1. Differentiation of Type 17 Mucosal-Associated Invariant T Cells in Circulation Contributes to the Severity of Sepsis
- Author
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Li, Xinying, Fu, Sicheng, Cheng, Hao, Ma, Min, Song, Zijian, Li, Jun, Wu, Shuang, Zhang, Chong, Wang, Xiaoxia, Tang, Maoyu, Pu, Xuexue, Ji, Qiang, Liang, Jinquan, Zhao, Zhibin, Körner, Heinrich, Li, Bin, Shao, Min, and Wang, Hua
- Abstract
Mucosal-associated invariant T (MAIT) cells are essential in defending against infection. Sepsis is a systemic inflammatory response to infection and a leading cause of death. The relationship between the overall competency of the host immune response and disease severity is not fully elucidated. This study identified a higher proportion of circulating MAIT17 with expression of IL-17A and retinoic acid receptor–related orphan receptor γt in patients with sepsis. The proportion of MAIT17 was correlated with the severity of sepsis. Single-cell RNA-sequencing analysis revealed an enhanced expression of lactate dehydrogenase A (LDHA) in MAIT17 in patients with sepsis. Cell-culture experiments demonstrated that phosphoinositide 3-kinase–LDHA signaling was required for retinoic acid receptor–related orphan receptor γt expression in MAIT17. Finally, the elevated levels of plasma IL-18 promoted the differentiation of circulating MAIT17 cells in sepsis. In summary, this study reveals a new role of circulating MAIT17 in promoting sepsis severity and suggests the phosphoinositide 3-kinase–LDHA signaling as a driving force in MAIT17 responses.
- Published
- 2024
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