Exhaustion of cytotoxic T cells during adoptive immunotherapy of virus carrier mice can be prevented by B cells or CD4+ T cells

L Hunziker, P Klenerman… - European journal of …, 2002 - Wiley Online Library
L Hunziker, P Klenerman, RM Zinkernagel, S Ehl
European journal of immunology, 2002Wiley Online Library
Rapid disappearance of antiviral CTL after transfusion into persistently infected individuals
is a serious limitation of adoptive immunotherapy protocols. In the mouse model of persistent
infection with lymphocytic choriomeningitis virus (LCMV) naive or immune virus‐specific
donor CD8+ T cells are exhausted after transfusion into carrier recipients with similar
kinetics. Here weshow that cotransfusion of immune CD4+ T cells prevents exhaustion of
immune CD8+ T cells. Interestingly, cotransfer of primed B cells also prevented CD8+ T cell …
Abstract
Rapid disappearance of antiviral CTL after transfusion into persistently infected individuals is a serious limitation of adoptive immunotherapy protocols. In the mouse model of persistent infection with lymphocytic choriomeningitis virus (LCMV) naive or immune virus‐specific donor CD8+ T cells are exhausted after transfusion into carrier recipients with similar kinetics. Here weshow that cotransfusion of immune CD4+ T cells prevents exhaustion of immune CD8+ T cells. Interestingly, cotransfer of primed B cells also prevented CD8+ T cell exhaustion in carriers even in the absence of T helper cells. This effect required the presence of immune B cells as repetitive treatment with hyperimmune serum led to the generation of antibody escape mutants. A combination of primed CD4+ T cells and primed B cells enhanced antiviral effects and prevented exhaustion also of naive CD8+ T cells. One key factor for prevention of CD8+ T cell exhaustion was the antiviral effect of the cotransfused cells thus reducing the time that CD8+ T cells are confronted with a high systemic viral load. These findings have implications for improving adoptive immunotherapy for persistent human viral infections.
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