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Broadly targeted human cytomegalovirus-specific CD4 + and CD8 + T cells dominate the memory compartments of exposed subjects
Open accessAbstract
Human cytomegalovirus (HCMV) infections of immunocompetent hosts are characterized by a dynamic, life-long interaction in which host immune responses, particularly of T cells, restrain viral replication and prevent disease but do not eliminate the virus or preclude transmission. Because HCMV is among the largest and most complex of known viruses, the T cell resources committed to maintaining this balance have never been characterized completely. Here, using cytokine flow cytometry and 13,687 overlapping 15mer peptides comprising 213 HCMV open reading frames (ORFs), we found that 151 HCMV ORFs were immunogenic for CD4+ and/or CD8+ T cells, and that ORF immunogenicity was influenced only modestly by ORF expression kinetics and function. We further documented that total HCMV-specific T cell responses in seropositive subjects were enormous, comprising on average ∼10% of both the CD4+ and CD8+ memory compartments in blood, whereas cross-reactive recognition of HCMV proteins in seronegative individuals was limited to CD8+ T cells and was rare. These data provide the first glimpse of the total human T cell response to a complex infectious agent and will provide insight into the rules governing immunodominance and cross-reactivity in complex viral infections of humans.
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“Infection with CMV causes a large accumulation of virus-specific memory T cells, so that approximately 10 % of the CD4+ and CD8+ T cell pool becomes specific for this virus (Sylwester et al. 2005).”
From Is immunosenescence influenced by our lifetime “dose” of exercise? (2016) · cites this paper as Sylwester et al. 2005
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“It is therefore currently unknown whether values such as 10 % of the CD4+ and CD8+ T cell pool being specific for CMV is above, or below, the ideal threshold (Sylwester et al. 2005).”
From Is immunosenescence influenced by our lifetime “dose” of exercise? (2016) · cites this paper as Sylwester et al. 2005
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Duration of antiviral immunity after smallpox vaccination
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ResultSelf-citationHuman cytomegalovirus clinical isolates carry at least 19 genes not found in laboratory strains
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“merous ORFs compared with other CMV strains (44), so we added added”
BackgroundIdentification of Proteins in Human Cytomegalovirus (HCMV) Particles: the HCMV Proteome
Varnum, S. M., Streblow, D. N., Monroe, M. E., Smith, P., Auberry, K. J., Paša-Tolić, L., Wang, D., Camp, D. G., Rodland, K., Wiley, S., et al. (2004) · Journal of Virology · doi:10.1128/jvi.78.20.10960-10966.2004 · Cited by 598 · cited 2×
“in highly purified HCMV virions, as determined by proteomic analysis (22),”
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“We found no evidence of CD4 T cell reactivity with HCMV epitopes in HCMV-seronegative subjects, extending previous work that demonstrated a lack of reactivity to HCMV whole viral preparations in such subjects (9, 39).”
BackgroundResultSelf-citationCoding potential of laboratory and clinical strains of human cytomegalovirus
Murphy, E. A., Yu, D. L., Grimwood, J., Schmutz, J., Dickson, M. C., Jarvis, M. A., Hahn, G., Nelson, J. A., Myers, R., & Shenk, T. E. (2003) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2136652100 · Cited by 499 · cited 1×
“At the time of this writing, sequence data for six different HCMV strains—two laboratory strains (AD169 and Towne) and four clinical strains (Toledo, FIX, PH, and TR)—were available for 160 ORFs (23).”
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Predicting Cross-Reactivity and Antigen Specificity of T Cell Receptors
Lee, C. H.-J., Salio, M., Napolitani, G., Ogg, G. S., Simmons, A., & Koohy, H. (2020) · Frontiers in Immunology · doi:10.3389/fimmu.2020.565096 · Cited by 71
Cytomegalovirus: a culprit or protector in multiple sclerosis?
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Ameres, S., Mautner, J., Schlott, F., Neuenhahn, M., Busch, D. H., Plachter, B., & Moosmann, A. (2013) · PLoS Pathogens · doi:10.1371/journal.ppat.1003383 · Cited by 61
“Various HCMV antigens are targeted by CD8+ T cells [10,11], but only a small number of antigens elicit immunodominant responses in a majority of healthy carriers [11,12].”
Battle between Host Immune Cellular Responses and HCMV Immune Evasion
Manandhar, T., Hò, G. T., Pump, W. C., Blasczyk, R., & Bade‐Doeding, C. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20153626 · Cited by 65
“Apart from these two proteins, it is possible that the HCMV immune evasion proteins could also harbor immunodominant epitopes that are likely to be presented by a given HLA molecule on the surface of the virus-infected cell and elicit cellular immunity [89].”
InfluentialBaba, R. E., & Herbein, G. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.730765 · Cited by 67
“The recruitment of HCMV-specific T-cells into the memory compartment is stimulated by the relatively prolonged viral replication of HCMV since T-cells are mandatory to limit HCMV viral replication and impede certain diseases (50).”
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“PD-1 up-regulation was detected not only on CD8 T cells specific for pp65 from different HLA types [15] but also on CD8 T cells specific for other CMV antigens, such as IE1 and pp50 [25].”
