Highlights

In brief

Interactions between macrophages and CD4+ T cells play a key role in chikungunya pathogenesis, while therapies aimed at modulating this immune interaction may help reduce the disease’s severity.

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Immune crosstalk fuels viral flames

5 Feb 2025

A*STAR researchers find that ordinary communications between immune cells during chikungunya virus infection can drive joint inflammation seen in the disease.

Success thrives on collaboration, even within our immune system, where cells work together to defend against viral infections. However, in some cases this cooperation can backfire, and lead to unintended consequences such as inflammation, joint pain or even neurological complications.

“We lack knowledge on how chikungunya virus (CHIKV) persists in our bodies, how it evades our immune system, and the specific roles of immune cells and cytokines,” said Fok-Moon Lum, an Investigator at the A*STAR Infectious Diseases Labs (A*STAR IDL). Chikungunya, a mosquito-borne illness common in Southeast Asia due to its tropical climate, remains a significant public health issue.

Lum and colleagues explored how immune system crosstalk contributes to CHIKV pathology. Using a CHIKV-infected mouse model, which mimics the joint pain common in human cases, the team closely analysed immune cells infiltrating the inflamed joint.

Flow cytometry, a technique for identifying immune cells based on surface markers, revealed a significant finding: at the peak of joint swelling, large numbers of activated macrophages—immune cells that engulf pathogens—flooded the affected area.

This observation built on the team’s earlier work showing that CD4⁺ T cells play a crucial role in CHIKV pathology. The team confirmed that these T cells were releasing cytokines, such as IFNγ and GM-CSF, which recruit and activate macrophages.

Strikingly, when macrophages were depleted, both the number of CD4⁺ T cells and joint swelling diminished. This suggested a reciprocal relationship: macrophages were driving CD4⁺ T cell activity, which in turn exacerbated inflammation in the joints. Lum explained that these findings highlight how immune crosstalk creates a vicious cycle, driving CHIKV pathology.

The research paves the way for new treatments. “By designing targeted therapies that disrupt harmful macrophage-T cell interactions, we could effectively modulate host immune responses and ultimately reduce tissue damage,” noted Lum.

These insights may impact strategies for treating CHIKV and other viral diseases by focusing on immune response modulation rather than symptom management. Its implications also extend beyond infectious diseases to autoimmune disorders, cancer and neuroinflammatory conditions, offering new insights into how immunity and overall health are intricately connected.

Lum’s team is now expanding their research by investigating new communication pathways between immune cells, which include unexpected mechanisms such as metabolic, hormonal and neuronal signalling.

“These unconventional pathways could reveal surprising links between the immune system and other bodily processes,” said Lum.

The A*STAR-affiliated researchers contributing to this research are from the A*STAR Infectious Diseases Labs (A*STAR IDL).

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References

Lum, F.-M., Chan, Y.-H., Teo, T.-H., Becht, E., Amrun, S.N., et al. Crosstalk between CD64⁺MHCII⁺ macrophages and CD4⁺ T cells drives joint pathology during chikungunya. EMBO Molecular Medicine16 (3), 641-663 (2024). | article

About the Researchers

Fok-Moon Lum graduated from the National University of Singapore with a degree in Biomedical Sciences. Following this, he embarked on a PhD journey under the tutelage of Lisa Ng, then at A*STAR’s Singapore Immunology Network, where he was involved in elucidating the host immune response to the chikungunya virus. After his PhD studies, he stayed on as a postdoctoral fellow and worked on the Zika virus, during the outbreak in 2016-2017 before spending two years of overseas post-doctoral training at Stanford University under the A*STAR International Fellowship. He is now an Investigator at the A*STAR Infectious Diseases Labs (A*STAR IDL), where he is attempting to investigate the bi-directional relationship between clinically-relevant viruses and neurological diseases.
Lisa F.P. Ng obtained her PhD in molecular virology in coronaviruses from the National University of Singapore (NUS) in 2002. After joining the A*STAR Genome Institute of Singapore (A*STAR GIS) in 2002 as a Postdoctoral Fellow, she worked on viral diseases such as hepatitis, severe acute respiratory syndrome and influenza. Ng is currently the Executive Director at A*STAR Infectious Diseases Labs (A*STAR IDL) where she focuses on the immune responses to arthritic arboviruses that are epidemic or highly endemic in the tropical region. Ng has won numerous accolades for her research, including the ASEAN ‘International Young Scientist and Technologist Award’ in 2008 and A*STAR’s ‘Most Inspiring Mentor Award’ in March 2013.

This article was made for A*STAR Research by Wildtype Media Group