IFN-gamma-Dependent Reduction of Erythrocyte Life Span Leads to Anemia during Mycobacterial Infection
JOURNAL OF IMMUNOLOGY
Authors: Gomes, Ana Cordeiro; Moreira, Ana C.; Silva, Tania; Neves, Joao, V; Mesquita, Goncalo; Almeida, Agostinho A.; Barreira-Silva, Palmira; Fernandes, Rui; Resende, Mariana; Appelberg, Rui; Rodrigues, Pedro N. S.; Gomes, Maria Salome
Abstract
Anemia is a frequent and challenging complication of mycobacterial infections. We used a model of disseminated Mycobacterium avium infection in mice to investigate the mechanisms of mycobacteria-induced anemia. We found increased formation of RBC in the bone marrow and spleen of infected mice. Infection induced reticulocytosis and the premature egress of immature progenitors to the systemic circulation in an IFN-gamma (IFNG)-dependent way. The newly formed RBC had reduced CD47 surface expression and a reduced life span and were phagocytosed in the liver of infected mice, increasing iron recycling in this organ. The increased engulfment and degradation of RBC was independent of IFNG sensing by macrophages. Together, our findings demonstrate that mycobacterial infection alters the formation of erythrocytes, leading to their accelerated removal from circulation and hemolytic anemia. This comprehensive elucidation of the mechanisms underlying mycobacteria-induced anemia has important implications for its efficient clinical management.
Chronic stimulation drives human NK cell dysfunction and epigenetic reprograming
JOURNAL OF CLINICAL INVESTIGATION
Authors: Merino, Aimee; Zhang, Bin; Dougherty, Philip; Luo, Xianghua; Wang, Jinhua; Blazar, Bruce R.; Miller, Jeffrey S.; Cichocki, Frank
Abstract
A population of NK cells expressing the activating receptor NKG2C and the maturation marker CD57 expands in response to human CMV (HCMV) infection. CD3(-)CD56(dim)CD57(+)NKG2C(+) NK cells are similar to CD8(+) memory T cells with rapid and robust effector function upon restimulation, persistence, and epigenetic remodeling of the IFNG locus. Chronic antigen stimulation drives CD8(+) memory T cell proliferation, while also inducing genome-wide epigenetic reprograming and dysfunction. We hypothesized that chronic stimulation could similarly induce epigenetic reprograming and dysfunction in NK cells. Here, we show that chronic stimulation of adaptive NK cells through NKG2C using plate-bound agonistic Abs in combination with IL-15 drove robust proliferation and activation of CD3(-)CD56(dim)CD57(+)NKG2C(+) NK cells, while simultaneously inducing high expression of the checkpoint inhibitory receptors LAG-3 and PO-1. Marked induction of checkpoint inhibitory receptors was also observed on the surface of adaptive NK cells cocultured with HCMV-infected endothelial cells. Chronically stimulated adaptive NK cells were dysfunctional when challenged with tumor targets. These cells exhibited a pattern of epigenetic reprograming, with genome-wide alterations in DNA methylation. We believe our study has important implications for cancer immunotherapy and propose that exhausted NK cells could be targeted with inhibitory checkpoint receptor blockade.