Targeting mitochondrial dysfunction can restore antiviral activity of exhausted HBV-specific CD8 T cells in chronic hepatitis B

Carlo Ferrari and colleagues reveal that hepatitis B virus (HBV) specific CD8 T cells from individuals with chronic HBV infections have extensive mitochondrial dysfunction that contributes to impaired antiviral activity but can be targeted with antioxidants. Hepatitis B virus (HBV)-specific CD8 T ce...

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Published in:Nature Medicine Vol. 23; no. 3; pp. 327 - 336
Main Authors: Fisicaro, Paola, Barili, Valeria, Montanini, Barbara, Acerbi, Greta, Ferracin, Manuela, Guerrieri, Francesca, Salerno, Debora, Boni, Carolina, Massari, Marco, Cavallo, M Cristina, Grossi, Glenda, Giuberti, Tiziana, Lampertico, Pietro, Missale, Gabriele, Levrero, Massimo, Ottonello, Simone, Ferrari, Carlo
Format: Journal Article Magazine Article
Language:English
Published: New York Nature Publishing Group US 01-03-2017
Nature Publishing Group
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Summary:Carlo Ferrari and colleagues reveal that hepatitis B virus (HBV) specific CD8 T cells from individuals with chronic HBV infections have extensive mitochondrial dysfunction that contributes to impaired antiviral activity but can be targeted with antioxidants. Hepatitis B virus (HBV)-specific CD8 T cells are functionally exhausted in chronic hepatitis B infection, and this condition can be corrected only partially through the modulation of inhibitory pathways, which suggests that a more complex molecular interplay underlies T cell exhaustion. To gain broader insight into this process and identify additional targets for the restoration of T cell function, we compared the transcriptome profiles of HBV-specific CD8 T cells from patients with acute and chronic disease with those of HBV-specific CD8 T cells from patients able to resolve HBV infection spontaneously and influenza (FLU)-specific CD8 T cells from healthy participants. The results indicate that exhausted HBV-specific CD8 T cells are markedly impaired at multiple levels and show substantial downregulation of various cellular processes centered on extensive mitochondrial alterations. A notable improvement of mitochondrial and antiviral CD8 functions was elicited by mitochondrion-targeted antioxidants, which suggests a central role for reactive oxygen species (ROS) in T cell exhaustion. Thus, mitochondria represent promising targets for novel reconstitution therapies to treat chronic hepatitis B infection.
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ISSN:1078-8956
1546-170X
1744-7933
DOI:10.1038/nm.4275