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Recently activated CD4 T cells in tuberculosis express OX40 as a target for host-directed immunotherapy
Journal article   Open access   Peer reviewed

Recently activated CD4 T cells in tuberculosis express OX40 as a target for host-directed immunotherapy

Abigail R Gress, Christine E Ronayne, Joshua M Thiede, David K Meyerholz, Samuel Okurut, Julia Stumpf, Tailor V Mathes, Kenneth Ssebambulidde, David B Meya, Fiona V Cresswell, …
Nature communications, Vol.14(1), 8423
12/19/2023
DOI: 10.1038/s41467-023-44152-8
PMCID: PMC10728168
PMID: 38110410
url
https://doi.org/10.1038/s41467-023-44152-8View
Published (Version of record) Open Access

Abstract

After Mycobacterium tuberculosis (Mtb) infection, many effector T cells traffic to the lungs, but few become activated. Here we use an antigen receptor reporter mouse (Nur77-GFP) to identify recently activated CD4 T cells in the lungs. These Nur77-GFP cells contain expanded TCR clonotypes, have elevated expression of co-stimulatory genes such as Tnfrsf4/OX40, and are functionally more protective than Nur77-GFP cells. By contrast, Nur77-GFP cells express markers of terminal exhaustion and cytotoxicity, and the trafficking receptor S1pr5, associated with vascular localization. A short course of immunotherapy targeting OX40 cells transiently expands CD4 T cell numbers and shifts their phenotype towards parenchymal protective cells. Moreover, OX40 agonist immunotherapy decreases the lung bacterial burden and extends host survival, offering an additive benefit to antibiotics. CD4 T cells from the cerebrospinal fluid of humans with HIV-associated tuberculous meningitis commonly express surface OX40 protein, while CD8 T cells do not. Our data thus propose OX40 as a marker of recently activated CD4 T cells at the infection site and a potential target for immunotherapy in tuberculosis.
Immunotherapy Animals CD4-Positive T-Lymphocytes CD8-Positive T-Lymphocytes Humans Mice Receptors, OX40 - agonists Tuberculosis - therapy

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