The webinar covered complex scientific information and our panelists kindly provided a layperson-friendly summary describing the defects these investigators have found in cells of the immune system from people with ME/CFS and Long COVID -- which they believe are at the core of these conditions.
You can read their summary here:
https://ow.ly/Vchi50VWGqF
Compared to healthy controls, exhausted CD8+ T cells in patients have decreased production of IFNɣ, TNFɑ, and perforin/granzyme, which are all molecules important in controlling any new or persistent infections present such as EBV or CMV. And, we show increased activation markers in patient CD8+ T cells.
By examining the TcR sequences of patients, we can identify groups of T cells that have expanded in response to antigen stimulation. Both the dysfunctional CD4+CD8+ and CD8+ T cell subsets in patients show evidence of clonal expansions to an unknown antigen, which may be a viral or autoantigen. This work is being done in collaboration with Dr. Dario Ghersi at the University of Nebraska at Omaha, who is an expert in TcR repertoire analysis and target antigen prediction. With the combination of single-cell RNA and TcR sequencing data from dysfunctional T cell subsets in patients, we are uniquely positioned to identify the target antigens driving this response which will shed light on underlying disease mechanisms. Altogether, these results suggest that ME/CFS and LC patients have an ongoing, over-activation of CD8+ T cells by some persistent antigen, leading to T cell exhaustion. This is similar to what is observed in a person with chronic viral infections or in tumor environments.
In the webinar I don't think they mentioned the collaboration with Dr. Dario Ghersi at the University of Nebraska at Omaha, who is an expert in TcR repertoire analysis and target antigen prediction.
The written summary is good and actually adds some new information. Here they define T cell exhaustion (@Jonathan Edwards), not necessarily by markers but by function. And they identified increased activation markers in patient CD8+ T cells.
Does anyone know if Chris Ponting's @Chris Ponting colleagues published their findings anywhere on T cell receptor sequencing in ME/CFS - I seem to remember it was a null result. Perhaps access to the data or a chat with the researcher that did the work could help Dr. Dario Ghersi's work. Or maybe there was never such a project and it was B cell only.
Does anyone know if Chris Ponting's @Chris Ponting colleagues published their findings anywhere on T cell receptor sequencing in ME/CFS - I seem to remember it was a null result. Perhaps access to the data or a chat with the researcher that did the work could help Dr. Dario Ghersi's work. Or maybe there was never such a project and it was B cell only.
@Simon M Perhaps you can remember?