Preventing or Reversing Immunosenescence: Can Exercise be an Immunotherapy?
de Araújo, A. L., Silva, L. C., Fernandes, J. R., & Benard, G. (2013) · Immunotherapy · doi:10.2217/imt.13.77 · Cited by 64
Priming of CD8+ T Cells against Cytomegalovirus-Encoded Antigens Is Dominated by Cross-Presentation
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Interferon-Independent Innate Responses to Cytomegalovirus
Ashley, C. L., Abendroth, A., McSharry, B. P., & Slobedman, B. (2019) · Frontiers in Immunology · doi:10.3389/fimmu.2019.02751 · Cited by 65
“Just as HCMV infection can profoundly alter the overall adaptive immune response (8) (9) (10) (11) (12) (13) , it also generates a powerful innate response.”
BackgroundInhibition of IFN-γ-Induced STAT1 Tyrosine Phosphorylation by Human CMV Is Mediated by SHP2
Baron, M., & Davignon, J. (2008) · The Journal of Immunology · doi:10.4049/jimmunol.181.8.5530 · Cited by 65
“This contrasts with the high frequency of CD4 T cells specific for HCMV Ags (41).”
ResultGrassmann, S. A., Mihatsch, L., Mir, J., Kazeroonian, A., Rahimi, R., Flommersfeld, S., Schober, K., Hensel, I., Leube, J., Pachmayr, L. O., et al. (2020) · Nature Immunology · doi:10.1038/s41590-020-00807-y · Cited by 60
Arens, R., Loewendorf, A. I., Redeker, A., Sierro, S. R., Boon, L., Klenerman, P., Benedict, C. A., & Schoenberger, S. P. (2011) · The Journal of Immunology · doi:10.4049/jimmunol.1003231 · Cited by 57
Immune epitope mapping in the post-genomic era: lessons for vaccine development
Sette, A., & Peters, B. (2006) · Current Opinion in Immunology · doi:10.1016/j.coi.2006.11.002 · Cited by 60
Understanding Frailty, Aging, and Inflammation in HIV Infection
Leng, S. X., & Margolick, J. B. (2015) · Current HIV/AIDS Reports · doi:10.1007/s11904-014-0247-3 · Cited by 64
Gredmark‐Russ, S., Cheung, E. J., Isaacson, M. K., Ploegh, H. L., & Grotenbreg, G. M. (2008) · Journal of Virology · doi:10.1128/jvi.01463-08 · Cited by 60
Biphasic role of 4‐1BB in the regulation of mouse cytomegalovirus‐specific CD8+ T cells
Humphreys, I. R., Lee, S., Jones, M., Loewendorf, A. I., Emma Gostick, D., Price, D. A., Benedict, C. A., Ware, C. F., & Croft, M. (2010) · European Journal of Immunology · doi:10.1002/eji.200940256 · Cited by 60
Prevention of maternal cytomegalovirus infection: current status and future prospects
Schleiss (2010) · International Journal of Women s Health · doi:10.2147/ijwh.s5782 · Cited by 60
Cytomegalovirus infection exacerbates autoimmune mediated neuroinflammation
Vanheusden, M., Broux, B., Welten, S. P. M., Peeters, L. M., Panagioti, E., Wijmeersch, B. V., Somers, V. A., Stinissen, P., Arens, R., & Hellings, N. (2017) · Scientific Reports · doi:10.1038/s41598-017-00645-3 · Cited by 60
Schachtner, T., Stein, M., & Reinke, P. (2017) · Transplantation · doi:10.1097/tp.0000000000001825 · Cited by 60
The Contribution of Cytomegalovirus Infection to Immune Senescence Is Set by the Infectious Dose
Redeker, A., Remmerswaal, E. B. M., van der Gracht, E. T. I., Welten, S. P. M., Höllt, T., Koning, F., Čičin‐Šain, L., Nikolich‐Žugich, J., ten Berge, I. J. M., van Lier, R. A. W., et al. (2018) · Frontiers in Immunology · doi:10.3389/fimmu.2017.01953 · Cited by 63
“Compared to other infections, extraordinary high memory T cell frequencies, on average ~10% of the total memory T cell compartment, are noticed in peripheral blood of healthy individuals (3).”
BackgroundBrown, A. J., Snapkov, I., Akbar, R., Pavlović, M., Miho, E., Sandve, G. K., & Greiff, V. (2019) · Molecular Systems Design & Engineering · doi:10.1039/c9me00071b · Cited by 59
Immune Regulation of Human Herpesviruses and Its Implications for Human Transplantation
Smith, C., & Khanna, R. (2013) · American Journal of Transplantation · doi:10.1111/ajt.12005 · Cited by 59
“These observations, and studies demonstrating that up to 70% of the open reading frames of CMV may be targeted by the T cell immune response (52), further emphasize the complexity of CMV-specific T cell immunity.”
ResultDiversity in CD8+ T Cell Function and Epitope Breadth Among Persons with Genital Herpes
Laing, K. J., Magaret, A., Mueller, D. E., Zhao, L., Johnston, C., Rosa, S. C. D., Koelle, D. M., Wald, A., & Corey, L. (2010) · Journal of Clinical Immunology · doi:10.1007/s10875-010-9441-2 · Cited by 59
“Positive control pools containing CEF and CMV peptides were obtained through the NIH AIDS Research and Reference Reagent Program, Division of AIDS, NIAID, NIH: CEF control peptide pool (Cat # 9808) from DAIDS, NIAID; CMV pp65 peptide mix (Cat # 551969) from BD Biosciences.”
