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Blood, 15 December 2007, Vol. 110, No. 13, pp. 4360-4366.
Prepublished online as a Blood First Edition Paper on September 18, 2007; DOI 10.1182/blood-2007-07-104604.


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IMMUNOBIOLOGY

Differential costimulation through CD137 (4–1BB) restores proliferation of human virus-specific "effector memory" (CD28 CD45RAHI) CD8+ T cells

Edward C. P. Waller1, Nicola McKinney1, Ray Hicks1, Andrew J. Carmichael1, J. G. Patrick Sissons1, and Mark R. Wills1

1 Department of Medicine, University of Cambridge Clinical School, Cambridge, United Kingdom

In healthy carriers of human cytomegalovirus (HCMV), the virus-specific memory CD8+ T-cell population is often dominated by CD28 CD45RAhi cells that exhibit direct ex vivo cytotoxicity but whose capacity for proliferation and generation of further memory cells has been questioned. We show that when highly purified CD28 CD45RAhi CD8+ T cells are stimulated with viral peptide presented by autologous monocytes, the virus-specific T cells show early up-regulation of CD137 (4–1BB) and CD278 (ICOS), re-express CD28, and proliferate with similarly high cloning efficiency in limiting dilution analysis as CD28+ CD45ROhi cells or CD28 CD45ROhi cells. Using peptide-pulsed autologous fibroblasts transfected with individual costimulatory ligands as antigen presenting cells, we showed CD137L to be a key costimulatory ligand for proliferation of CD28 CD45RAhi CD8+ T cells and not CD80, CD86, or CD275 (ICOSL). Therefore, CD28 CD45RAhi CD8+ T cells were not terminally differentiated but required a specific costimulatory signal for proliferation.


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