Shingles characterized by painful skin rash and blisters can occur in people with coronary heart disease (CAD) that affects the immune system function.
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New Insights on the Causes That Increase Shingles Risk"
‘The risk of shingles increase in people who are diagnosed with coronary heart disease (CAD), that affects the immune system function.’
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The specific immune mechanisms that are underlying in age- and CAD-related viral reactivation are not well understood.
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This week in the JCI, a study led by Cornelia Weyand at Stanford University reports that macrophages derived from individuals diagnosed with CAD suppress the activation and proliferation of T cells.
Excessive accumulation of the metabolic intermediate pyruvate in these macrophages increased expression of a signaling molecule called PD-L1 that drives T cell suppression. The overabundance of pyruvate in macrophages suggests that metabolic dysregulation may contribute to immune dysfunction in individuals affected by CAD.
The activity of this immunosuppressive pathway in CAD patients provides insights into a mechanism for immune deficiencies that permit reactivation of long-latent viruses. These findings are a step toward developing new strategies that correct metabolic dysregulation in immune cells to prevent shingles and other infections in at-risk populations.
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