Antigen-Independent Activation of CD8 T Cells Promotes Salt Sensitive Hypertension
Authors: Liu Yunmeng , Benson Lance , Deck Katherine , Mora Christoph , Guo Yunping , Mu Shengyu 
Published: May 2024

While CD8+ T cells (CD8Ts) have recently emerged as key players in hypertension, the precise mechanisms underlying their involvement remain incompletely understood. Our previous research uncovered the critical role of CD8T activation during the initial phase of blood pressure elevation, facilitating their direct interaction with the distal convoluted tubule (DCT) via the interferon-gamma (IFNγ)-PDL1 pathway. Importantly, we have now discovered that CD8T activation during this early phase occurs in an antigen-independent manner. In this study, we delve into the contribution of the P2X7 receptor to CD8T activation and its subsequent promotion of sodium retention in the kidney. We hypothesize that blocking this receptor on CD8Ts will disrupt CD8T-tubular interaction and lead to a reduction in blood pressure. To investigate whether CD8T activation in hypertension necessitates T cell receptor (TCR) stimulation, we employed Rag2−/−/OT1mice, which exclusively harbor transgenic OT1 CD8Ts, recognizing only ovalbumin peptides but not other antigens. These mice, without any exposure to ovalbumin, were induced to develop hypertension through the DOCA + salt (DOCA) model. Blood pressure was monitored using radio-biotelemetry, and CD8T activation was confirmed using flow cytometry. In our in-vitro studies, CD8Ts were obtained from both WT and P2X7 KO mice and stimulated with BZATP or ATP. The endpoints include calcium influx (measured via the intracellular calcium indicator Fluo-4), IFNγ transcription, and glycolytic activity (assessed by Seahorse metabolic flux analyzer) as indicators of activation. To validate our findings in an in-vivo context, we measured the activation profiles of CD8Ts obtained from WT and P2X7 KO mice subjected to sham or DOCA treatment, employing RT-PCR and flow cytometry. Additionally, we conducted an adoptive transfer experiment, transferring naïve WT CD8Ts to P2X7 KO mice undergoing DOCA treatment. Blood pressure was consistently monitored via radio-biotelemetry. Our observations revealed that CD8Ts from Rag2−/−/OT1 mice become activated in response to the DOCA pressor, leading to increased IFNγ production and contributing to salt-sensitive hypertension, even in the absence of TCR-mediated antigen stimulation. Agonists of the P2X7 receptor, such as BZATP and ATP, elicited calcium influx in CD8Ts, upregulated IFNγ transcription, and enhanced glycolytic activity, all indicative of T cell activation. Furthermore, CD8Ts pre-stimulated with the P2X7 agonist BZATP displayed increased tubular PDL1 expression and sodium retention in our co-culture model when compared to naïve CD8Ts. Notably, DOCA-treated P2X7 KO CD8Ts were unable to induce an increase in blood pressure in our adoptive transfer model. However, transferring sham WT CD8Ts to DOCA-treated P2X7 KO mice successfully restored hypertension to WT levels. Our findings suggest a novel mechanism in which P2X7 receptor stimulation contributes to CD8T activation in the pathogenesis of hypertension. The deficiency of this receptor on CD8Ts prevents their activation by ATP, resulting in attenuated blood pressure elevation. As such, the CD8T P2X7 receptor presents itself as a promising target for the improvement of blood pressure management. Funding: NIH R01-HL146713, AHA 23TPA1076467. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.