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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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Submitted December 6, 2004
Accepted February 28, 2005

Quiescence and functional re-programming of Epstein-Barr Virus (EBV)-specific CD8+ T cells during persistent infection

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

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

* Corresponding author; email: a.akbar{at}ucl.ac.uk.

After acute infection Epstein-Barr virus (EBV)-specific memory CD8+ T cells exit cell cycle and a proportion of these antigen-experienced cells re-express CD45RA. However the signals involved are not known. We investigated the roles of IL-15 and IFN-{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 re-expression by these cells in vitro. Different signals therefore induce quiescence and CD45RA re-expression in activated EBV-specific CD8+ T cells. After TCR activation freshly isolated CD45RA+ antigen-experienced CD8+ T cells show highly restricted proliferative activity but are highly cytotoxic and secrete IFN-{gamma} efficiently. This suggests functional re-programming towards effector function but away from proliferation. The induction of quiescence and the generation of proliferation-independent effector CD8+ T cells that re-express 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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