Monocytes as Potential Mediators of Pathogen-Induced T-Helper 17 Differentiation in Patients With Primary Sclerosing Cholangitis (PSC)
HEPATOLOGY
Authors: Kunzmann, Lilly Kristin; Schoknecht, Tanja; Poch, Tobias; Henze, Lara; Stein, Stephanie; Kriz, Marvin; Grewe, Ilka; Preti, Max; Hartl, Johannes; Pannicke, Nadine; Peiseler, Moritz; Sebode, Marcial; Zenouzi, Roman; Horvatits, Thomas; Boettcher, Marius; Petersen, Britt-Sabina; Weiler-Normann, Christina; Hess, Leonard U.; Ahrenstorf, Annika Elise; Lunemann, Sebastian; Martrus, Gloria; Fischer, Lutz; Li, Jun; Carambia, Antonella; Kluwe, Johannes; Huber, Samuel; Lohse, Ansgar W.; Franke, Andre; Herkel, Johannes; Schramm, Christoph; Schwinge, Dorothee
Abstract
Background and Aims T cells from patients with primary sclerosing cholangitis (PSC) show a prominent interleukin (IL)-17 response upon stimulation with bacteria or fungi, yet the reasons for this dominant T-helper 17 (Th17) response in PSC are not clear. Here, we analyzed the potential role of monocytes in microbial recognition and in skewing the T-cell response toward Th17. Approach and Results Monocytes and T cells from blood and livers of PSC patients and controls were analyzedex vivoandin vitrousing transwell experiments with cholangiocytes. Cytokine production was measured using flow cytometry, enzyme-linked immunosorbent assay, RNAin situhybridization, and quantitative real-time PCR. Genetic polymorphisms were obtained from ImmunoChip analysis. Following ex vivostimulation with phorbol myristate acetate/ionomycin, PSC patients showed significantly increased numbers of IL-17A-producing peripheral blood CD4(+)T cells compared to PBC patients and healthy controls, indicating increased Th17 differentiationin vivo. Upon stimulation with microbes, monocytes from PSC patients produced significantly more IL-1 beta and IL-6, cytokines known to drive Th17 cell differentiation. Moreover, microbe-activated monocytes induced the secretion of Th17 and monocyte-recruiting chemokines chemokine (C-C motif) ligand (CCL)-20 and CCL-2 in human primary cholangiocytes. In livers of patients with PSC cirrhosis, CD14(hi)CD16(int)and CD14(lo)CD16(hi)monocytes/macrophages were increased compared to alcoholic cirrhosis, and monocytes were found to be located around bile ducts. Conclusions PSC patients show increased Th17 differentiation alreadyin vivo. Microbe-stimulated monocytes drive Th17 differentiationin vitroand induce cholangiocytes to produce chemokines mediating recruitment of Th17 cells and more monocytes into portal tracts. Taken together, these results point to a pathogenic role of monocytes in patients with PSC.
Structure, function, and inhibitor targeting of HIV-1 Nef-effector kinase complexes
JOURNAL OF BIOLOGICAL CHEMISTRY
Authors: Staudt, Ryan P.; Alvarado, John J.; Emert-Sedlak, Lori A.; Shi, Haibin; Shu, Sherry T.; Wales, Thomas E.; Engen, John R.; Smithgall, Thomas E.
Abstract
Antiretroviral therapy has revolutionized the treatment of AIDS, turning a deadly disease into a manageable chronic condition. Life-long treatment is required because existing drugs do not eradicate HIV-infected cells. The emergence of drug-resistant viral strains and uncertain vaccine prospects highlight the pressing need for new therapeutic approaches with the potential to clear the virus. The HIV-1 accessory protein Nef is essential for viral pathogenesis, making it a promising target for antiretroviral drug discovery. Nef enhances viral replication and promotes immune escape of HIV-infected cells but lacks intrinsic enzymatic activity. Instead, Nef works through diverse interactions with host cell proteins primarily related to kinase signaling pathways and endosomal trafficking. This review emphasizes the structure, function, and biological relevance of Nef interactions with host cell protein-tyrosine kinases in the broader context of Nef functions related to enhancement of the viral life cycle and immune escape. Drug discovery targeting Nef-mediated kinase activation has allowed identification of promising inhibitors of multiple Nef functions. Pharmacological inhibitors of Nef-induced MHC-I down-regulation restore the adaptive immune response to HIV-infected cells in vitro and have the potential to enhance immune recognition of latent viral reservoirs as part of a strategy for HIV clearance.