensive Care Unit, Addenbrookes Hospital, Cambridge, UK.

Lauran O'Neill (L)

Paediatric Intensive Care Unit, Great Ormond Street Hospital, London, UK.

Catherine Chisholm (C)

Paediatric Intensive Care Unit, Great Ormond Street Hospital, London, UK.

Caroline Payne (C)

Paediatric Intensive Care Unit, Great Ormond Street Hospital, London, UK.

Sarah Benkenstein (S)

Paediatric Intensive Care Unit, Great Ormond Street Hospital, London, UK.

Klaudia Kupiec (K)

Paediatric Intensive Care Unit, Great Ormond Street Hospital, London, UK.

Rachel Galassini (R)

Department of Paediatrics, Imperial College London, London, UK.

Victoria Wright (V)

Department of Paediatrics, Imperial College London, London, UK.

Helen Winmill (H)

Paediatric Intensive Care Unit, Birmingham Children's Hospital, Birmingham, UK.

Ceri Robbins (C)

Paediatric Intensive Care Unit, Birmingham Children's Hospital, Birmingham, UK.

Katherine Brown (K)

Paediatric Intensive Care Unit, Great Ormond Street Hospital, London, UK.

Padmanabhan Ramnarayan (P)

Department of Paediatrics, Imperial College London, London, UK.

Barnaby Scholefield (B)

Paediatric Intensive Care Unit, Birmingham Children's Hospital, Birmingham, UK.
Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.

Mark Peters (M)

Paediatric Intensive Care Unit, Great Ormond Street Hospital, London, UK.
Departments of Paediatrics, University College London, London, UK.

Nigel Klein (N)

Paediatric Intensive Care Unit, Great Ormond Street Hospital, London, UK.
Departments of Paediatrics, University College London, London, UK.

Hugh Montgomery (H)

Critical Care, University College London, London, UK.

Kerstin B Meyer (KB)

Wellcome Sanger Institute, Wellcome Genome Campus, Cambridge, UK.

Sarah A Teichmann (SA)

Wellcome Sanger Institute, Wellcome Genome Campus, Cambridge, UK.
Department of Theory of Condensed Matter, Cavendish Laboratory, Department of Physics University of Cambridge, Cambridge, UK.

Clare Bryant (C)

Department of Medicine, University of Cambridge, Cambridge, UK. ceb27@cam.ac.uk.

Graham Taylor (G)

Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK. g.s.taylor@bham.ac.uk.

Nazima Pathan (N)

Departments of Paediatrics, University of Cambridge, Cambridge, UK. np409@cam.ac.uk.
Paediatric Intensive Care Unit, Addenbrookes Hospital, Cambridge, UK. np409@cam.ac.uk.

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