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World Journal of Emergency Medicine ›› 2022, Vol. 13 ›› Issue (4): 266-273.doi: 10.5847/wjem.j.1920-8642.2022.068

• Original Articles • Previous Articles     Next Articles

Neutrophils inhibit CD8+ T cells immune response by arginase-1 signaling in patients with sepsis

Xiao-kang Dai1, Zhen-xing Ding1, Yuan-yuan Tan1, Hua-rui Bao1, Dong-yao Wang2,3,4(), Hong Zhang1()   

  1. 1Department of Emergency, the First Affiliated Hospital of Anhui Medical University, Hefei 230027, China
    2Department of Hematology, the First Affiliated Hospital of University of Science and Technology of China, Division of Life Sciences and Medicine, Hefei 230001, China
    3Division of Molecular Medicine, Hefei National Laboratory for Physical Sciences at Microscale, the Chinese Academy of Sciences Key Laboratory of Innate Immunity and Chronic Disease, School of Life Sciences, University of Science and Technology of China, Hefei 230001, China
    4Anhui Province Key Laboratory of Immunology in Chronic Diseases, Bengbu Medical College, Bengbu 233030, China
  • Received:2021-11-02 Accepted:2022-02-24 Online:2022-06-23 Published:2022-07-01
  • Contact: Dong-yao Wang,Hong Zhang E-mail:dywsn@ustc.edu.cn;zhanghong20190628@163.com

Abstract:

BACKGROUND: Patients with sepsis often exhibit an acute inflammatory response, followed by an immunosuppressive phase with a poor immune response. However, the underlying mechanisms have not been fully elucidated.

METHODS: We sought to comprehensively characterize the transcriptional changes in neutrophils of patients with sepsis by transcriptome sequencing. Additionally, we conducted a series of experiments, including real-time quantitative polymerase chain reaction (RT-qPCR) and flow cytometry to investigate the role of arginase-1 signaling in sepsis.

RESULTS: Through the analysis of gene expression profiles, we identified that the negative regulation of T cell activation signaling was enriched, and the expression of arginase-1 was high in neutrophils from patients with sepsis. Furthermore, we conducted flow cytometry and found that the function of CD8+ T cells in septic patients was impaired. Moreover, neutrophils from septic patients inhibited the percentage of polyfunctional effector CD8+ T cells through arginase-1. Additionally, the proportions of granzyme B+IFN-γ+CD8+ T and TNF-α+IFN-γ+CD8+ T cells increased after inhibition of arginase-1 signaling.

CONCLUSION: The impaired effector function of CD8+ T cells could be restored by blocking arginase-1 signaling in patients with sepsis.

Key words: Sepsis, Effector CD8+ T cells, Neutrophils, Arginase-1, Interferon-γ