2014
DOI: 10.1371/journal.pone.0092134
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Increased Frequency of Tim-3 Expressing T Cells Is Associated with Symptomatic West Nile Virus Infection

Abstract: More than a decade after West Nile virus (WNV) entered North America, and despite a significant increase in reported cases during the 2012 and 2013 seasons, no treatment or vaccine for humans is available. Although antiviral T cells contribute to the control of WNV, little is known about their regulation during acute infection. We analyzed the expression of Tim-3 and PD-1, two recently identified T cell negative immune checkpoint receptors, over the course of WNV infection. Symptomatic WNV+ donors exhibited hi… Show more

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Cited by 17 publications
(19 citation statements)
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“…Of note, subjects with a history of severe disease had lower levels of plasmacytoid DCs (pDCs) (CD123 ϩ ) (P Ͻ 0.05), which are critical for antiviral responses. In the profiling of T cells, severely infected subjects showed elevated levels of regulatory T cells (P Ͻ 0.01), although these cells were previously shown to have a protective role in acute infection in murine models and in acute asymptomatic WNV patients and patients with mild WNV infection (possibly mediated by Tim3 ϩ Tregs [31,32]). Although these individual subset differences did not remain significant after correcting for multiplehypothesis testing (FDR Ͼ 0.05), these results raise the possibility that susceptibility to severe disease correlates with an altered PBMC composition.…”
Section: Resultsmentioning
confidence: 97%
“…Of note, subjects with a history of severe disease had lower levels of plasmacytoid DCs (pDCs) (CD123 ϩ ) (P Ͻ 0.05), which are critical for antiviral responses. In the profiling of T cells, severely infected subjects showed elevated levels of regulatory T cells (P Ͻ 0.01), although these cells were previously shown to have a protective role in acute infection in murine models and in acute asymptomatic WNV patients and patients with mild WNV infection (possibly mediated by Tim3 ϩ Tregs [31,32]). Although these individual subset differences did not remain significant after correcting for multiplehypothesis testing (FDR Ͼ 0.05), these results raise the possibility that susceptibility to severe disease correlates with an altered PBMC composition.…”
Section: Resultsmentioning
confidence: 97%
“…Symptom questionnaires covering 12 possible WNV-related symptoms (fever, headache, eye pain, body aches, new skin rash, swollen lymph nodes, nausea or vomiting, muscle weakness, confusion, disorientation, memory problems, or other symptom) were administered at study enrollment and two weeks later. As previously described, 37 a cutoff of four symptoms was used to categorized blood donors as asymptomatic (AS, number of reported symptoms < 4, n = 244) or symptomatic (S, number of reported symptoms ≥ 4, n=130) as previously used for pathogenesis studies 10, 14, 38, 39 . The average age was 47.4 years for the WNV+ cohort, 48.2 years for asymptomatic, and 46 for symptomatic WNV+ donors ( P AS vs. S = 0.15) (Table 1).…”
Section: Methodsmentioning
confidence: 99%
“…The minor part of pathogenesis can be neurologic deficits and neuroinvasive in elderly people. Viral pathogenesis mainly favours by efferocytosis activator TIM-3, which inhibits CD8 + T cell activation (Lanteri et al 2014). The viral RNA plays major role in dampening the CD8 + T cell activation and it activates CD4 + T cell expresses Th1 and Th17 cytokines that favours neuroinvasion (James et al 2016).…”
Section: T Cell Responses In West Nile Virusmentioning
confidence: 99%