Reprogramming of antiviral T cells prevents inactivation and restores T cell activity during persistent viral infection

DG Brooks, DB McGavern… - The Journal of clinical …, 2006 - Am Soc Clin Investig
DG Brooks, DB McGavern, MBA Oldstone
The Journal of clinical investigation, 2006Am Soc Clin Investig
Failure to clear persistent viral infections results from the early loss of T cell activity. A
pertinent question is whether the immune response is programmed to fail or if
nonresponsive T cells can specifically be fixed to eliminate infection. Although evidence
indicates that T cell expansion is permanently programmed during the initial priming events,
the mechanisms that determine the acquisition of T cell function are less clear. Herein we
show that in contrast to expansion, the functional programming of T cell effector and memory …
Failure to clear persistent viral infections results from the early loss of T cell activity. A pertinent question is whether the immune response is programmed to fail or if nonresponsive T cells can specifically be fixed to eliminate infection. Although evidence indicates that T cell expansion is permanently programmed during the initial priming events, the mechanisms that determine the acquisition of T cell function are less clear. Herein we show that in contrast to expansion, the functional programming of T cell effector and memory responses in vivo in mice is not hardwired during priming but is alterable and responsive to continuous instruction from the antigenic environment. As a direct consequence, dysfunctional T cells can be functionally reactivated during persistent infection even after an initial program of inactivation has been instituted. We also show that early therapeutic reductions in viral replication facilitate the preservation of antiviral CD4+ T cell activity, enabling the long-term control of viral replication. Thus, dysfunctional antiviral T cells can regain activity, providing a basis for future therapeutic strategies to treat persistent viral infections.
The Journal of Clinical Investigation