CMV drives the expansion of highly functional memory T cells expressing NK-cell receptors in renal transplant recipients

Cytomegalovirus (CMV) is a common opportunistic infection encountered in renal transplant recipients (RTRs) and may be reactivated without symptoms at any time post-transplant. We describe how active and latent CMV affect T-cell subsets in RTRs who are stable on maintenance therapy. T-cell responses...

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Main Authors: Makwana, N., Foley, B., Fernandez, S., Lee, S., Irish, A., Pircher, H., Price, Patricia
Format: Journal Article
Published: Wiley-VCH Verlag GmbH & Co. KGaA 2017
Online Access:http://hdl.handle.net/20.500.11937/56920
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author Makwana, N.
Foley, B.
Fernandez, S.
Lee, S.
Irish, A.
Pircher, H.
Price, Patricia
author_facet Makwana, N.
Foley, B.
Fernandez, S.
Lee, S.
Irish, A.
Pircher, H.
Price, Patricia
author_sort Makwana, N.
building Curtin Institutional Repository
collection Online Access
description Cytomegalovirus (CMV) is a common opportunistic infection encountered in renal transplant recipients (RTRs) and may be reactivated without symptoms at any time post-transplant. We describe how active and latent CMV affect T-cell subsets in RTRs who are stable on maintenance therapy. T-cell responses to CMV were assessed in RTRs (n = 54) > 2 years post-transplant, and healthy controls (n = 38). Seven RTRs had CMV DNA detectable in plasma. CMV antibody and DNA aligned with increased proportions of CD8 + T cells and reduced CD4/CD8 ratios. This paralleled an expansion of effector memory T-cell (T EM ), terminally differentiated T-cell (T EMRA ) and CD57 + T EMRA cell populations. Expression of NK-cell receptors, LIR-1 and KLRG1 on CD4 + and CD8 + CD57 + T EM and T EMRA cells correlated with elevated interferon-? and cytotoxic responses to anti-CD3 and increased cytotoxic responses to CMV phosphoprotein (pp) 65 in RTRs who carried CMV DNA. CD8 + T cells from all CMV seropositive RTRs responded efficiently to CMV immediate early (IE) -1 peptides. The data show that latent and active CMV infection can alter T-cell subsets in RTRs many years after transplantation, and up-regulate T-cell expression of NK-cell receptors. This may enhance effector responses of CD4 + and CD8 + T cells against CMV.
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spelling curtin-20.500.11937-569202018-07-10T01:45:46Z CMV drives the expansion of highly functional memory T cells expressing NK-cell receptors in renal transplant recipients Makwana, N. Foley, B. Fernandez, S. Lee, S. Irish, A. Pircher, H. Price, Patricia Cytomegalovirus (CMV) is a common opportunistic infection encountered in renal transplant recipients (RTRs) and may be reactivated without symptoms at any time post-transplant. We describe how active and latent CMV affect T-cell subsets in RTRs who are stable on maintenance therapy. T-cell responses to CMV were assessed in RTRs (n = 54) > 2 years post-transplant, and healthy controls (n = 38). Seven RTRs had CMV DNA detectable in plasma. CMV antibody and DNA aligned with increased proportions of CD8 + T cells and reduced CD4/CD8 ratios. This paralleled an expansion of effector memory T-cell (T EM ), terminally differentiated T-cell (T EMRA ) and CD57 + T EMRA cell populations. Expression of NK-cell receptors, LIR-1 and KLRG1 on CD4 + and CD8 + CD57 + T EM and T EMRA cells correlated with elevated interferon-? and cytotoxic responses to anti-CD3 and increased cytotoxic responses to CMV phosphoprotein (pp) 65 in RTRs who carried CMV DNA. CD8 + T cells from all CMV seropositive RTRs responded efficiently to CMV immediate early (IE) -1 peptides. The data show that latent and active CMV infection can alter T-cell subsets in RTRs many years after transplantation, and up-regulate T-cell expression of NK-cell receptors. This may enhance effector responses of CD4 + and CD8 + T cells against CMV. 2017 Journal Article http://hdl.handle.net/20.500.11937/56920 10.1002/eji.201747018 Wiley-VCH Verlag GmbH & Co. KGaA fulltext
spellingShingle Makwana, N.
Foley, B.
Fernandez, S.
Lee, S.
Irish, A.
Pircher, H.
Price, Patricia
CMV drives the expansion of highly functional memory T cells expressing NK-cell receptors in renal transplant recipients
title CMV drives the expansion of highly functional memory T cells expressing NK-cell receptors in renal transplant recipients
title_full CMV drives the expansion of highly functional memory T cells expressing NK-cell receptors in renal transplant recipients
title_fullStr CMV drives the expansion of highly functional memory T cells expressing NK-cell receptors in renal transplant recipients
title_full_unstemmed CMV drives the expansion of highly functional memory T cells expressing NK-cell receptors in renal transplant recipients
title_short CMV drives the expansion of highly functional memory T cells expressing NK-cell receptors in renal transplant recipients
title_sort cmv drives the expansion of highly functional memory t cells expressing nk-cell receptors in renal transplant recipients
url http://hdl.handle.net/20.500.11937/56920