ResultInfluentialQiu, Z., Huang, H., Grenier, J. M., Perez, O. A., Smilowitz, H. M., Adler, B., & Khanna, K. M. (2015) · Cancer Immunology Research · doi:10.1158/2326-6066.cir-14-0044 · Cited by 59
“Immunization with MCMV-OVA induces a potent and long-lasting polyfunctional CD8þ T-cell response Human CMV (HCMV) infection induces a high frequency of polyfunctional CD8þ T cells (34).”
BackgroundExtracellular Lactate: A Novel Measure of T Cell Proliferation
Grist, J. T., Jarvis, L. B., Georgieva, Z. G., Thompson, S. A. J., Sandhu, H. K., Burling, K., Clarke, A., Jackson, S. E., Wills, M. R., Gallagher, F. A., et al. (2017) · The Journal of Immunology · doi:10.4049/jimmunol.1700886 · Cited by 59
“, as a read-out of CMV exposure status) (11).”
BackgroundMethodImmune memory and aging: an infinite or finite resource?
Nikolich-Žugich, J., & Rudd, B. D. (2010) · Current Opinion in Immunology · doi:10.1016/j.coi.2010.06.011 · Cited by 58
“However, over time the pool of memory T cells dedicated to controlling persistent pathogens may continue to expand [20] and can comprise up to 50% of the human memory pool [21].”
The Tiers and Dimensions of Evasion of the Type I Interferon Response by Human Cytomegalovirus
Amsler, L., Verweij, M. C., & DeFilippis, V. R. (2013) · Journal of Molecular Biology · doi:10.1016/j.jmb.2013.08.023 · Cited by 61
“This control includes the activities of both CD8+ and CD4+ T-cells; remarkably, the proportion of these cells in peripheral blood directed toward HCMV-specific antigens can be up to 40% in aged hosts [18,19].”
BackgroundJing, L., Davies, D. H., Chong, T. M., Chun, S., McClurkan, C. L., Huang, J., Story, B. T., Molina, D. M., Hirst, S., Felgner, P. L., et al. (2008) · Journal of Virology · doi:10.1128/jvi.00453-08 · Cited by 58
“surveyed the CD4 response to human cytomegalovirus (CMV) using overlapping peptides covering the entire proteome and a direct PBMC IFN- ICC readout (68).”
MethodCytomegalovirus and HIV Persistence: Pouring Gas on the Fire
Christensen-Quick, A., Vanpouille, C., Lisco, A., & Gianella, S. (2017) · AIDS Research and Human Retroviruses · doi:10.1089/aid.2017.0145 · Cited by 60
“In a complex host–virus relationship, CMV elicits and maintains a high frequency of virus-specific T cells that engage in a life-long effort to restrain CMV replication and prevent disease.(8,17) Since CMV replication is enhanced by inflammatory stimuli, the virus developed ingenious strategies to induce and augment i…”
Human virus‐specific CD8+ T cells: diversity specialists
van Leeuwen, E. M. M., de Bree, G. J., ten Berge, I. J. M., & van Lier, R. A. W. (2006) · Immunological Reviews · doi:10.1111/j.0105-2896.2006.00379.x · Cited by 57
“This observation, together with recent findings by the Picker group (43) of very high frequencies of CMV-specific T cells in CMV-seropositive donors, shows that CMV infection has a major impact on the CD8 T-cell compartment.”
BackgroundResultLeng, S. X., Qu, T., Semba, R. D., Li, H., Xu, Y., Nilles, T. L., Yang, X., Manwani, B., Walston, J. D., Ferrucci, L., et al. (2011) · AGE · doi:10.1007/s11357-011-9205-9 · Cited by 57
“A recent study in CMV IgG-seropositive young adults found that up to 5% of CD4 and CD8 T cells were CMV specific, suggesting that a significant portion of the T cell repertoire is devoted to this virus (Sylwester et al. 2005).”
The important role of non‐covalent drug‐protein interactions in drug hypersensitivity reactions
Pichler, W. J. (2021) · Allergy · doi:10.1111/all.14962 · Cited by 56
Kaminski, H., Marsères, G., Yared, N., Nokin, M., Pitard, V., Zouine, A., Garrigue, I., Loizon, S., Capone, M., Gauthereau, X., et al. (2021) · Journal of the American Society of Nephrology · doi:10.1681/asn.2020121753 · Cited by 59
“CMVspecific CD81 T cells were gated as double positive cells for IFNg and CD69, as previously described.(34) PBMCs stained for intracellular markers were permeabilized, fixed using Fixation/Permeabilization Solution (BD Biosciences), and processed on the BD LSRFortessa cytometer (BD Biosciences).”
MethodHuman Cytomegalovirus: Propagation, Quantification, and Storage
Britt, W. J. (2010) · Current Protocols in Microbiology · doi:10.1002/9780471729259.mc14e03s18 · Cited by 56
“In some normal individuals, up to 5% of circulating CD8+ T lymphocytes may be HCMV specific, raising the possibility that persistence of HCMV CD8+ in normal hosts may lead to immune senescence through chronic stimulation of the host antiviral immune response (Sylwester et al., 2005).”
