Cytomegalovirus (CMV) epitope-specific CD4+ T cells are inflated in HIV+ CMV+ subjects

Chike O. Abana, Mark A. Pilkinton, Silvana Gaudieri, Abha Chopra, Wyatt J. McDonnell, Celestine Wanjalla, Louise Barnett, Rama Gangula, Cindy Hager, Dae K. Jung, Brian G. Engelhardt, Madan H. Jagasia, Paul Klenerman, Elizabeth J. Phillips, David M. Koelle, Spyros A. Kalams, Simon A. Mallal

Research output: Contribution to journalArticlepeer-review

32 Citations (Scopus)


Select CMVepitopes drive life-long CD8+ T cell memory inflation, but the extent of CD4 memory inflation is poorly studied. CD4+ T cells specific for human CMV (HCMV) are elevated in HIV+ HCMV+ subjects. To determine whether HCMV epitope-specific CD4+ T cell memory inflation occurs during HIV infection, we used HLA-DR7 (DRB1∗07:01) tetramers loaded with the glycoprotein B DYSNTHSTRYV (DYS) epitope to characterize circulating CD4+ T cells in coinfected HLA-DR7+ long-term nonprogressor HIV subjects with undetectable HCMV plasma viremia. DYS-specific CD4+ T cells were inflated among these HIV+ subjects compared with those from an HIV2 HCMV+ HLA-DR7+ cohort or with HLA-DR7-restricted CD4+ T cells from the HIVcoinfected cohort that were specific for epitopes of HCMV phosphoprotein-65, tetanus toxoid precursor, EBV nuclear Ag 2, or HIV gag protein. Inflated DYS-specific CD4+ T cells consisted of effector memory or effector memory-RA+ subsets with restricted TCRb usage and nearly monoclonal CDR3 containing novel conserved amino acids. Expression of this near-monoclonal TCR in a Jurkat cell-transfection system validated fine DYS specificity. Inflated cells were polyfunctional, not senescent, and displayed high ex vivo levels of granzyme B, CX3CR1, CD38, or HLA-DR but less often coexpressed CD38+ and HLA-DR+. The inflation mechanism did not involve apoptosis suppression, increased proliferation, or HIV gag cross-reactivity. Instead, the findings suggest that intermittent or chronic expression of epitopes, such as DYS, drive inflation of activated CD4+ T cells that home to endothelial cells and have the potential to mediate cytotoxicity and vascular disease.

Original languageEnglish
Pages (from-to)3187-3201
Number of pages15
JournalJournal of Immunology
Issue number9
Publication statusPublished - 1 Nov 2017


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