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NKT cells promote Th1 immune bias to dengue virus that governs long-term protective antibody dynamics
Youngjoo Choi, … , Abhay P.S. Rathore, Ashley L. St. John
Youngjoo Choi, … , Abhay P.S. Rathore, Ashley L. St. John
Published August 1, 2024
Citation Information: J Clin Invest. 2024;134(18):e169251. https://doi.org/10.1172/JCI169251.
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Research Article Immunology Infectious disease

NKT cells promote Th1 immune bias to dengue virus that governs long-term protective antibody dynamics

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Abstract

NKT cells are innate-like T cells, recruited to the skin during viral infection, yet their contributions to long-term immune memory to viruses are unclear. We identified granzyme K, a product made by cytotoxic cells including NKT cells, as linked to induction of Th1-associated antibodies during primary dengue virus (DENV) infection in humans. We examined the role of NKT cells in vivo using DENV-infected mice lacking CD1d-dependent (CD1ddep) NKT cells. In CD1d-KO mice, Th1-polarized immunity and infection resolution were impaired, which was dependent on intrinsic NKT cell production of IFN-γ, since it was restored by adoptive transfer of WT but not IFN-γ–KO NKT cells. Furthermore, NKT cell deficiency triggered immune bias, resulting in higher levels of Th2-associated IgG1 than Th1-associated IgG2a, which failed to protect against a homologous DENV rechallenge and promoted antibody-dependent enhanced disease during secondary heterologous infections. Similarly, Th2 immunity, typified by a higher IgG4/IgG3 ratio, was associated with worsened human disease severity during secondary infections. Thus, CD1ddep NKT cells establish Th1 polarity during the early innate response to DENV, which promotes infection resolution, memory formation, and long-term protection from secondary homologous and heterologous infections in mice, with consistent associations observed in humans. These observations illustrate how early innate immune responses during primary infections can influence secondary infection outcomes.

Authors

Youngjoo Choi, Wilfried A.A. Saron, Aled O’Neill, Manouri Senanayake, Annelies Wilder-Smith, Abhay P.S. Rathore, Ashley L. St. John

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Figure 4

CD1ddep NKT cells accelerate DENV clearance and promote CD8+ T cell recruitment and activation in DENV-infected skin.

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CD1ddep NKT cells accelerate DENV clearance and promote CD8+ T cell recr...
WT and CD1d-KO mice were infected with 2 × 105 PFU of DENV2 s.c. by FP injection. (A) DENV NS3 staining of infected cells including DCs and monocyte/macrophages at day 3 in the dLNs of WT and CD1d-KO mice. Scale bars: 50 μM. Additional images are provided in Supplemental Figure 2. (B and C) DENV2 (E protein) gene copy numbers in the (B) FP skin and (C) dLNs were determined on days 3 and 5 after infection by qPCR. Single-cell suspensions from FPs and dLNs were stained with antibodies against CD3, CD4, CD8, γδTCR, and CD69 for characterization of the T cell response by flow cytometry. Total and activated CD8+ CTL populations in the (D) FP skin and (E) dLNs were determined on days 0, 3, and 5 after infection. Tracking of local versus recruited cells was performed by CFSE labeling prior to DENV2 infection. (F) CFSE+ (red) or CFSE– (gray) CD8+ T cell (NK1.1–CD3+CD8+) populations in the FPs were determined on day 3 after infection. To track infected cell migration, CFSE was injected into the FPs of WT and CD1d-KO mice 3 days after DENV2 infection. (G) DENV2-infected monocytes (mono) (CD45+CD11b+CD11c–MHCII+DENV-NS3+CFSE–; gray) and FP-derived, DENV2-infected monocyte/macrophage (mac) (CD45+CD11b+CD11c–MHCII+DENV-NS3+CFSE+; orange) numbers in the dLNs were determined 5 days after infection. (H) DENV2-infected DCs (CD45+CD11b–CD11c+MHCII+DENV-NS3+CFSE–; gray) and FP-derived, DENV2-infected DCs (CD45+CD11b–CD11c+MHCII+DENV-NS3+CFSE+; purple) in dLNs were enumerated 5 days after infection. (I) Total and activated CD4+ T cells in dLNs were determined on days 0, 3, and 5 after infection. For all panels, n = 6 mice for each time point. Data are represented as means ± SEM. *P < 0.05; **P < 0.01; ***P < 0.001, 2-way ANOVA with Tukey’s post test. For D–I, stacked bars are presented showing CFSE+ and CFSE– populations. CD1ddep NKT cells promote activation of CD8+ T cells in DENV-infected skin and clearance of DENV from skin and dLNs.

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