BackgroundDavis, Z., Cooley, S., Cichocki, F. M., Felices, M., Wangen, R., Luo, X., DeFor, T. E., Bryceson, Y. T., Diamond, D. J., Brunstein, C. G., et al. (2015) · Transplantation and Cellular Therapy · doi:10.1016/j.bbmt.2015.05.025 · Cited by 57
IL-10 Restricts Memory T Cell Inflation during Cytomegalovirus Infection
Jones, M., Ladell, K., Wynn, K. K., Stacey, M. A., Quigley, M. F., Emma Gostick, D., Price, D. A., & Humphreys, I. R. (2010) · The Journal of Immunology · doi:10.4049/jimmunol.1001535 · Cited by 56
“immune competent humans and mice (17, 18), a phenomenon that has been termed “memory inflation” (19).”
BackgroundFarrington, L. A., Smith, T. A., Grey, F. E., Hill, A. B., & Snyder, C. M. (2013) · The Journal of Immunology · doi:10.4049/jimmunol.1203151 · Cited by 56
“target epitopes expressed with IE, E, and L kinetics (11), and cells”
Persistent Herpesvirus Infections and Telomere Attrition Over 3 Years in the Whitehall II Cohort
Dowd, J. B., Bosch, J. A., Steptoe, A., Jayabalasingham, B., Lin, J., Yolken, R. H., & Aiello, A. E. (2017) · The Journal of Infectious Diseases · doi:10.1093/infdis/jix255 · Cited by 56
“The containment of herpesvirus replication takes up considerable immune resources, with CMV in particular seeming to be immunodominant, becoming the primary target of 10%–30% of all circulating CD4 T lymphocytes and up to 50% of all circulating CD8 T lymphocytes in CMV infected elderly individuals [15, 16].”
BackgroundNelson, C. S., Herold, B. C., & Permar, S. R. (2018) · npj Vaccines · doi:10.1038/s41541-018-0074-4 · Cited by 57
Cytomegalovirus: A Troll in the ICU? Overview of the Literature and Perspectives for the Future
Schildermans, J., & Vlieger, G. D. (2020) · Frontiers in Medicine · doi:10.3389/fmed.2020.00188 · Cited by 56
“Approximately 10% of all circulating CD4+ and CD8+ T cells are involved in this process (4).”
BackgroundMoving Past Ganciclovir and Foscarnet: Advances in CMV Therapy
Hakki, M. (2020) · Current Hematologic Malignancy Reports · doi:10.1007/s11899-020-00557-6 · Cited by 55
Klyushnenkova, E., Kouiavskaia, D., Parkins, C., Caposio, P., Botto, S., Alexander, R., & Jarvis, M. A. (2012) · Journal of immunotherapy · doi:10.1097/cji.0b013e3182585d50 · Cited by 52
Tissue‐resident T cells, in situ immunity and transplantation
Turner, D., Gordon, C. L., & Färber, D. L. (2014) · Immunological Reviews · doi:10.1111/imr.12149 · Cited by 57
“HCMV-specific CD4 T cells are also found abundantly in circulation—up to 10% of peripheral blood memory CD4 T cells in adults (128).”
Backgroundvan den Heuvel, D., Jansen, M. A. E., Dik, W. A., Bouallouch-Charif, H., Zhao, D., van Kester, K. A. M., Nijenhuis, M. S.-T., Kolijn-Couwenberg, M. J., Jaddoe, V. W. V., Arens, R., et al. (2015) · The Journal of Infectious Diseases · doi:10.1093/infdis/jiv369 · Cited by 54
T‐Cell Phenotypes Predictive of Frailty and Mortality in Elderly Nursing Home Residents
Johnstone, J., Parsons, R., Botelho, F. M., Millar, J., McNeil, S., Fülöp, T., McElhaney, J. E., Andrew, M. K., Walter, S. D., Devereaux, P. J., et al. (2016) · Journal of the American Geriatrics Society · doi:10.1111/jgs.14507 · Cited by 55
“To determine T-cell reactivity to CMV, responses to CMV pp65 were tested, but T-cell reactivity is broader than to CMV pp65 alone.(41) In addition, the frailty analysis was conducted as a cross-sectional study; future study is needed to determine whether the immune biomarkers identified in the current study predict fr…”
BackgroundCytomegalovirus (CMV) Epitope–Specific CD4+ T Cells Are Inflated in HIV+ CMV+ Subjects
Abana, C. O., Pilkinton, M. A., Gaudieri, S., Chopra, A., McDonnell, W. J., Wanjalla, C. N., Barnett, L. D., Gangula, R., Hager, C. C., Jung, D. K., et al. (2017) · The Journal of Immunology · doi:10.4049/jimmunol.1700851 · Cited by 56
Litjens, N. H. R., de Wit, E. A., & Betjes, M. G. H. (2011) · Immunity & Ageing · doi:10.1186/1742-4933-8-2 · Cited by 54
“The relative large CMV-related increase in total T cell numbers (> 30%) indicate a bystander effect on other T cells [10] which is in accordance with the discrepancy noted between e.”
BackgroundResultTissue maintenance of CMV-specific inflationary memory T cells by IL-15
Baumann, N. S., Torti, N., Welten, S. P. M., Barnstorf, I., Borsa, M., Pallmer, K., Oduro, J. D., Čičin-Šain, L., Ikuta, K., Ludewig, B., et al. (2018) · PLoS Pathogens · doi:10.1371/journal.ppat.1006993 · Cited by 53
Aging and Options to Halt Declining Immunity to Virus Infections
Palacios-Pedrero, M. Á., Osterhaus, A. D. M. E., Becker, T., Elbahesh, H., Rimmelzwaan, G. F., & Saletti, G. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.681449 · Cited by 55
Varani, S., Frascaroli, G., Landini, M. P., & Söderberg‐Nauclér, C. (2009) · Reviews in Medical Virology · doi:10.1002/rmv.609 · Cited by 55
“Despite the functional debilitation of infected APCs, large numbers of specific effector and memory CD4þ and CD8þ T-cells develop during acute HCMV infection and help clear a productive infection [69,70].”
