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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Respir+Crit+Care+Med
2016 ; 193
(6
): 642-51
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Dysregulation of Antiviral Function of CD8(+) T Cells in the Chronic Obstructive
Pulmonary Disease Lung Role of the PD-1-PD-L1 Axis
#MMPMID26517304
McKendry RT
; Spalluto CM
; Burke H
; Nicholas B
; Cellura D
; Al-Shamkhani A
; Staples KJ
; Wilkinson TM
Am J Respir Crit Care Med
2016[Mar]; 193
(6
): 642-51
PMID26517304
show ga
RATIONALE: Patients with chronic obstructive pulmonary disease (COPD) are
susceptible to respiratory viral infections that cause exacerbations. The
mechanisms underlying this susceptibility are not understood. Effectors of the
adaptive immune response-CD8(+) T cells that clear viral infections-are present
in increased numbers in the lungs of patients with COPD, but they fail to protect
against infection and may contribute to the immunopathology of the disease.
OBJECTIVES: CD8(+) function and signaling through the programmed cell death
protein (PD)-1 exhaustion pathway were investigated as a potential key mechanism
of viral exacerbation of the COPD lung. METHODS: Tissue from control subjects and
patients with COPD undergoing lung resection was infected with live influenza
virus ex vivo. Viral infection and expression of lung cell markers were analyzed
using flow cytometry. MEASUREMENTS AND MAIN RESULTS: The proportion of lung
CD8(+) T cells expressing PD-1 was greater in COPD (mean, 16.2%) than in controls
(4.4%, P = 0.029). Only epithelial cells and macrophages were infected with
influenza, and there was no difference in the proportion of infected cells
between controls and COPD. Infection up-regulated T-cell PD-1 expression in
control and COPD samples. Concurrently, influenza significantly up-regulated the
marker of cytotoxic degranulation (CD107a) on CD8(+) T cells (P = 0.03) from
control subjects but not on those from patients with COPD. Virus-induced
expression of the ligand PD-L1 was decreased on COPD macrophages (P = 0.04) with
a corresponding increase in IFN-? release from infected COPD explants compared
with controls (P = 0.04). CONCLUSIONS: This study has established a signal of
cytotoxic immune dysfunction and aberrant immune regulation in the COPD lung that
may explain both the susceptibility to viral infection and the excessive
inflammation associated with exacerbations.