Vδ2 T cell activation by malaria is enhanced in second infection via the cell extrinsic cytokine milieu

Topic/Product:
Inflammation Panel 250, malaria
Disease Area:
Infectious Disease, Inflammation
Sample Type:
Cell Culture Supernatant

Abstract

γδ T cells play critical roles in innate immunity to Plasmodium falciparum malaria, yet their functional heterogeneity and memory-like dynamics during first and subsequent infections remain poorly defined. Using longitudinal single-cell RNA sequencing, ex vivo phenotyping and in vitro functional analysis of γδ T cells in controlled human malaria infection (CHMI), we dissect their activation mechanisms and functions. During first infection, Vδ2 T cells dominated the responses, expanding into inflammatory and cytotoxic cells. Despite upregulation of antigen-presenting-like markers and CD16, Vδ2 T cell activation remained TCR-dependent, and these cells had no capacity to phagocytose parasites nor present antigen to CD4+ T cells. Leveraging a Phase I clinical study of type I IFN signalling blockade with JAK2 inhibitor ruxolitinib in CHMI, including rechallenge, we show that Vδ2 T cell activation is dependent on JAK/STAT signalling. In second malaria infection Vδ2 T cell responses are memory-like, with higher and more rapid activation, and robust induction of cytotoxic and activated terminal effector memory phenotypes. These memory-like cell responses were linked to cell-extrinsic factors, with increased systemic inflammation during second infection associated with enhanced Vδ2 T cell activation. Mechanistically we demonstrate that cytokines IL-12, IL-15 and IL-18, synergize with TCR-dependent activation by malaria parasites to enhance Vδ2 T cell responses. Memory-like Vδ2 T cells in second infection were not associated with parasite control but instead linked to inflammation and markers of disease severity. Together, these data identify key mechanisms of Vδ2 T cells activation and highlight that therapeutically targeting these cells may benefit immunopathology without compromising parasite control during malaria.

Authors and Affiliations

Nicholas L. Dooley1,2,3, Zuleima Pava1, Dean Andrew2, Natalie E. Stevens4,5, Teija Frame2,
Jessica R. Loughland1, Megan S.F. Soon2, Damian A. Oyong1, Fabian de Labastida Rivera2,
Reena Mukhiya1, Julianne Hamelink1, Luzia Bukali2, Jessica Engel2, Feargal J. Ryan4, David J.
Lynn4,5, Moses R. Kamya6,7, Isaac Ssewanyana6, Rebecca Webster2, James S. McCarthy6,
Bridget E. Barber2, J. Alejandro Lopez2,3, Chris Engwerda2,3 & Michelle J. Boyle1,2 

1 Life Sciences Department, Burnet Institute, Melbourne, Australia
2 Infection and Inflammation Department, QIMR Berghofer Medical Research Institute,
Brisbane, QLD, Australia
3 School of Environment and Science, Griffith University, Brisbane, QLD, Australia
4 College of Medicine and Public Health, Flinders Health and Medical Research Institute,
Flinders University, Bedford Park, SA, Australia.
5 Systems Immunology Laboratory, Precision Medicine Theme, South Australian Health and
Medical Research Institute, Adelaide, SA, Australia.
6 Infectious Diseases Research Collaboration, Kampala Uganda
7 Makerere University, Kampala, Uganda.

Steve Williams, MD, PhD

CSO

Dr. Willams serves as the company’s Chief Scientific Officer. He was previously Chief Medical Officer at Standard Biotools and at SomaLogic where he pioneered the discipline for discovery and validation of predictive, diagnostic and prognostic models using machine-learning applied to large-plex proteomics. 20 such tests were used for drug characterization, safety and efficacy when incorporated in clinical drug trials at Pharma/Biotech and 17 different multivariate tests were validated and translated into regulated healthcare uses. Prior to SomaLogic, Dr. Williams was at Pfizer in the UK and the USA as a clinical triallist in Translational Medicine, and subsequently as VP, Global Clinical Technology. He sat on the National Advisory Council for the National Institute of Biomedical Imaging and Bioengineering, the Executive Committee for the FNIH Biomarkers Consortium, and worked with FDA and PhRMA on developing evidentiary standards for biomarker qualification. Dr. William’s medical training was in London, at Charing Cross and Westminster Medical School, followed by a PhD in medicine/physiology at the same institution and training in Radiology at the University of Newcastle Upon Tyne. Steve is co-inventor on 26 proteomics patents and author/coauthor on multiple foundational proteomics manuscripts.

Justin McAnear

CFO

Mr. McAnear serves as the company’s Chief Financial Officer. He brings over 25 years of operational and financial leadership experience across various sectors and was instrumental in taking 10x Genomics public in 2019, serving as its CFO for over five years. Mr. McAnear served for over 3 years as Tesla’s VP of Worldwide Finance and Operations, supporting landmark initiatives such as the Model X and Model 3 launches and Solar City acquisition.  He also held various roles at Apple and J&J earlier in his career and served as a naval officer and aviator for over 9 years.