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Blood, 15 July 2005, Vol. 106, No. 2, pp. 558-565.
Prepublished online as a Blood First Edition Paper on March 29, 2005; DOI 10.1182/blood-2004-11-4469.


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IMMUNOBIOLOGY

Quiescence and functional reprogramming of Epstein-Barr virus (EBV)–specific CD8+ T cells during persistent infection

Pádraic J. Dunne, Lavina Belaramani, Jean M. Fletcher, Silvia Fernandez de Mattos, Maria Lawrenz, Maria Vieira D. Soares, Malcolm H. A. Rustin, Eric W.-F. Lam, Mike Salmon, and Arne N. Akbar

From the Division of Infection and Immunity, University College London, United Kingdom; the Division of Medicine, Cancer Research UK Laboratories, Department of Cancer Medicine, Imperial College London, Hammersmith Hospital, London, United Kingdom; the Department of Dermatology, HIV Research Unit, and Department of Chemical Pathology and Human Metabolism, Royal Free Hospital, London, United Kingdom; and the Medical Research Council Center for Immune Regulation, Birmingham University, Birmingham, United Kingdom.

After acute infection Epstein-Barr virus (EBV)–specific memory CD8+ T cells exit cell cycle, and a proportion of these antigen-experienced cells reexpress CD45RA (CD45 which predominantly express exon A). However, the signals involved are not known. We investigated the roles of interleukin 15 (IL-15) and interferon-{alpha}/{beta} (IFN-I) in these processes, since these mediators have a crucial but undefined role in the maintenance of CD8+ T-cell memory. We show that IFN-I (but not IL-15) allows activated EBV-specific CD8+ T cells to leave cell cycle without entering apoptosis. This was associated with up-regulation of the cyclin inhibitor p27, but not of CD45RA. In contrast, IL-15 (but not IFN-I) induced "homeostatic" proliferation and CD45RA reexpression by these cells in vitro. Different signals, therefore, induce quiescence and CD45RA reexpression in activated EBV-specific CD8+ T cells. After T-cell receptor (TCR) activation freshly isolated CD45RA+ antigen-experienced CD8+ T cells show poor proliferative activity but are highly cytotoxic and secrete IFN-{gamma} efficiently. This suggests functional reprogramming toward effector function but away from proliferation. The induction of quiescence and the generation of proliferation-independent effector CD8+ T cells that reexpress CD45RA may minimize the impact of replicative senescence in virus-specific populations that would otherwise occur during decades of persistent infection.


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