NKG2A is a NK cell exhaustion checkpoint for HCV persistence

Nat Commun. 2019 Apr 3;10(1):1507. doi: 10.1038/s41467-019-09212-y.

Abstract

Exhaustion of cytotoxic effector natural killer (NK) and CD8+ T cells have important functions in the establishment of persistent viral infections, but how exhaustion is induced during chronic hepatitis C virus (HCV) infection remains poorly defined. Here we show, using the humanized C/OTg mice permissive for persistent HCV infection, that NK and CD8+ T cells become sequentially exhausted shortly after their transient hepatic infiltration and activation in acute HCV infection. HCV infection upregulates Qa-1 expression in hepatocytes, which ligates NKG2A to induce NK cell exhaustion. Antibodies targeting NKG2A or Qa-1 prevents NK exhaustion and promotes NK-dependent HCV clearance. Moreover, reactivated NK cells provide sufficient IFN-γ that helps rejuvenate polyclonal HCV CD8+ T cell response and clearance of HCV. Our data thus show that NKG2A serves as a critical checkpoint for HCV-induced NK exhaustion, and that NKG2A blockade sequentially boosts interdependent NK and CD8+ T cell functions to prevent persistent HCV infection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • CD8-Positive T-Lymphocytes / immunology
  • CD8-Positive T-Lymphocytes / metabolism
  • Cytokines / immunology
  • Disease Models, Animal
  • Hepacivirus / immunology*
  • Hepatitis C, Chronic / immunology*
  • Hepatitis C, Chronic / virology
  • Hepatocytes / virology
  • Histocompatibility Antigens Class I / immunology
  • Interferon-gamma / immunology
  • Killer Cells, Natural / immunology*
  • Lymphocyte Activation / physiology
  • Membrane Proteins / immunology
  • Mice
  • NK Cell Lectin-Like Receptor Subfamily C / immunology*
  • Random Allocation

Substances

  • Cytokines
  • Histocompatibility Antigens Class I
  • Membrane Proteins
  • NK Cell Lectin-Like Receptor Subfamily C
  • Q surface antigens
  • Interferon-gamma