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Blood, 15 October 2008, Vol. 112, No. 8, pp. 3293-3302. Prepublished online as a Blood First Edition Paper on July 17, 2008; DOI 10.1182/blood-2008-02-138040.
IMMUNOBIOLOGY Selective accumulation of virus-specific CD8+ T cells with unique homing phenotype within the human bone marrow1 Cancer Research UK Institute for Cancer Studies, University of Birmingham, Birmingham, United Kingdom; 2 Garvan Institute for Medical Research, Sydney, Australia; 3 Heartlands Hospital, Birmingham, United Kingdom; and 4 Medical Research Council (MRC) Centre for Immune Regulation, University of Birmingham, Birmingham, United Kingdom
The bone marrow plays a unique role within the immune system. We compared the phenotype and function of virus-specific CD8+ T cells from matched samples of human peripheral blood and bone marrow. Analysis of virus-specific memory CD8+ T cells showed widely divergent partition of antigen-specific populations between blood and bone marrow. T cells specific for Epstein-Barr virus (EBV) lytic antigens were enriched 3-fold in marrow compared with blood, whereas the response to EBV latent epitopes was equivalent between the 2 compartments. No difference in EBV viral load or expression of the EBV lytic protein was observed between blood and bone marrow. In direct contrast, although cytomegalo-virus (CMV)–specific T cells were the largest virus-specific population within peripheral blood, they were reduced by 60% within marrow. Bone marrow T cells were found to exhibit a unique CCR5+CXCR6+CXCR3– homing phenotype which has not been observed on T cells from other secondary lymphoid organs or peripheral organs. Expression of CCR5 and CXCR6 was higher on EBV-specific T cells within peripheral blood compared with CMV-specific populations. These observations identify a novel bone marrow homing phenotype for CD8+ memory T cells, which necessitates a reevaluation of the magnitude of antigen-specific populations within the lymphoid system.
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