Microbiology & Immunology - Research Publications

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    Immune cellular networks underlying recovery from influenza virus infection in acute hospitalized patients
    Nguyen, THO ; Koutsakos, M ; van de Sandt, CE ; Crawford, JC ; Loh, L ; Sant, S ; Grzelak, L ; Allen, EK ; Brahm, T ; Clemens, EB ; Auladell, M ; Hensen, L ; Wang, Z ; Nussing, S ; Jia, X ; Gunther, P ; Wheatley, AK ; Kent, SJ ; Aban, M ; Deng, Y-M ; Laurie, KL ; Hurt, AC ; Gras, S ; Rossjohn, J ; Crowe, J ; Xu, J ; Jackson, D ; Brown, LE ; La Gruta, N ; Chen, W ; Doherty, PC ; Turner, SJ ; Kotsimbos, TC ; Thomas, PG ; Cheng, AC ; Kedzierska, K (NATURE PORTFOLIO, 2021-05-11)
    How innate and adaptive immune responses work in concert to resolve influenza disease is yet to be fully investigated in one single study. Here, we utilize longitudinal samples from patients hospitalized with acute influenza to understand these immune responses. We report the dynamics of 18 important immune parameters, related to clinical, genetic and virological factors, in influenza patients across different severity levels. Influenza disease correlates with increases in IL-6/IL-8/MIP-1α/β cytokines and lower antibody responses. Robust activation of circulating T follicular helper cells correlates with peak antibody-secreting cells and influenza heamaglutinin-specific memory B-cell numbers, which phenotypically differs from vaccination-induced B-cell responses. Numbers of influenza-specific CD8+ or CD4+ T cells increase early in disease and retain an activated phenotype during patient recovery. We report the characterisation of immune cellular networks underlying recovery from influenza infection which are highly relevant to other infectious diseases.
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    Q&A: What do we know about influenza and what can we do about it?
    Doherty, PC ; Turner, SJ (Springer Science and Business Media LLC, 2009)
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    The challenge of viral immunity
    Doherty, PC ; Turner, SJ (CELL PRESS, 2007-09)
    Bringing together discussion of innate immunity, B cell and T cell responses, vaccine design and efficacy, and the genetics of HIV and AIDS resistance allows us to access the extraordinary complexity of viral immunity and host responsiveness.
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    The virus-immunity ecosystem
    Doherty, PC ; Turner, SJ (SPRINGER WIEN, 2005)
    The ecology of pathogenic viruses can be considered both in the context of survival in the macro-environments of nature, the theme pursued generally by epidemiologists, and in the micro-environments of the infected host. The long-lived, complex, higher vertebrates have evolved specialized, adaptive immune systems designed to minimise the consequences of such parasitism. Through evolutionary time, the differential selective pressures exerted variously by the need for virus and host survival have shaped both the "one-host" viruses and vertebrate immunity. With the development of vaccines to protect us from many of our most familiar parasites, the most dangerous pathogens threatening us now tend to be those "emerging", or adventitious, infectious agents that sporadically enter human populations from avian or other wild-life reservoirs. Such incursions must, of course, have been happening through the millenia, and are likely to have led to the extraordinary diversity of recognition molecules, the breadth in effector functions, and the persistent memory that distinguishes the vertebrate, adaptive immune system from the innate response mechanisms that operate more widely through animal biology. Both are important to contemporary humans and, particularly in the period immediately following infection, we still rely heavily on an immediate response capacity, elements of which are shared with much simpler, and more primitive organisms. Perhaps we will now move forward to develop useful therapies that exploit, or mimic, such responses. At this stage, however, most of our hopes for minimizing the threat posed by viruses still focus on the manipulation of the more precisely targeted, adaptive immune system.
