淋球菌的免疫逃避 (淋球菌利用(剥削)宿主的先天免疫) Immune evasion of Neisseria gonorrhoeae 华中科技大学同济医学院附属同济医院 陈铁 Tie Chen, M.D. Professor Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Visiting Associate Professor Indiana University School of Medicine N. gonorrhoeae, (gonococci, GC, the cause of gonorrhea) 奈氏淋球菌 Gonococci Invade Host Cells 淋球菌侵入属主细胞 Some Facts about Neisseria gonorrhoeae (gonococci, GC) 1. Genital Infection: gonorrhea 2. Cervical- pelvic inflammatory disease (PID) 3. Pharyngeal, Rectal Infection, eye and systemic spread 5. 78 million cases each year. 6. It is an ancient disease. 古老的疾病 7. No animal model 没有动物模型 8. Does not generate protective immune response 不产生保护性免疫 4. Other noted names: 9. Ability to facilitate HIV Clap, Flowing seeds, Happy infection? disease and Mother of STD 能促进HIV的感染 GC Forms Opaque Colonies Opa Protein Expression Interaction of Neisseria gonorrhoeae with Host Cells 奈氏淋球菌与宿主细胞的相互作用 1. Initial adherence 初期粘附 2. Tight adherence 紧密粘附 3. Invasion/uptake 侵袭/吞噬 4. Transcytosis 胞吞转运 1. Neisseria gonorrhoeae inhibits host responses. 证明CEA(CD66, carcinoembryonic antigen)抗 原是奈氏淋球菌的受体 R.J. Belland*, T. Chen, J. Swanson and S.H. Fischer. 1992. Mol. Microbiol. 6:1729-1737. T. Chen, R. Belland, J. Wilson, and J. Swanson*. 1995. J. Exp. Med. 182:511-517. T. Chen, J. Swanson, J. Wilson, and R. Belland*. 1995. Infect. Immun. 63:1790-1795. T. Chen* and E. Gotschlich. 1996. Proc. Natl. Acad. Sci. USA. 93:14851-14856. T. Chen*, F. Grunert, A. Medina-Marino and E. C. Gotschlich. 1997. J. Exp. Med. 185:1557-1564. CEA (CEACAM, CD66, carcinoembryonic antigen) Ag Serve as Receptors for Opa+ GC CEA(CD66)抗原是奈氏淋球菌的受体 CEACAM1, (BGPa CD66a)CEACAM8 CEACAM6 CEACAM3, (CGM1a, CD66d) Inhibition ITIM 阴 ITAM Activation 阳 Extracellular Membrane Cytoplasmic 阳性和阴性的信号传递 ? BTK 抑制 抗体产生 T. Chen*, W. Zimmermann, J. Parker, I. Chen, A. Maeda and S. Bolland. 2001 J. Leuko. Biol. 70:335-340. T. Chen*, S. Bolland, I. Chen, J. Parker, M. Pantelic, F. Grunert, and W. Zimmermann. 2001. J. Biol. Chem. 276:17413-17419. Potential ITAM or ITIM Motif in the Cytoplasmic Domain Of BGPa and CGM1a Immunoreceptor Tyrosine-based Activation ( or Inhibition) Motif ITAM ITIM BGPa CGM1a (CD66d) D/ExxxxxxxD/ExxYxxLxxxxxxxYxxL/I V/IxYxxL DPPNKMNEVTYSTLNFEAQQPTQPTSASPSLTATEIIYSEV (CD66a) (may contain ITAM) PLPNPRTAASIYEELLKHDTNIYCRMDHKAVAS (may contain ITAM) Construction of CGM1a (CD66d)-Tyrosine Mutants ITAM CGM1a D/ExxxxxxxD/ExxYxxLxxxxxxxYxxL/I PLPNPRTAASIYEELLKHDTNIYCRMDHKAVAS | Y207 | Y196 CGM1a Contains a Functional ITAM 109.4 100 90 DT40-CGM1a 80 OpaI GC [Ca++] 70 [CA++] 60 50 CGM1a-Y196F 40 CGM1a-Y207F CGM1a-Y196F/Y207F 25.4 1.9 100 200 300 S 400 Time, seconds 500 DT40 604.2 B-Cell 阳性和阴性的信号传递 ? BTK 抑制 抗体产生 T. Chen*, W. Zimmermann, J. Parker, I. Chen, A. Maeda and S. Bolland. 2001 J. Leuko. Biol. 70:335-340. T. Chen*, S. Bolland, I. Chen, J. Parker, M. Pantelic, F. Grunert, and W. Zimmermann. 2001. J. Biol. Chem. 276:17413-17419. Assay of Inhibition by ITIM a-BCR MAb (A) (stimulates ITAM) a-Mouse Ab (I) (stimulates ITIM) B Cell Receptor (BCR) FcgRIIB-BGPa Fc(RIIB-BGPa Chimeric Molecules Extrace llular Fc(RIIB TM C ytoplasm ic BGPa FcgRIIB-BGP (W T) FcgRIIB-BGP (Y459F) Y459F FcgRIIB-BGP (Y486F) Y486F FcgRIIB-BGP (Y459-486F) Y459F Y486F Flow C ytom e try Y459 is Essential for Inhibiting Ca++ Influx 14 6.6 Fc(RIIB-BGPa Fc(RIIB-BGPa-Y459F 19 1.6 12 0 10 0 I A 15 0 80 [C A++] 60 I A 10 0 [C A++] 40 50 20 3. 2 1. 9 -7 .1 50 10 0 15 0 S 20 0 25 0 30 2.1 1. 9 50 Fc(RIIB-BGPa-Y486F 13 6.4 12 0 10 0 10 0 15 0 S 20 0 25 0 30 2.1 Fc(RIIB-BGPa-Y459/486F 17 3.7 16 0 I A 14 0 12 0 80 I A 10 0 [C A++]60 [C A++] 80 60 40 40 20 20 0. 0 1. 9 50 10 0 15 0 S 20 0 25 0 30 2.1 0. 4 1. 9 50 10 0 15 0 S 20 0 25 0 30 4.0 Hypothesis: The interactions of GC with CEACAM on neutrophils (白血球) or B cells shape host responses. No. bact 阳性信号传递导致细胞死亡 CEACAM3 (CD66d) Controls Cell Death. Control Opa- GC OpaI GC 80 60 40 20 7F 7F 20 20 Y 19 6F /Y Y 6F 19 C A E C Y A T M 40 3 0 D cell death Cell Death % 100 阴性的信号传递抑制 抗体产生 Human Ig (µg/ml) GC Inhibits Antibody Production by Primary Human B Cells Summary: Neisseria gonorrhoeae inhibits host responses of CEACAM-expressing host cells through either activating or inhibitory signal transduction. 奈氏淋球菌借助了人体的阴性/阳性的信号转导过程,抑 制了人体的免疫反应