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Prepublished online as a Blood First Edition Paper on December 27, 2002; DOI 10.1182/blood-2002-08-2574.

Submitted August 21, 2002
Accepted December 15, 2002
CD28 loss in senescent CD4+ T cells: reversal by interleukin-12 stimulation
Kenneth J Warrington, Abbe N Vallejo, Cornelia M Weyand, and Jorg J Goronzy*
Departments of Medicine and Immunology, Mayo Clinic, Rochester, MN, USA
* Corresponding author; email: goronzy.jorg{at}mayo.edu.
CD28 is the quintessential costimulatory molecule expressed on CD4+ and CD8+ T cells. During chronic infections and the normal aging process, CD28 expression is lost, compromising the functional activity of T cells. CD28 loss is promoted by replicative stress, particularly in the presence of tumor necrosis factor- , due to an inoperative CD28 initiator element. It is currently unknown whether CD28 loss is irreversible. The present study examined cytokines for their ability to re-induce CD28 expression. CD4+CD28null T cells constitutively expressed interleukin (IL)-12 and receptors, which were functional and allowed for the upregulation of the STAT-4-dependent gene, CD161. Co-stimulation of the T-cell and IL-12 receptors induced the transcription of CD28 in ~50% of CD4+CD28null T-cell clones and lines. IL-12 by itself did not restore CD28 expression. Upregulation of CD28 after IL-12 exposure correlated with the re-assembly of the CD28 initiator protein complex. The re-expressed CD28 was functional and restored the ability of CD4+CD28null T cells to express CD25 and CD40 ligand. Our data suggest that IL-12 may, in part, functionally rescue senescent CD4+ T cells.

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