Effector CD4+ and CD8+ T‐cell mechanisms in the control of respiratory virus infections

PC Doherty, DJ Topham, RA Tripp… - Immunological …, 1997 - Wiley Online Library
PC Doherty, DJ Topham, RA Tripp, RD Cardin, JW Brooks, PG Stevenson
Immunological reviews, 1997Wiley Online Library
The rules for T‐cell‐mediated control of viruses that infect via the respiratory mucosae show
both common themes and differences depending on the nature of the pathogen. Virus‐
specific CD8+ cytotoxic T lymphocytes (CTLs) are the key effectors of virus clearance in mice
infected with both negative strand RNA viruses (influenza and Sendai) and a DNA virus, the
murine γ‐herpesvirus68 (MHV‐68). Recently completed experiments establish that these
activated CD8+ T cells indeed operate primarily via contact‐dependent lysis, Perform …
Summary
The rules for T‐cell‐mediated control of viruses that infect via the respiratory mucosae show both common themes and differences depending on the nature of the pathogen. Virus‐specific CD8+ cytotoxic T lymphocytes (CTLs) are the key effectors of virus clearance in mice infected with both negative strand RNA viruses (influenza and Sendai) and a DNA virus, the murine γ‐herpesvirus68 (MHV‐68). Recently completed experiments establish that these activated CD8+ T cells indeed operate primarily via contact‐dependent lysis, Perform‐mediated cytotoxicity seems to be the preferred mode, though a Fas‐based mechanism can apparently serve as an alternative mechanism. Immune CD4+ T cells functioning in the absence of the CD8+ subset cannot eliminate MHV‐68 from lung epithelial cells, are somewhat less efficient than the CD8+ CTLs at clearing the RNA viruses, and are generally ineffectual in mice that lack B lymphocytes. Though cytokine secretion by CD4+ and CD8+ T cells in the virus‐infected king may promote both T‐cell extravasation and macrophage activation, such processes are not alone sufficient to deal consistently with any d these infections. However, CD4+ T help is mandatory for an effective B‐cell response, and can operate lo promote the clonal expansion of virus‐specific CD8+ T cells in the lymph nodes and spleen. Furthermore, a concurrent CD4+ T‐cell response seems to be essential for maintaining continued CD8+ T‐cell surveillance and effector capacity through the persistent, latent phase of MHV‐68 infection in B cells. Thus, the evidence to date supports a very traditional view: CD8+ T cells function mainly as killers and the CD4+ T cells as helpers in these respiratory virus infections.
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