BackgroundT Cells Engineered with a Cytomegalovirus-Specific Chimeric Immunoreceptor
Full, F., Lehner, M., Thonn, V., Goetz, G., Scholz, B., Kaufmann, K. B., Mach, M., Abken, H., Holter, W., & Ensser, A. (2010) · Journal of Virology · doi:10.1128/jvi.02117-09 · Cited by 54
Miles, D. J. C., Sanneh, M., Holder, B. S., Crozier, S., Nyamweya, S., Touray, E. S., Palmero, M. S., Zaman, S. M. A., Rowland‐Jones, S., van der Sande, M. A. B., et al. (2008) · Immunology · doi:10.1111/j.1365-2567.2007.02787.x · Cited by 53
Zhang, H. H., Song, K., Rabin, R. L., Hill, B. J., Perfetto, S. P., Roederer, M., Douek, D. C., Siegel, R. M., & Farber, J. M. (2010) · The Journal of Immunology · doi:10.4049/jimmunol.0904156 · Cited by 55
Reddehase, M. J. (2016) · Frontiers in Immunology · doi:10.3389/fimmu.2016.00294 · Cited by 54
““Immunodominant epitopes” (IDEs) differ between human individuals (56) and between different mouse strains (30, 121), reflecting MHC-I polymorphism on the host population level.”
BackgroundBowyer, G., Sharpe, H., Venkatraman, N., Ndiaye, P. B., Wade, D., Brenner, N., Mentzer, A. J., Mair, C., Waterboer, T., Lambe, T., et al. (2020) · The Journal of Experimental Medicine · doi:10.1084/jem.20200004 · Cited by 52
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Wistuba-Hamprecht, K., Frasca, D., Blomberg, B., Pawelec, G., & Derhovanessian, E. (2013) · Immunity & Ageing · doi:10.1186/1742-4933-10-26 · Cited by 52
“In fact a large fraction of these cells can be specific for this single virus [13], which can lead to an accumulation of late-differentiated CD8 T-cells, recip-”
A vaccine against cytomegalovirus: how close are we?
Permar, S. R., Schleiss, M. R., & Plotkin, S. A. (2025) · Journal of Clinical Investigation · doi:10.1172/jci182317 · Cited by 53
“In total, more than 151 HCMV ORFs were immunogenic for CD4 + and/or CD8 + T cell responses (115).”
Brok, H., Boven, L. A., van Meurs, M., de Rosbo, N. K., Paul, A., Kap, Y. S., Jagessar, A., Hintzen, R. Q., Keir, G., Bajramovic, J. J., et al. (2006) · Journal of Neuroimmunology · doi:10.1016/j.jneuroim.2006.10.010 · Cited by 53
Effect of Probiotic Supplement on Cytokine Levels in HIV-Infected Individuals: A Preliminary Study
Falasca, K., Vecchiet, J., Ucciferri, C., Nicola, M. D., D’Angelo, C., & Reale, M. (2015) · Nutrients · doi:10.3390/nu7105396 · Cited by 53
“The majority of HIV-infected individuals is prone to coinfection with subsequent immune activation [13].”
BackgroundSei, J. J., Cox, K. S., Dubey, S. A., Antonello, J. M., Krah, D. L., Casimiro, D. R., & Vora, K. A. (2015) · Frontiers in Immunology · doi:10.3389/fimmu.2015.00553 · Cited by 55
“selection of VZV antigens Naturally acquired CMV infection elicits broad and strong T cell responses with 151 out of 231 ORF being immunogenic against CD4 and/or CD8 T cells (37).”
BackgroundMeesing, A., Abraham, R. S., & Razonable, R. R. (2018) · Transplantation · doi:10.1097/tp.0000000000002396 · Cited by 53
“The role of T cells in modulating the immune response to CMV has been extensively studied.(16-19) These studies highlight the clinical association between CMV disease and the numerical and functional impairment in T cells.”
BackgroundJackson, S. E., Sedikides, G. X., Okecha, G., & Wills, M. R. (2019) · Medical Microbiology and Immunology · doi:10.1007/s00430-019-00598-6 · Cited by 52
A fifty-year odyssey: prospects for a cytomegalovirus vaccine in transplant and congenital infection
Diamond, D. J., Rosa, C. L., Chiuppesi, F., Contreras, H., Dadwal, S., Wussow, F., Bautista, S., Nakamura, R., & Zaia, J. A. (2018) · Expert Review of Vaccines · doi:10.1080/14760584.2018.1526085 · Cited by 52
“This result demonstrates that a minimal cytotoxic epitope of nine amino acids is sufficient to elicit CTL that will protect against a lethal viral infection [163].”
BackgroundInfluentialLilleri, D., Zelini, P., Fornara, C., Comolli, G., & Gerna, G. (2007) · American Journal of Transplantation · doi:10.1111/j.1600-6143.2007.01890.x · Cited by 52
“This confirms that in some subjects the HCMV-specific T-cell repertoire is directed towards other viral proteins than pp65 and IE-1, and some subjects do not generate a detectable memory T-cell pool recognizing these two immunodominant HCMV antigens (14,15,17).”
