Severity of infectious mononucleosis correlates with the frequency of crossreactive influenza A/Epstein Barr virus-specific CD8+ T cells (HUM4P.301)

Autor: Liisa Selin, Levi Watkin, Anna Gil, Rabinarayan Mishra, Katherine Luzuriaga, Nuray Aslan
Rok vydání: 2015
Předmět:
Zdroj: The Journal of Immunology. 194:122.8-122.8
ISSN: 1550-6606
0022-1767
DOI: 10.4049/jimmunol.194.supp.122.8
Popis: During EBV-associated infectious mononucleosis (IM) IAV-specific crossreactive memory T cells are activated and play a role in disease severity. In HLA-A2+ IM patients, influenza M158 (IAV-M1)-specific CD8 memory T cell responses crossreacted with two different EBV lytic epitopes, BMLF1280 (17/29) and BRLF1109 (19/20). Disease severity of IM directly correlated with significantly increased frequencies of crossreactive IAV-M1/EBV-BMLF1, IAV-M1, and EBV-BMLF1 specific CD8 cells, and with mean viral load over the first 5 weeks of infection. Disease severity did not correlate with BRLF1 or M1/BRLF1 crossreactive responses. When severity of IM was scored and patients were assigned to either mild or severe groups, disease severity correlated with specific TCR Vb usage in IAV-M1 population suggesting that TcR selection is driving disease outcome. Consistent with crossreactive responses driving increased immunopathology was the observation that tetramer-sorted crossreactive responses had completely altered immune response signatures than cognate responses by gene array. These results suggest that T cell crossreactivity impacts T cell selection and function and ultimately disease outcome. Insights on these issues are important for the intelligent design of vaccines and to develop therapeutic interventions for virally induced disease (NIHAI49320).
Databáze: OpenAIRE