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    Early Priming Minimizes the Age-Related Immune Compromise of CD8+ T Cell Diversity and Function
    Valkenburg, SA ; Venturi, V ; Dang, THY ; Bird, NL ; Doherty, PC ; Turner, SJ ; Davenport, MP ; Kedzierska, K ; Wherry, EJ (PUBLIC LIBRARY SCIENCE, 2012-02)
    The elderly are particularly susceptible to influenza A virus infections, with increased occurrence, disease severity and reduced vaccine efficacy attributed to declining immunity. Experimentally, the age-dependent decline in influenza-specific CD8(+) T cell responsiveness reflects both functional compromise and the emergence of 'repertoire holes' arising from the loss of low frequency clonotypes. In this study, we asked whether early priming limits the time-related attrition of immune competence. Though primary responses in aged mice were compromised, animals vaccinated at 6 weeks then challenged >20 months later had T-cell responses that were normal in magnitude. Both functional quality and the persistence of 'preferred' TCR clonotypes that expand in a characteristic immunodominance hierarchy were maintained following early priming. Similar to the early priming, vaccination at 22 months followed by challenge retained a response magnitude equivalent to young mice. However, late priming resulted in reduced TCRβ diversity in comparison with vaccination earlier in life. Thus, early priming was critical to maintaining individual and population-wide TCRβ diversity. In summary, early exposure leads to the long-term maintenance of memory T cells and thus preserves optimal, influenza-specific CD8(+) T-cell responsiveness and protects against the age-related attrition of naïve T-cell precursors. Our study supports development of vaccines that prime CD8(+) T-cells early in life to elicit the broadest possible spectrum of CD8(+) T-cell memory and preserve the magnitude, functionality and TCR usage of responding populations. In addition, our study provides the most comprehensive analysis of the aged (primary, secondary primed-early and secondary primed-late) TCR repertoires published to date.
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    Protective Efficacy of Cross-Reactive CD8+ T Cells Recognising Mutant Viral Epitopes Depends on Peptide-MHC-I Structural Interactions and T Cell Activation Threshold
    Valkenburg, SA ; Gras, S ; Guillonneau, C ; La Gruta, NL ; Thomas, PG ; Purcell, AW ; Rossjohn, J ; Doherty, PC ; Turner, SJ ; Kedzierska, K ; Douek, DC (PUBLIC LIBRARY SCIENCE, 2010-08)
    Emergence of a new influenza strain leads to a rapid global spread of the virus due to minimal antibody immunity. Pre-existing CD8(+) T-cell immunity directed towards conserved internal viral regions can greatly ameliorate the disease. However, mutational escape within the T cell epitopes is a substantial issue for virus control and vaccine design. Although mutations can result in a loss of T cell recognition, some variants generate cross-reactive T cell responses. In this study, we used reverse genetics to modify the influenza NP(336-374) peptide at a partially-solvent exposed residue (N->A, NPN3A mutation) to assess the availability, effectiveness and mechanism underlying influenza-specific cross-reactive T cell responses. The engineered virus induced a diminished CD8(+) T cell response and selected a narrowed T cell receptor (TCR) repertoire within two V beta regions (V beta 8.3 and V beta 9). This can be partially explained by the H-2D(b)NPN3A structure that showed a loss of several contacts between the NPN3A peptide and H-2D(b), including a contact with His155, a position known to play an important role in mediating TCR-pMHC-I interactions. Despite these differences, common cross-reactive TCRs were detected in both the naïve and immune NPN3A-specific TCR repertoires. However, while the NPN3A epitope primes memory T-cells that give an equivalent recall response to the mutant or wild-type (wt) virus, both are markedly lower than wt->wt challenge. Such decreased CD8(+) responses elicited after heterologous challenge resulted in delayed viral clearance from the infected lung. Furthermore, mice first exposed to the wt virus give a poor, low avidity response following secondary infection with the mutant. Thus, the protective efficacy of cross-reactive CD8(+) T cells recognising mutant viral epitopes depend on peptide-MHC-I structural interactions and functional avidity. Our study does not support vaccine strategies that include immunization against commonly selected cross-reactive variants with mutations at partially-solvent exposed residues that have characteristics comparable to NPN3A.