BackgroundResultMoss, P. A. H. (2010) · Current Opinion in Immunology · doi:10.1016/j.coi.2010.07.001 · Cited by 52
Hart, B. A. ‘., Jagessar, S. A., Haanstra, K. G., Verschoor, E. J., Laman, J. D., & Kap, Y. S. (2013) · Frontiers in Immunology · doi:10.3389/fimmu.2013.00145 · Cited by 52
“Cytotoxic T cells isolated from rhesus monkeys sensitized against MOG34–56 were found to proliferate ex vivo against peptide 981–1003 from the UL86 ORF-encoded major capsid protein, an immunodominant antigen of CMV (Sylwester et al., 2005).”
BackgroundInfluentialChiu, Y., Lin, C.-H., Sung, B.-Y., Chuang, Y., Schneck, J. P., Kern, F., Pawelec, G., & Wang, G. C. (2016) · Scientific Reports · doi:10.1038/srep19227 · Cited by 54
Self-citationHigh T-cell response to human cytomegalovirus induces chemokine-mediated endothelial cell damage
Bolovan‐Fritts, C., Trout, R. N., & Spector, S. A. (2007) · Blood · doi:10.1182/blood-2007-03-078881 · Cited by 52
Known unknowns: how might the persistent herpesvirome shape immunity and aging?
Nikolich-Zugich, J., Goodrum, F., Knox, K., & Smithey, M. J. (2017) · Current Opinion in Immunology · doi:10.1016/j.coi.2017.07.011 · Cited by 51
Mutnal, M. B., Hu, S., Little, M. R., & Lokensgard, J. R. (2011) · Journal of NeuroVirology · doi:10.1007/s13365-011-0042-5 · Cited by 51
“Infection of both mice and humans with CMV elicits broad CD8(+) T cell responses specific for an array of viral antigens (Holtappels et al. 2008; Munks et al. 2006; Sylwester et al. 2005).”
Abel, K., Martinez, J., Yue, Y., Lacey, S. F., Wang, Z., Strelow, L. I., Dasgupta, A., Li, Z., Schmidt, K. A., Oxford, K. L., et al. (2010) · Journal of Virology · doi:10.1128/jvi.00883-10 · Cited by 51
Rocha, C. S., Hirao, L. A., Weber, M. G., Méndez‐Lagares, G., Chang, W. L. W., Jiang, G., Deere, J. D., Sparger, E. E., Roberts, J. N., Barry, P. A., et al. (2018) · Journal of Virology · doi:10.1128/jvi.00167-18 · Cited by 53
“About 10% of memory T cells are found to be CMV-specific in healthy adults with long-term subclinical CMV infection, suggesting interactions between the host immune system and the virus (7).”
BackgroundSolano, C., Benet, I., Clari, M. Á., Nieto, J. B., de la Cámara, R., Lopez, J., Hernández‐Boluda, J. C., Remigia, M. J., Jarque, I., Calabuig, M., et al. (2008) · Haematologica · doi:10.3324/haematol.12880 · Cited by 51
“Some patients not developing active CMV infection displayed early IFNγ CD8 and CD4γ T-cell counts below the established cut-off levels, indicating that other CMV proteins may also elicit protective immune responses.(11) Of the 7 patients developing active CMV infection after the first immunological control, 5 resolved…”
Backgroundvan Leeuwen, E. M. M., Koning, J. J., Remmerswaal, E. B. M., van Baarle, D., van Lier, R. A. W., & ten Berge, I. J. M. (2006) · The Journal of Immunology · doi:10.4049/jimmunol.177.8.4998 · Cited by 50
“This implies that the total response to CMV is much larger, also considering the broad immune response to CMV that has recently been described (27).”
BackgroundCraenenbroeck, A. H. V., Smits, E., Anguille, S., de Velde, A. V., Stein, B., Braeckman, T., Camp, K. V., Nijs, G., Ieven, M. M., Goossens, H., et al. (2014) · Transplantation · doi:10.1097/tp.0000000000000272 · Cited by 50
“In CMVseropositive recipients, CMV infection can be the result of reactivation of latent or persistent virus or superinfection with a different strain of CMV.8 In CMV-seronegative recipients, CMV disease can result from a primary infection when receiving an allograft from a CMV-seropositive donor.”
BackgroundInfluentialLang, A. M., Brien, J. D., & Nikolich‐Žugich, J. (2009) · The Journal of Immunology · doi:10.4049/jimmunol.0801117 · Cited by 50
“This can be challenging, as illustrated in the case of the CMV, a latent -herpesvirus that elicits T cell responses unusual in strength, breadth, and complexity (2, 3).”
BackgroundMethodIncreased Inflammatory Response in Cytomegalovirus Seropositive Patients with Alzheimer’s Disease
Westman, G., Berglund, D., Widén, J., Ingelsson, M., Korsgren, O., Lannfelt, L., Sehlin, D., Lidehäll, A. K., & Eriksson, B. (2014) · PLoS ONE · doi:10.1371/journal.pone.0096779 · Cited by 50
Early life imprints the hierarchy of T cell clone sizes
Gaimann, M. U., Nguyen, M., Desponds, J., & Mayer, A. (2020) · eLife · doi:10.7554/elife.61639 · Cited by 50
Eiz‐Vesper, B., Maecker‐Kolhoff, B., & Blasczyk, R. (2013) · Frontiers in Immunology · doi:10.3389/fimmu.2012.00410 · Cited by 49
“The majority of studies have focused on the 65 kDa matrix phosphoprotein (pp65, also known as glycoprotein 64 and UL83) and the immediate-early protein 1 (IE1) of CMV as immunodominant targets of CMV-specific T-cell responses (Solache et al., 1999; Elkington et al., 2003; Sylwester et al., 2005).”
