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Blood, 15 September 2002, Vol. 100, No. 6, pp. 2153-2158
IMMUNOBIOLOGY
Human fetuses are able to mount an adultlike CD8 T-cell
response
Emmanuel Hermann,
Carine Truyens,
Cristina Alonso-Vega,
Jos Even,
Patricia Rodriguez,
Aurélie Berthe,
Eric Gonzalez-Merino,
Faustino Torrico, and
Yves Carlier
From the Laboratoire de Parasitologie, Faculté de
Médecine and the Département de Génétique
Médicale, Hôpital Erasme, Université Libre de
Bruxelles, Brussels, Belgium; CUMETROP/LABIMED, Faculdad de
Medecina, Universidad Mayor de San Simon, Cochabamba, Bolivia; and
Institut National de la Santé et de la Recherche
Médicale U277, Département d'Immunologie,
Institut Pasteur, Paris, France.
Fetal/neonatal immune responses generally are considered to be
immature and weaker than that of adults. We have studied the cord-blood
T cells of newborns congenitally infected with Trypanosoma cruzi, the protozoan agent of Chagas disease. Our data
demonstrate a predominant activation of CD8 T cells expressing
activation markers and armed to mediate effector functions. The
analysis of the T-cell receptor beta chain variable repertoire
shows the oligoclonal expansion of these T lymphocytes, indicating that activation was driven by parasite antigens. Indeed, we have detected parasite-specific CD8 T cells secreting interferon-
after coincubation with live T cruzi. This response is
enhanced in the presence of recombinant interleukin-15, which
limits the T-cell spontaneous apoptosis. These findings point out that
the fetal immune system is more competent than previously appreciated,
since fetuses exposed to live pathogens are able to develop an
adultlike immune CD8 T-cell response.

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