Chronicinfections,suchashumanimmunodeficiencyvirus,hepatitisCandBvirusesandcancers,including melanomaandnon-smallcelllungcancer,resultinwidespreadmorbidityandmortalityacrosstheglobe. Productiveimmuneresponsesarecriticalforthemaintenanceofhealthinpatientsafflictedwiththese diseases,yetchronicexposuretoantigenresultsinthefunctional?disarmament?ofrespondingTcells.This processistermed?exhaustion?andischaracterizedbythehierarchicallossofcytokineproduction,reductionin proliferativecapacityandconstitutiveexpressionofsurfaceinhibitoryreceptors.Overthepastdecade, significantprogresshasbeenmadeincharacterizingthetranscriptionfactors,inhibitoryreceptorsandsoluble mediatorsthatresultinthisprocess.Moreover,recentreportshavesuggestedthatchromatinaccessibilityand histonemodificationsmayplayasignificantroleinestablishingthisdysfunctionalphenotype.Yet,the molecularmechanismsthatinduceandregulateexhaustionarepoorlyunderstood.Therefore,inaneffortto guidethedevelopmentofnewandmoreeffectivetherapies,theprimarypurposeofthisproposalistoincrease ourunderstandingofthemechanismsthatinitiateandmaintainTcellexhaustionduringprotractedexposureto antigen. Utilizingcomputationalapproaches,wehaverecentlyidentifiedaparticularchromatin-associatedprotein,Tox, asapossiblekeyplayerinexhaustion.Amemberofthehigh-mobilitygroupproteins,Toxistheorizedtobindto DNA and modify local chromatin structure, resulting in significant changes in gene transcription. Though the proteinhasbeenshowntoplaycriticalrolesinthedevelopmentofNK,innate-likeandCD4Tcells,itsrolein regulatingperipheralresponsestoantigenareunexplored.Ourpreliminarydatashowsthatincontrasttoacute infection,whichresultsinthedownregulationofToxinperipheralTcells,chronicantigenexposureresultsina substantialincreaseintheexpressionofthisprotein.Thus,thethecentralhypothesizeofthisproposalis thatToxrespondstochronicantigenexposurebymodulatingthechromatinaccessibilityofregulatory regionsthatcontroltheexpressionoftranscriptionfactorsthatmediatethedysfunctionofexhaustion. Thestudiesdescribedwithinthisproposalarepoweredtoexplorethishypothesisandwillultimatelyelucidate theroleofToxingoverningdifferentialresponsestoacuteandchronicinfection.

Public Health Relevance

Chronicinfectionsandcancerresultinsignificantmorbidityandmortalityworldwideandthehealthandsurvival ofpatientsafflictedwiththesediseasesisstronglydependentonthedevelopmentofrobustanddurableTcell responses.Unfortunately,theseillnessesarecommonlyassociatedwiththedevelopmentofdysfunctional immuneresponsesduetothe?exhaustion?ofrespondingTcells.Inanefforttoguidethedevelopmentof improvedfuturetherapies,thisproposalaimstoelevateourunderstandingofthemolecularmechanisms underlyingthedysfunctionseeninexhaustion.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Individual Predoctoral NRSA for M.D./Ph.D. Fellowships (ADAMHA) (F30)
Project #
5F30AI129263-02
Application #
9457148
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Gondre-Lewis, Timothy A
Project Start
2017-02-01
Project End
2020-01-31
Budget Start
2018-02-01
Budget End
2019-01-31
Support Year
2
Fiscal Year
2018
Total Cost
Indirect Cost
Name
University of Pennsylvania
Department
Type
Schools of Medicine
DUNS #
042250712
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Bengsch, Bertram; Ohtani, Takuya; Khan, Omar et al. (2018) Epigenomic-Guided Mass Cytometry Profiling Reveals Disease-Specific Features of Exhausted CD8 T Cells. Immunity 48:1029-1045.e5
Kurachi, Makoto; Kurachi, Junko; Chen, Zeyu et al. (2017) Optimized retroviral transduction of mouse T cells for in vivo assessment of gene function. Nat Protoc 12:1980-1998