BackgroundJagannathan, P., Osborne, C. M., Royce, C., Manion, M., Tilton, J., Li, L., Fischer, S., Hallahan, C., Metcalf, J., McLaughlin, M., et al. (2009) · Journal of Virology · doi:10.1128/jvi.02128-08 · Cited by 58
“Furthermore, heightened immune responses in the context of an intermittently replicating virus might relate to the overall size and tremendous complexity of CMV, which possesses a double-strand DNA genome encoding approximately 200 open reading frames for proteins greater than 80 amino acids in length (63).”
BackgroundResultInfluentialCayatte, C., Schneider-Ohrum, K., Wang, Z., Irrinki, A., Nguyen, N., Lu, J., Nelson, C. L., Servat, E., Gemmell, L., Citkowicz, A., et al. (2013) · Journal of Virology · doi:10.1128/jvi.01554-13 · Cited by 49
Muñoz, M. E. C., & Fuentes‐Pananá, E. M. (2018) · Frontiers in Microbiology · doi:10.3389/fmicb.2017.02521 · Cited by 49
“Similarly, about 20% of blood memory CD4 and CD8T cells are directed against HCMV in healthy carriers (Sylwester et al., 2005).”
BackgroundSmithey, M. J., Venturi, V., Davenport, M. P., Buntzman, A., Vincent, B. G., Frelinger, J. A., & Nikolich‐Žugich, J. (2018) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1719451115 · Cited by 49
“This leads to an absolute accumulation of effector T cells specific for CMV (memory inflation) (6–8), sometimes with one or a few clonal populations occupying up to 25% of the entire CD8 T cell memory pool in elderly humans (9, 10).”
BackgroundVescovini, R., Fagnoni, F. F., Telera, A. R., Bucci, L., Pedrazzoni, M., Magalini, F., Stella, A., Pasin, F., Medici, M. C., Calderaro, A., et al. (2014) · AGE · doi:10.1007/s11357-013-9594-z · Cited by 48
“Functional assays with intracellular cytokine staining (ICS) in antigen-activated cells (Kern et al. 2000; Sylwester et al. 2005), and flow cytometry (FCM) staining assays with peptide-MHC (pMHC) multimers (Khan et al. 2002), both provide a partial determination of the CMV-specific T cell responses.”
MethodWeathers, S.-P. S., Peñas-Prado, M., Pei, B.-L., Ling, X., Kassab, C., Banerjee, P. P., Bdiwi, M., Shaim, H., Alsuliman, A., Shanley, M., et al. (2020) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-20-0176 · Cited by 48
“Seroprevalence is over 60% (1) in adults and is associated with a strikingly high fraction (10% or more) of circulating T lymphocytes targeting CMV (2).”
BackgroundRamasubramanian, R., Meier, H. C. S., Vivek, S., Klopack, E. T., Crimmins, E. M., Faul, J. D., Nikolich‐Žugich, J., & Thyagarajan, B. (2022) · Immunity & Ageing · doi:10.1186/s12979-022-00290-z · Cited by 47
Dendritic cells in cytomegalovirus infection: viral evasion and host countermeasures
Rölle, A., & Olweus, J. (2009) · Apmis · doi:10.1111/j.1600-0463.2009.02449.x · Cited by 47
“overlapping peptides covering the entire HCMV genome concluded that 5% of total peripheral blood CD4 and CD8 T cells and 10% in the memory compartment recognize a surprisingly broad range of HCMV epitopes (123).”
BackgroundImmune Checkpoint Function of CD85j in CD8 T Cell Differentiation and Aging
Gustafson, C. E., Qi, Q., Hutter-Saunders, J. A. L., Gupta, S., Jadhav, R. R., Newell, E. W., Maecker, H. T., Weyand, C. M., & Goronzy, J. J. (2017) · Frontiers in Immunology · doi:10.3389/fimmu.2017.00692 · Cited by 51
“The late pool consisted of pp65, UL32, UL48AB, and UL55 (gB), based on previously described work (27).”
BackgroundHuman NK Cells and Herpesviruses: Mechanisms of Recognition, Response and Adaptation
Chiesa, M. D., Maria, A. D., Muccio, L., Bozzano, F., Sivori, S., & Moretta, L. (2019) · Frontiers in Microbiology · doi:10.3389/fmicb.2019.02297 · Cited by 44
“Indeed, the magnitude of the specific T cell response during CMV clinical latency is surprisingly high, with 10–20% of CD4 and CD8 CMV-specific circulating T cells, and 5–15% of NKG2C+ memory-like NK cells during clinical latency (Guma et al., 2004; Sylwester et al., 2005).”
