World Journal of Emergency Medicine ›› 2022, Vol. 13 ›› Issue (4): 266-273.doi: 10.5847/wjem.j.1920-8642.2022.068
Special Issue: Sepsis
• Original Articles • Previous Articles Next Articles
Open Access
Xiao-kang Dai1, Zhen-xing Ding1, Yuan-yuan Tan1, Hua-rui Bao1, Dong-yao Wang2,3,4(
), Hong Zhang1(
)
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
Xiao-kang Dai, Zhen-xing Ding, Yuan-yuan Tan, Hua-rui Bao, Dong-yao Wang, Hong Zhang. Neutrophils inhibit CD8+ T cells immune response by arginase-1 signaling in patients with sepsis[J]. World Journal of Emergency Medicine, 2022, 13(4): 266-273.
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URL: http://wjem.com.cn/EN/10.5847/wjem.j.1920-8642.2022.068
Table 1.
Characteristics of sepsis patients and healthy controls
| Characteristic | Healthy controls (n=10) | Sepsis patients (n=10) |
|---|---|---|
| Gender (M/F) | 5/5 | 6/4 |
| Age, years | 27 (19-43) | 31 (23-42) |
| White blood cell count, ×109 /L | 5.05 (4.07-7.46) | 9.46 (6.78-21.30) |
| C-reactive protein, mg/L | 2.07 (1.44-3.56) | 98.30 (70.70-133.50) |
| Procalcitonin, ng/mL | 0.11 (0.03-0.25) | 46.60 (21.70-54.50) |
| Neutrophil count, ×109/L | 3.64 (1.25-7.11) | 23.74 (15.60-36.70) |
| Lymphocyte count, ×109/L | 1.84 (0.76-2.60) | 0.53 (0.32-1.51) |
| Monocyte count, ×109/L | 0.48 (0.38-0.71) | 0.66 (0.39-1.21) |
| SOFA score | 0 | 6.35 (3.00-9.00) |
| Infection with Klebsiella pneumoniae | 8 | 8 |
| Infection with Staphylococcus aureus | 2 | 2 |
Figure 1.
The transcriptional profiles of neutrophils from patients with sepsis differed from those of healthy controls. A: the protocol of isolation of neutrophils from healthy controls (n=3) and patients with sepsis (n=3); B: the top-200 genes with differential expression (fold change greater than two-fold) in neutrophils from patients with sepsis compared with those in healthy controls were selected for heat map analyses; each column depicts one sample; C: enrichment analyses of differentially expressed genes were performed (using the Gene Ontology database) to evaluate enriched biological processes between neutrophils from patients with sepsis and healthy controls; enrichment of regulation of negative regulation of T cell activation-related biological processes was included.
Figure 2.
Differentially expressed genes (DEGs) analysis and gene set enrichment analysis (GSEA) of neutrophils. A: heat map of negative regulation of T cell activation-related genes with differential expression in neutrophils from patients with sepsis compared with those from healthy controls; B: GSEA revealed an increase in negative regulation of T cell activation processes in neutrophils from patients with sepsis compared with that in healthy controls. NES: normalized enrichment score; FDR: false discovery rate.
Figure 3.
Neutrophils expression of arginase-1 in patients with sepsis. A-D: ARG1, IL-10, PAG1, and RUNX1 expression in neutrophils from patients with sepsis and healthy controls, as assessed by qRT-PCR. Data were representative of six experiments; E: representative histograms (left) and percentage statistics (right) calculated for the expression of arginase-1 in neutrophils of patients with sepsis (red; n = 6) and healthy controls (blue; n = 6). Data were analyzed by two-tailed unpaired Student’s t-test; data were presented as mean ± standard deviation.
Figure 4.
Inhibition of arginase-1 signaling elevates the percentage of polyfunctional effector CD8+ T cells. A: representative histograms showing the analysis of arginase-1 expression in neutrophils of two patients with sepsis after being treated with arginase inhibitor 1; B: the protocol of the isolation of CD8+ T cells from patients with sepsis and healthy controls; and CD14-CD15+CD16+ neutrophils from patients with sepsis. Purified CD8+ T cells from healthy controls were cocultured with neutrophils (ratio = 3:1), treated with or without arginase inhibitor 1 (10 μmol/L); C and D: PBMCs of septic patients (red), or CD8+ T cells purified from healthy controls and cocultured with neutrophils, and treated with (blue) or without (purple) arginase inhibitor 1 (10 μmol/L) overnight, or PBMCs of healthy controls (black), were stimulated with PMA for 4 h. CD8+ T cells were gated for analysis. Representative flow cytometry plots (C) and pool data (D) of the proportion of IFN-γ and granzyme B coexpression, IFN-γ and TNF-α coexpression, IFN-γ and CD107a coexpression, as well as CD107a and granzyme B coexpression by CD8+ T cells. n 6. For (D), data were analyzed by one-way ANOVA with Tukey’s multiple comparisons test; Data are presented as mean ± standard deviation.
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