Adaptive and Innate Immune Cells in Fetal Human Cytomegalovirus-Infected Brains

Background: The understanding of the pathogenesis of cytomegalovirus (CMV)-induced fetal brain lesions is limited. We aimed to quantify adaptive and innate immune cells and CMV-infected cells in fetal brains with various degrees of brain damage. Methods: In total, 26 archived embedded fetal brains w...

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Main Authors: Yann Sellier, Florence Marliot, Bettina Bessières, Julien Stirnemann, Ferechte Encha-Razavi, Tiffany Guilleminot, Nacilla Haicheur, Franck Pages, Yves Ville, Marianne Leruez-Ville
Format: Article
Language:English
Published: MDPI AG 2020-01-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/8/2/176
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author Yann Sellier
Florence Marliot
Bettina Bessières
Julien Stirnemann
Ferechte Encha-Razavi
Tiffany Guilleminot
Nacilla Haicheur
Franck Pages
Yves Ville
Marianne Leruez-Ville
author_facet Yann Sellier
Florence Marliot
Bettina Bessières
Julien Stirnemann
Ferechte Encha-Razavi
Tiffany Guilleminot
Nacilla Haicheur
Franck Pages
Yves Ville
Marianne Leruez-Ville
author_sort Yann Sellier
collection DOAJ
description Background: The understanding of the pathogenesis of cytomegalovirus (CMV)-induced fetal brain lesions is limited. We aimed to quantify adaptive and innate immune cells and CMV-infected cells in fetal brains with various degrees of brain damage. Methods: In total, 26 archived embedded fetal brains were studied, of which 21 were CMV-infected and classified in severely affected (<i>n</i> = 13) and moderately affected (<i>n</i> = 8), and 5 were uninfected controls. The respective magnitude of infected cells, immune cells (CD8<sup>+</sup>, B cells, plasma cells, NK cells, and macrophages), and expression of immune checkpoint receptors (PD-1/PD-L1 and LAG-3) were measured by immunochemistry and quantified by quantitative imaging analysis. Results: Quantities of CD8<sup>+</sup>, plasma cells, NK cells, macrophages, and HCMV<sup>+</sup> cells and expression of PD-1/PD-L1 and LAG-3 were significantly higher in severely affected than in moderately affected brains (all <i>p</i> values &lt; 0.05). A strong link between higher number of stained cells for HCMV/CD8 and PD-1 and severity of brain lesions was found by component analysis. Conclusions: The higher expression of CD8, PD-1, and LAG-3 in severely affected brains could reflect immune exhaustion of cerebral T cells. These exhausted T cells could be ineffective in controlling viral multiplication itself, leading to more severe brain lesions. The study of the functionality of brain leucocytes ex vivo is needed to confirm this hypothesis.
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spelling doaj.art-74d3bab1560448df9cad531fee8e3df22022-12-22T00:59:17ZengMDPI AGMicroorganisms2076-26072020-01-018217610.3390/microorganisms8020176microorganisms8020176Adaptive and Innate Immune Cells in Fetal Human Cytomegalovirus-Infected BrainsYann Sellier0Florence Marliot1Bettina Bessières2Julien Stirnemann3Ferechte Encha-Razavi4Tiffany Guilleminot5Nacilla Haicheur6Franck Pages7Yves Ville8Marianne Leruez-Ville9Service de Gynécologie-Obstétrique, Hôpital Universitaire Necker-Enfants-malades, AP-HP, 149 rue de Sèvres, 75015 Paris, FranceUniversité Paris Descartes, Sorbonne Paris Cité, 75015 Paris, FranceUniversité Paris Descartes, Sorbonne Paris Cité, 75015 Paris, FranceService de Gynécologie-Obstétrique, Hôpital Universitaire Necker-Enfants-malades, AP-HP, 149 rue de Sèvres, 75015 Paris, FranceUniversité Paris Descartes, Sorbonne Paris Cité, 75015 Paris, FranceUniversité Paris Descartes, Sorbonne Paris Cité, 75015 Paris, FranceINSERM U872, plateforme d’Immuno-monitoring, service d’Immunologie Biologique, Hôpital Européen Georges-Pompidou, AP-HP, 75015 Paris, FranceUniversité Paris Descartes, Sorbonne Paris Cité, 75015 Paris, FranceService de Gynécologie-Obstétrique, Hôpital Universitaire Necker-Enfants-malades, AP-HP, 149 rue de Sèvres, 75015 Paris, FranceEHU 7328 PACT, 75015 Paris, FranceBackground: The understanding of the pathogenesis of cytomegalovirus (CMV)-induced fetal brain lesions is limited. We aimed to quantify adaptive and innate immune cells and CMV-infected cells in fetal brains with various degrees of brain damage. Methods: In total, 26 archived embedded fetal brains were studied, of which 21 were CMV-infected and classified in severely affected (<i>n</i> = 13) and moderately affected (<i>n</i> = 8), and 5 were uninfected controls. The respective magnitude of infected cells, immune cells (CD8<sup>+</sup>, B cells, plasma cells, NK cells, and macrophages), and expression of immune checkpoint receptors (PD-1/PD-L1 and LAG-3) were measured by immunochemistry and quantified by quantitative imaging analysis. Results: Quantities of CD8<sup>+</sup>, plasma cells, NK cells, macrophages, and HCMV<sup>+</sup> cells and expression of PD-1/PD-L1 and LAG-3 were significantly higher in severely affected than in moderately affected brains (all <i>p</i> values &lt; 0.05). A strong link between higher number of stained cells for HCMV/CD8 and PD-1 and severity of brain lesions was found by component analysis. Conclusions: The higher expression of CD8, PD-1, and LAG-3 in severely affected brains could reflect immune exhaustion of cerebral T cells. These exhausted T cells could be ineffective in controlling viral multiplication itself, leading to more severe brain lesions. The study of the functionality of brain leucocytes ex vivo is needed to confirm this hypothesis.https://www.mdpi.com/2076-2607/8/2/176cytomegalovirusfetal brainpd-1lag-3exhaustionimmune cells
spellingShingle Yann Sellier
Florence Marliot
Bettina Bessières
Julien Stirnemann
Ferechte Encha-Razavi
Tiffany Guilleminot
Nacilla Haicheur
Franck Pages
Yves Ville
Marianne Leruez-Ville
Adaptive and Innate Immune Cells in Fetal Human Cytomegalovirus-Infected Brains
Microorganisms
cytomegalovirus
fetal brain
pd-1
lag-3
exhaustion
immune cells
title Adaptive and Innate Immune Cells in Fetal Human Cytomegalovirus-Infected Brains
title_full Adaptive and Innate Immune Cells in Fetal Human Cytomegalovirus-Infected Brains
title_fullStr Adaptive and Innate Immune Cells in Fetal Human Cytomegalovirus-Infected Brains
title_full_unstemmed Adaptive and Innate Immune Cells in Fetal Human Cytomegalovirus-Infected Brains
title_short Adaptive and Innate Immune Cells in Fetal Human Cytomegalovirus-Infected Brains
title_sort adaptive and innate immune cells in fetal human cytomegalovirus infected brains
topic cytomegalovirus
fetal brain
pd-1
lag-3
exhaustion
immune cells
url https://www.mdpi.com/2076-2607/8/2/176
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