BackgroundCrawford, L. B., Tempel, R., Streblow, D. N., Kreklywich, C. N., Smith, P. P., Picker, L. J., Nelson, J. A., & Caposio, P. (2017) · Scientific Reports · doi:10.1038/s41598-017-01051-5 · Cited by 47
Self-citationRecruitment of highly cytotoxic CD8+ T cell receptors in mild SARS-CoV-2 infection
Wagner, K. I., Mateyka, L. M., Jarosch, S., Grass, V., Weber, S., Schober, K., Hammel, M., Burrell, T., Kalali, B. N., Poppert, H., et al. (2021) · Cell Reports · doi:10.1016/j.celrep.2021.110214 · Cited by 47
“To decipher the specificity of the remaining IFNG cluster-derived TCRs, we stimulated TCR-engineered T cells with autologous PBMCs pulsed with SARS-CoV-2 9-mer, cytomegalovirus (CMV), and Epstein-Barr (EBV) peptide pools because of the high prevalence of CMV and EVB infection in the human population and the induced bi…”
Schwele, S., Fischer, A. M., Brestrich, G., Włodarski, M. W., Wagner, L., Schmueck‐Henneresse, M., Roemhild, A., Thomas, S., Hammer, M. H., Babel, N., et al. (2011) · American Journal of Transplantation · doi:10.1111/j.1600-6143.2011.03842.x · Cited by 46
“Among the complex antiviral T-cell response to >150 open reading frame of CMV (4), CMV-IE-1 (immediate-early protein-1) antigen-specific CD8+ cells seem to be crucial for preventing CMV disease but do not protect from recurring/lasting CMV reactivation (5,6).”
BackgroundSund, F., Lidehäll, A. K., Claesson, K., Foss, A. E., Tötterman, T. H., Korsgren, O., & Eriksson, B. (2009) · Clinical Transplantation · doi:10.1111/j.1399-0012.2009.00976.x · Cited by 46
“CMV-specific T cells have been shown to vary immensely between individuals (10, 11).”
BackgroundCD8+ T cell differentiation in the aging immune system: until the last clone standing
Buchholz, V. R., Neuenhahn, M., & Busch, D. H. (2011) · Current Opinion in Immunology · doi:10.1016/j.coi.2011.05.002 · Cited by 49
Sissons, J. G. P., & Wills, M. R. (2015) · Medical Microbiology and Immunology · doi:10.1007/s00430-015-0415-0 · Cited by 46
Immunity to Cytomegalovirus in Early Life
Huygens, A., Dauby, N., Vermijlen, D., & Marchant, A. (2014) · Frontiers in Immunology · doi:10.3389/fimmu.2014.00552 · Cited by 45
“A comprehensive antigen repertoire analysis indicated that CMVspecific T cells comprise on average 10% of the total CD4 and CD8 memory T cell compartments in chronically infected healthy adults (61).”
BackgroundA New Model for CD8+ T Cell Memory Inflation Based upon a Recombinant Adenoviral Vector
Bolinger, B., Sims, S., O’Hara, G. A., de Lara, C., Tchilian, E. Z., Firner, S., Engeler, D. S., Ludewig, B., & Klenerman, P. (2013) · The Journal of Immunology · doi:10.4049/jimmunol.1202665 · Cited by 46
T-cell responses to KSHV infection: a systematic approach
Roshan, R., Labò, N., Trivett, M. T., Miley, W., Marshall, V. A., Coren, L. V., Castro, E. M. C., Perez, H., Holdridge, B., Davis, E., et al. (2017) · Oncotarget · doi:10.18632/oncotarget.22683 · Cited by 46
“Consequently, our understanding of cellular immune responses to KSHV is rudimentary, compared to the wealth of research available for EBV and HCMV.”
BackgroundResultInfluential
Metadata
- Authors
- Sylwester, A. W., Mitchell, B. L., Edgar, J. B., Taormina, C., Pelte, C., Ruchti, F., Sleath, P. R., Grabstein, K. H., Hosken, N. A., Kern, F., Nelson, J. A., & Picker, L. J.
- Affiliations
- Oregon National Primate Research Center (US)
- Corixa Corporation (US)
- Stiftung Charité (DE)
- Venue
- The Journal of Experimental Medicine
- Publisher
- Rockefeller University Press
- Published
- 2005-09-05
- Volume
- 202
- Issue
- 5
- Pages
- 673-685
- ISSN
- 0022-1007 (ISSN-L)
- 1540-9538
- PMC
- PMC2212883
- OpenAlex
- W2103849595
- Cited by
- 1,339
- References
- 41
- Citations by year
- 2026: 39 · 2025: 53 · 2024: 56 · 2023: 41 · 2022: 56 · 2021: 70 · 2020: 67 · 2019: 81 · 2018: 71 · 2017: 86 · 2016: 74 · 2015: 77 · 2014: 56 · 2013: 83 · 2012: 64
- FWCI
- 38.39
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of Experimental Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (RR 00163, AI21640)
- National Institute of Allergy and Infectious Diseases (R01AI047606, AI 47606, R01AI021640)
- National Center for Research Resources (P51RR000163, M01RR000334)
- Topics
- Health Sciences › Medicine › Epidemiology › Cytomegalovirus and herpesvirus research
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › vaccines and immunoinformatics approaches
- Keywords
- human cytomegalovirus, CD4+ T cells, CD8+ T cells, immunodominance, seropositive individuals, viral persistence
- MeSH terms
- Adult, Cytomegalovirus Infections, Cytomegalovirus, Female, Flow Cytometry, Humans, Immunogenetics, Immunologic Memory, Male, Middle Aged, Peptides, Serologic Tests, CD4-Positive T-Lymphocytes, Open Reading Frames, CD8-Positive T-Lymphocytes
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