CXCR4(+) PD-L1(+) neutrophils are increased in non-survived septic mice.

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作者:Martelossi Cebinelli Guilherme Cesar, de Oliveira Leandro Maísa, Rocha Oliveira Antonio Edson, Alves de Lima Kalil, Donate Paula Barbim, da Cruz Oliveira Barros Cleyson, Ramos Anderson Dos Santos, Costa Victor, Bernardo Nascimento Daniele Carvalho, Alves Damasceno Luis Eduardo, Tavares Amanda Curto, Aquime Gonçalves André Nicolau, Imoto Nakaya Helder Takashi, Cunha Thiago Mattar, Alves-Filho José Carlos, Cunha Fernando Queiroz
The dysregulated host response to infections can lead to sepsis, a complex disease characterized by a spectrum of clinical phenotypes. Using scRNA-seq, we analyzed the immune cell of survived and non-survived CLP-septic mice to gain insights into the immunological mechanisms by which neutrophils contribute to the hyperinflammatory phenotype. Our findings reveal that non-survived mice exhibit increased frequencies of immature CXCR4(+) PD-L1(+) neutrophils in the bloodstream, accompanied by an accumulation of trafficking-specific CXCR4(+) PD-L1(+) neutrophils into the lungs. The IFN-gamma and LPS promote the PD-L1 expression on neutrophils and an activation profile associated with inflammation and organ damage. Notably, abrogating the IFN-gamma reduced susceptibility to CLP-sepsis and diminished CXCR4(+) PD-L1(+) neutrophils frequency. This study provides insights into the immune cell activation profiles associated with the worsening of the CLP-sepsis, and the CXCR4(+) PD-L1(+) neutrophils population highlighted here represents a promising target for therapeutic modulation in clinical sepsis hyperinflammatory phenotype.

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