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    Extrinsically derived TNF is primarily responsible for limiting antiviral CD8+T cell response magnitude
    Quinn, KM ; Kan, W-T ; Watson, KA ; Liddicoat, BJ ; Swan, NG ; McQuilten, H ; Denton, AE ; Li, J ; Chen, W ; Brown, LE ; Jackson, DC ; Reading, PC ; Doherty, PC ; Kedzierska, K ; Kedzierski, L ; Turner, SJ ; La Gruta, NL ; Sun, J (PUBLIC LIBRARY SCIENCE, 2017-09-08)
    TNF is a pro-inflammatory cytokine produced by both lymphoid and non-lymphoid cells. As a consequence of the widespread expression of its receptors (TNFR1 and 2), TNF plays a role in many important biological processes. In the context of influenza A virus (IAV) infection, TNF has variably been implicated in mediating immunopathology as well as suppression of the immune response. Although a number of cell types are able to produce TNF, the ability of CD8+ T cells to produce TNF following viral infection is a hallmark of their effector function. As such, the regulation and role of CD8+ T cell-derived TNF following viral infection is of great interest. Here, we show that the biphasic production of TNF by CD8+ T cells following in vitro stimulation corresponds to distinct patterns of epigenetic modifications. Further, we show that a global loss of TNF during IAV infection results in an augmentation of the peripheral virus-specific CD8+ T cell response. Subsequent adoptive transfer experiments demonstrated that this attenuation of the CD8+ T cell response was largely, but not exclusively, conferred by extrinsic TNF, with intrinsically-derived TNF making only modest contributions. In conclusion, TNF exerts an immunoregulatory role on CD8+ T cell responses following IAV infection, an effect that is largely mediated by extrinsically-derived TNF.
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    Clonally diverse CD38+HLA-DR+CD8+ T cells persist during fatal H7N9 disease
    Wang, Z ; Zhu, L ; Nguyen, THO ; Wan, Y ; Sant, S ; Quinones-Parra, SM ; Crawford, JC ; Eltahla, AA ; Rizzetto, S ; Bull, RA ; Qiu, C ; Koutsakos, M ; Clemens, EB ; Loh, L ; Chen, T ; Liu, L ; Cao, P ; Ren, Y ; Kedzierski, L ; Kotsimbos, T ; McCaw, JM ; La Gruta, NL ; Turner, SJ ; Cheng, AC ; Luciani, F ; Zhang, X ; Doherty, PC ; Thomas, PG ; Xu, J ; Kedzierska, K (NATURE PORTFOLIO, 2018-02-26)
    Severe influenza A virus (IAV) infection is associated with immune dysfunction. Here, we show circulating CD8+ T-cell profiles from patients hospitalized with avian H7N9, seasonal IAV, and influenza vaccinees. Patient survival reflects an early, transient prevalence of highly activated CD38+HLA-DR+PD-1+ CD8+ T cells, whereas the prolonged persistence of this set is found in ultimately fatal cases. Single-cell T cell receptor (TCR)-αβ analyses of activated CD38+HLA-DR+CD8+ T cells show similar TCRαβ diversity but differential clonal expansion kinetics in surviving and fatal H7N9 patients. Delayed clonal expansion associated with an early dichotomy at a transcriptome level (as detected by single-cell RNAseq) is found in CD38+HLA-DR+CD8+ T cells from patients who succumbed to the disease, suggesting a divergent differentiation pathway of CD38+HLA-DR+CD8+ T cells from the outset during fatal disease. Our study proposes that effective expansion of cross-reactive influenza-specific TCRαβ clonotypes with appropriate transcriptome signatures is needed for early protection against severe influenza disease.
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    Q&A: What have we found out about the influenza A (H1N1) 2009 pandemic virus?
    Turner, SJ ; Brown, LE ; Doherty, PC ; Kelso, A (Springer Science and Business Media LLC, 2009)
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    Q&A: H1N1 pandemic influenza - what's new?
    Turner, SJ ; Doherty, PC ; Kelso, A (BIOMED CENTRAL LTD, 2010-10-11)