[HTML][HTML] CXCR4 blockade decreases CD4+ T cell exhaustion and improves survival in a murine model of polymicrobial sepsis

KM Ramonell, W Zhang, A Hadley, C Chen, KT Fay… - PloS one, 2017 - journals.plos.org
KM Ramonell, W Zhang, A Hadley, C Chen, KT Fay, JD Lyons, NJ Klingensmith…
PloS one, 2017journals.plos.org
Sepsis is a dysregulated systemic response to infection involving many inflammatory
pathways and the induction of counter-regulatory anti-inflammatory processes that results in
a state of immune incompetence and can lead to multi-organ failure. CXCR4 is a chemokine
receptor that, following ligation by CXCL12, directs cells to bone marrow niches and also
plays an important role in T cell cosignaling and formation of the immunological synapse.
Here, we investigated the expression and function of CXCR4 in a murine model of …
Sepsis is a dysregulated systemic response to infection involving many inflammatory pathways and the induction of counter-regulatory anti-inflammatory processes that results in a state of immune incompetence and can lead to multi-organ failure. CXCR4 is a chemokine receptor that, following ligation by CXCL12, directs cells to bone marrow niches and also plays an important role in T cell cosignaling and formation of the immunological synapse. Here, we investigated the expression and function of CXCR4 in a murine model of polymicrobial sepsis. Results indicate that CXCR4 is selectively upregulated on naïve CD4+ and CD8+ T cells and CD4+ central memory T cells following the induction of sepsis, and that CXCR4 antagonism resulted in a significant decrease in sepsis-induced mortality. We probed the mechanistic basis for these findings and found that CXCR4 antagonism significantly increased the number of peripheral CD4+ and CD8+ T cells following sepsis. Moreover, mice treated with the CXCR4 antagonist contained fewer PD-1+ LAG-3+ 2B4+ cells, suggesting that blockade of CXCR4 mitigates CD4+ T cell exhaustion during sepsis. Taken together, these results characterize CXCR4 as an important pathway that modulates immune dysfunction and mortality following sepsis, which may hold promise as a target for future therapeutic intervention in septic patients.
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