PMID- 31668132 OWN - NLM STAT- MEDLINE DCOM- 20200803 LR - 20231019 IS - 2150-5608 (Electronic) IS - 2150-5594 (Print) IS - 2150-5594 (Linking) VI - 10 IP - 1 DP - 2019 Dec TI - T-cell-specific mTOR deletion in mice ameliorated CD4(+) T-cell survival in lethal sepsis induced by severe invasive candidiasis. PG - 892-901 LID - 10.1080/21505594.2019.1685151 [doi] AB - The mammalian target of rapamycin (mTOR) pathway can mediate T-cell survival; however, the role of this pathway in T-cell survival during fungal sepsis is unclear. Here, we investigated the role of the mTOR pathway in CD4(+) T-cell survival in a mouse model of rapidly progressive lethal sepsis induced by severe invasive candidiasis and explored the possible mechanism. The decrease in CD4(+) T-cell survival following fungal sepsis was ameliorated in mice with a T-cell-specific mTOR deletion, whereas it was exacerbated in mice with a T-cell-specific tuberous sclerosis complex (TSC)1 deletion. To explore the mechanism further, we measured expression of autophagy proteins light chain 3B and p62/sequestosome 1 in CD4(+) T cells. Both proteins were increased in T-cell-specific mTOR knockout mice but lower in T-cell-specific TSC1 knockout mice. Transmission electron microscopy revealed that T-cell-specific mTOR knockout mice had more autophagosomes than wild-type mice following fungal sepsis. CD4(+) T-cell mTOR knockout decreased CD4(+) T-cell apoptosis in fungal sepsis. Most notably, the T-cell-specific mTOR deletion mice had an increased survival rate after fungal sepsis. These results suggest that the mTOR pathway plays a vital role in CD4(+) T-cell survival during fungal sepsis, partly through the autophagy-apoptosis pathway. FAU - Wang, Hao AU - Wang H AUID- ORCID: 0000-0001-7776-0882 AD - Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing, China. FAU - Bai, Guangxu AU - Bai G AD - Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing, China. FAU - Cui, Na AU - Cui N AD - Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing, China. AD - Department of Clinical Laboratory, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science; Beijing Key Laboratory for Mechanisms Research and Precision Diagnosis of Invasive Fungal Diseases, Beijing, China. FAU - Han, Wen AU - Han W AD - Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing, China. FAU - Long, Yun AU - Long Y AD - Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Virulence JT - Virulence JID - 101531386 RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - Systemic candidiasis RN - Tuberous Sclerosis 1 SB - IM MH - Animals MH - *Apoptosis MH - Autophagy MH - CD4-Positive T-Lymphocytes/immunology/*pathology MH - Candidiasis/*immunology MH - Cell Survival/immunology MH - Gene Deletion MH - Male MH - Mice MH - Mice, Knockout MH - Sepsis/*immunology/*microbiology MH - Signal Transduction MH - TOR Serine-Threonine Kinases/*genetics/*immunology MH - Tuberous Sclerosis/genetics PMC - PMC6844314 OTO - NOTNLM OT - CD4+ T cells OT - Lethal fungal sepsis OT - autophagy OT - mammalian target of rapamycin OT - severe invasive candidiasis EDAT- 2019/11/02 06:00 MHDA- 2020/08/04 06:00 PMCR- 2019/10/31 CRDT- 2019/11/01 06:00 PHST- 2019/11/01 06:00 [entrez] PHST- 2019/11/02 06:00 [pubmed] PHST- 2020/08/04 06:00 [medline] PHST- 2019/10/31 00:00 [pmc-release] AID - 1685151 [pii] AID - 10.1080/21505594.2019.1685151 [doi] PST - ppublish SO - Virulence. 2019 Dec;10(1):892-901. doi: 10.1080/21505594.2019.1685151.