Shared signatures of immune dysfunction in chronic inflammatory states revealed by system-wide immune monitoring

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Abstract/Contents

Abstract
Chronic inflammation is thought to be a major cause of morbidity and mortality in aging, but whether similar mechanisms underlie dysfunction in infection-associated chron-ic inflammation is unclear. Here we profiled the immune proteome, and cellular composi-tion and signaling states in a cohort of aging individuals versus a set of human immunode-ficiency virus (HIV) patients on long term ART therapy or hepatitis C virus (HCV) pa-tients before and after sofosbuvir treatment. We found shared alterations in aging- and infection-associated chronic inflammation including T cell memory inflation, upregulation of intracellular signaling pathways of inflammation, and diminished sensitivity to cyto-kines in lymphocytes and myeloid cells. In the HIV cohort, these dysregulations were evi-dent despite viral suppression for over ten years. Viral clearance in the HCV cohort par-tially restored cellular sensitivity to interferon (IFN)-α, but many immune system altera-tions persisted for at least one year post-treatment. Our findings indicate that in the HIV and HCV cohorts a broad remodeling and degradation of the immune system can persist for a year or more, even after the removal or drastic reduction of the pathogen load and that this shares some features of chronic inflammation in aging.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2020; ©2020
Publication date 2020; 2020
Issuance monographic
Language English

Creators/Contributors

Author López Angel, César Joel
Degree supervisor Davis, Mark M
Thesis advisor Davis, Mark M
Thesis advisor Glenn, Jeffrey S, 1962-
Thesis advisor Khatri, Purvesh
Thesis advisor Maecker, Holden
Degree committee member Glenn, Jeffrey S, 1962-
Degree committee member Khatri, Purvesh
Degree committee member Maecker, Holden
Associated with Stanford University, Program in Immunology

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility César J. López Angel.
Note Submitted to the Program in Immunology.
Thesis Thesis Ph.D. Stanford University 2020.
Location electronic resource

Access conditions

Copyright
© 2020 by Cesar Joel Lopez Angel
License
This work is licensed under a Creative Commons Attribution 3.0 Unported license (CC BY).

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