Involvement of TIGIT in Natural Killer Cell Exhaustion and Immune Escape in Patients and Mouse Model With Liver Echinococcus multilocularis Infection.

Abstract

BACKGROUND AND AIMS:

Alveolar echinococcosis (AE) is a lethal helminthic liver disease caused by persistent infection with Echinococcus multilocularis. Although more attention has been paid to the immunotolerance of T cells caused by E. multilocularis infection, the role of natural killer (NK) cell, a critical player in liver immunity, is seldom studied.

APPROACH AND RESULTS:

Here, we observed that NK cells from the blood and closed liver tissue (CLT) of AE patients expressed a higher level of inhibitory receptor TIGIT and were functionally exhausted with a lower expression of granzyme B, perforin, interferon-gamma (IFN-γ), and TNF-α. Addition of anti-TIGIT (T-cell immunoreceptor with immunoglobulin and immunoreceptor tyrosine-based inhibitory motif domain) monoclonal antibody into AE patients' peripheral blood mononuclear cell culture significantly enhanced the synthesis of IFN-γ and TNF-α by NK cells, indicating the reversion of exhausted NK cells by TIGIT blockade. In the mouse model of E. multilocularis infection, liver and splenic TIGIT+ NK cells progressively increased dependent of infection dosage and timing and were less activated and less degranulated with lower cytokine secretion. Furthermore, TIGIT deficiency or blockade in vivo inhibited liver metacestode growth, reduced liver injury, and increased the level of IFN-γ produced by liver NK cells. Interestingly, NK cells from mice with persistent chronic infection expressed a higher level of TIGIT compared to self-healing mice. To look further into the mechanisms, more regulatory CD56bright and murine CD49a+ NK cells with higher TIGIT expression existed in livers of AE patients and mice infected with E. multilocularis, respectively. They coexpressed higher surface programmed death ligand 1 and secreted more IL-10, two strong inducers to mediate the functional exhaustion of NK cells.

CONCLUSIONS:

Our results indicate that inhibitory receptor TIGIT is involved in NK cell exhaustion and immune escape from E. multilocularis infection.

• Authors: Chuanshan Zhang, Hui Wang, Jing Li, Xinling Hou, Linghui Li, Wei Wang, Yang Shi, Dewei Li, Liang Li, Zhibin Zhao, Liang Li, Tuerganaili Aji, Renyong Lin, Yingmei Shao, Dominique A Vuitton, Zhigang Tian, Haoyu Sun, Hao Wen
• Journal: Hepatology (Baltimore, Md.) (Hepatology) Vol. 74 Issue 6 Pg. 3376-3393 (12 2021) ISSN: 1527-3350 [Electronic] United States
• PMID: 34192365 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: © 2021 by the American Association for the Study of Liver Diseases.

Chemical References

• Receptors, Immunologic
• TIGIT protein, human

Topics

• Animals
• Disease Models, Animal
• Echinococcosis (immunology, metabolism, microbiology)
• Humans
• Killer Cells, Natural (pathology)
• Mice
• Receptors, Immunologic (metabolism)