Front Immunol. 2022 ;13 940577
Xiaofeng Tang,
Biaolong Deng,
Aiping Zang,
Xiaowen He,
Ye Zhou,
Daimeng Wang,
Dan Li,
Xueyu Dai,
Jieqiong Chen,
Xuhua Zhang,
Ye Liu,
Yonghua Xu,
Jingjing Chen,
Weijie Zheng,
Luding Zhang,
Constance Gao,
Huanfeng Yang,
Bin Li,
Xueqi Wang.
Background: Aging is usually accompanied by functional declines of the immune system, especially in T-cell responses. However, little is known about ways to alleviate this.
Methods: Here, 37 middle-aged healthy participants were recruited, among which 32 were intravenously administrated with expanded NK cells and 5 with normal saline. Then, we monitored changes of peripheral senescent and exhausted T cells within 4 weeks after infusion by flow cytometry, as well as serum levels of senescence-associated secretory phenotype (SASP)-related factors. In vitro co-culture assays were performed to study NK-mediated cytotoxic activity against senescent or exhausted T cells. Functional and phenotypic alteration of NK cells before and after expansion was finally characterized.
Results: After NK cell infusion, senescent CD28-, CD57+, CD28-CD57+, and CD28-KLRG1+ CD4+ and CD8+ T-cell populations decreased significantly, so did PD-1+ and TIM-3+ T cells. These changes were continuously observed for 4 weeks. Nevertheless, no significant changes were observed in the normal saline group. Moreover, SASP-related factors including IL-6, IL-8, IL-1α, IL-17, MIP-1α, MIP-1β, and MMP1 were significantly decreased after NK cell infusion. Further co-culture assays showed that expanded NK cells specifically and dramatically eliminated senescent CD4+ T cells other than CD28+CD4+ T cells. They also showed improved cytotoxic activity, with different expression patterns of activating and inhibitory receptors including NKG2C, NKG2A, KLRG1, LAG3, CD57, and TIM3.
Conclusion: Our findings imply that T-cell senescence and exhaustion is a reversible process in healthy individuals, and autologous NK cell administration can be introduced to alleviate the aging.
Clinical Trial Registration: ClinicalTrials.gov, ChiCTR-OOh-17011878.
Keywords: SASP; T-cell exhaustion; T-cell senescence; aging; natural killer cells