Reduce inflammatory cytokine profile in subspecialized neonatal APCs responding to viral pathogen-associated molecular patterns has implications for vaccine design

Abstract

Abstract Young infants experience a higher burden of morbidity and mortality due to respiratory viruses and incomplete understanding of distinct age-dependent immune responses limits precision vaccine design in this age group. Subspecialized DCs and monocytes have evolved to detect viral pathogen-associated molecular patterns (PAMPs) to defend against infection and drive the adaptive immune response. We hypothesized that viral PAMPs and IFN I differentially activate neonatal DC and monocyte subsets resulting in age-dependent cytokine responses. To test this hypothesis, we isolated mononuclear cells from cord blood (CBMC) and peripheral blood (PBMC) and analyzed their responses through novel multiparameter spectral flow cytometric assays to PAMPs mimicking viral RNA. We discovered that conventional (c) DC2 in early life respond to Resiquimod (R848, TLR7/8 agonist) with similar upregulation of activation markers (CD80/86, CD70, CD38) and expression of TNFa, but more IL-6 compared to their adult counterparts. Unexpectedly, R848 and polyinosinic: polycytidylic acid (PIC, TLR3 agonist) resulted in significant CD25 upregulation by adult cDC2 and monocytes, in contrast to neonatal cells, suggesting decreased sensitivity to IL-2. In addition, in response to the antiviral type I IFN, cDC2 and monocytes from adults produced higher levels of CXCL10. Together our data suggest that neonatal DCs and monocytes have distinct functional responses to viral PAMPs, R848 and PIC, exhibiting reduced proinflammatory cytokine profiles. This may limit the potential for cytokine storm, but also delay the responsiveness to viral infections and vaccines that implement viral RNA in their design.