T細胞とアテローム性動脈硬化症:良いこと、悪いこと、そして未知のこと(T cells and atherosclerosis: the good, the bad, and the unknown)

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2023-02-27 ミュンヘン大学(LMU)

LMUの研究者たちは、動脈硬化が自己免疫疾患に類似した免疫系の障害を引き起こすことを発見しました。研究チームは、動脈硬化のマウスモデルと人間のプラークのデータを用いて、動脈硬化がTリンパ球に依存する自己免疫疾患であることを証明しました。これにより、動脈硬化の治療のためにチェックポイントに介入する可能性があることが示唆されています。

<関連情報>

単細胞RNA解析とT細胞抗原受容体プロファイリングの組み合わせにより、動脈硬化症におけるT細胞寛容のチェックポイントの破綻が示される Pairing of single-cell RNA analysis and T cell antigen receptor profiling indicates breakdown of T cell tolerance checkpoints in atherosclerosis

Zhihua Wang,Xi Zhang,Shu Lu,Chuankai Zhang,Zhe Ma,Rui Su,Yuanfang Li,Ting Sun,Yutao Li,Mingyang Hong,Xinyi Deng,Mohammad Rafiee Monjezi,Michael Hristov,Sabine Steffens,Donato Santovito,Klaus Dornmair,Klaus Ley,Christian Weber,Sarajo K. Mohanta,Andreas J. R. Habenicht & Changjun Yin
Nature Cardiovascular Research  Published:23 February 2023
DOI:https://doi.org/10.1038/s44161-023-00218-w

figure 1

Abstract

Atherosclerotic plaques form in the inner layer of arteries triggering heart attacks and strokes. Although T cells have been detected in atherosclerosis, tolerance dysfunction as a disease driver remains unexplored. Here we examine tolerance checkpoints in atherosclerotic plaques, artery tertiary lymphoid organs and lymph nodes in mice burdened by advanced atherosclerosis, via single-cell RNA sequencing paired with T cell antigen receptor sequencing. Complex patterns of deteriorating peripheral T cell tolerance were observed being most pronounced in plaques followed by artery tertiary lymphoid organs, lymph nodes and blood. Affected checkpoints included clonal expansion of CD4+, CD8+ and regulatory T cells; aberrant tolerance-regulating transcripts of clonally expanded T cells; T cell exhaustion; Treg–TH17 T cell conversion; and dysfunctional antigen presentation. Moreover, single-cell RNA-sequencing profiles of human plaques revealed that the CD8+ T cell tolerance dysfunction observed in mouse plaques was shared in human coronary and carotid artery plaques. Thus, our data support the concept of atherosclerosis as a bona fide T cell autoimmune disease targeting the arterial wall.

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