PMID- 25789411 OWN - NLM STAT- MEDLINE DCOM- 20150817 LR - 20220317 IS - 1535-4970 (Electronic) IS - 1073-449X (Print) IS - 1073-449X (Linking) VI - 191 IP - 11 DP - 2015 Jun 1 TI - Chronic Infection by Mucoid Pseudomonas aeruginosa Associated with Dysregulation in T-Cell Immunity to Outer Membrane Porin F. PG - 1250-64 LID - 10.1164/rccm.201411-1995OC [doi] AB - RATIONALE: Pseudomonas aeruginosa (PA) is an environmental pathogen that commonly infects individuals with cystic fibrosis (CF) and non-CF bronchiectasis, impacting morbidity and mortality. To understand the pathobiology of interactions between the bacterium and host adaptive immunity and to inform rational vaccine design, it is important to understand the adaptive immune correlates of disease. OBJECTIVES: To characterize T-cell immunity to the PA antigen outer membrane porin F (OprF) by analyzing immunodominant epitopes in relation to infection status. METHODS: Patients with non-CF bronchiectasis were stratified by frequency of PA isolation. T-cell IFN-gamma immunity to OprF and its immunodominant epitopes was characterized. Patterns of human leukocyte antigen (HLA) restriction of immunodominant epitopes were defined using HLA class II transgenic mice. Immunity was characterized with respect to cytokine and chemokine secretion, antibody response, and T-cell activation transcripts. MEASUREMENTS AND MAIN RESULTS: Patients were stratified according to whether PA was never, sometimes (<50%), or frequently (>/=50%) isolated from sputum. Patients with frequent PA sputum-positive isolates were more likely to be infected by mucoid PA, and they showed a narrow T-cell epitope response and a relative reduction in Th1 polarizing transcription factors but enhanced immunity with respect to antibody production, innate cytokines, and chemokines. CONCLUSIONS: We have defined the immunodominant, HLA-restricted T-cell epitopes of OprF. Our observation that chronic infection is associated with a response of narrowed specificity, despite strong innate and antibody immunity, may help to explain susceptibility in these individuals and pave the way for better vaccine design to achieve protective immunity. FAU - Quigley, Kathryn J AU - Quigley KJ AD - 1 Lung Immunology Group, Infectious Diseases and Immunity, Department of Medicine, Medical Research Council and Asthma United Kingdom Centre in Allergic Mechanisms of Asthma, Centre for Respiratory Infection, Hammersmith Hospital, Imperial College, London, United Kingdom. FAU - Reynolds, Catherine J AU - Reynolds CJ FAU - Goudet, Amelie AU - Goudet A FAU - Raynsford, Eleanor J AU - Raynsford EJ FAU - Sergeant, Ruhena AU - Sergeant R FAU - Quigley, Andrew AU - Quigley A FAU - Worgall, Stefan AU - Worgall S FAU - Bilton, Diana AU - Bilton D FAU - Wilson, Robert AU - Wilson R FAU - Loebinger, Michael R AU - Loebinger MR FAU - Maillere, Bernard AU - Maillere B FAU - Altmann, Daniel M AU - Altmann DM FAU - Boyton, Rosemary J AU - Boyton RJ LA - eng GR - 272200900046C/PHS HHS/United States GR - Medical Research Council/United Kingdom GR - HHSN272200900046C/AI/NIAID NIH HHS/United States GR - R01 AI103341-01/AI/NIAID NIH HHS/United States GR - R01 AI103341/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Respir Crit Care Med JT - American journal of respiratory and critical care medicine JID - 9421642 RN - 0 (Porins) SB - IM MH - Adult MH - Aged MH - Animals MH - Female MH - Humans MH - Longitudinal Studies MH - Lung/*immunology MH - Male MH - Mice MH - Middle Aged MH - Porins/*immunology MH - Pseudomonas Infections/*immunology MH - Pseudomonas aeruginosa/*immunology MH - Sputum/immunology MH - T-Lymphocytes/*immunology MH - Young Adult PMC - PMC4476516 OTO - NOTNLM OT - Pseudomonas OT - T lymphocyte OT - adaptive immunity OT - bronchiectasis OT - epitopes EDAT- 2015/03/20 06:00 MHDA- 2015/08/19 06:00 PMCR- 2015/12/01 CRDT- 2015/03/20 06:00 PHST- 2015/03/20 06:00 [entrez] PHST- 2015/03/20 06:00 [pubmed] PHST- 2015/08/19 06:00 [medline] PHST- 2015/12/01 00:00 [pmc-release] AID - 10.1164/rccm.201411-1995OC [doi] PST - ppublish SO - Am J Respir Crit Care Med. 2015 Jun 1;191(11):1250-64. doi: 10.1164/rccm.201411-1995OC.