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Blood, 15 August 2008, Vol. 112, No. 4, pp. 1317-1324.
Prepublished online as a Blood First Edition Paper on June 6, 2008; DOI 10.1182/blood-2008-01-136713.
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IMMUNOBIOLOGY
Long-term expansion of effector/memory V 2–  T cells is a specific blood signature of CMV infection
Vincent Pitard1,2,
David Roumanes1,2,
Xavier Lafarge1,2,
Lionel Couzi13,
Isabelle Garrigue1,4,
Marie-Edith Lafon1,4,
Pierre Merville13,
Jean-François Moreau1,2,5, and
Julie Déchanet-Merville1,2
1 Université Bordeaux 2, Bordeaux;
2 Centre National de la Recherche Scientifique (CNRS) UMR 5164, Bordeaux;
3 Département de Néphrologie et Transplantation Rénale,
4 Laboratoire de Virologie, and
5 Laboratoire d'Immunologie, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France
The ability of human  T cells to develop immunologic memory is still a matter of debate. We previously demonstrated the involvement of V 2–  T lymphocytes in the response of immunosuppressed organ recipients to cytomegalovirus (CMV). Here, we demonstrate their ability to mount an adaptive immune response to CMV in immunocompetent subjects. V 2–  T-cell peripheral blood numbers, repertoire restriction, and cytotoxicity against CMV-infected fibroblasts were markedly increased in CMV-seropositive, compared with CMV-seronegative, healthy persons. Whereas V 2–  T cells were found as naive cells in CMV– patients, they virtually all exhibited the cytotoxic effector/memory phenotype in CMV+ patients, which is also observed in transplanted patients challenged with CMV. This long-term complete remodeling of the V 2–  T-cell population by CMV predicts their ability to exhibit an adaptive anti-CMV immune response. Consistent with this, we observed that the secondary response to CMV was associated with a faster  T-cell expansion and a better resolution of infection than the primary response. In conclusion, the increased level of effector-memory V 2–  T cells in the peripheral blood is a specific signature of an adaptive immune response to CMV infection of both immunocompetent and immunosuppressed patients.

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