Hyperexpansion of Functional Viral-Specific CD8+ T Cells in Lymphopenia-Associated MCMV Pneumonitis

Viral Immunol. 2015 Jun;28(5):255-64. doi: 10.1089/vim.2015.0005. Epub 2015 May 18.

Abstract

Cytomegalovirus (CMV) is a significant cause of morbidity and mortality in immunocompromised hosts, many of whom undergo significant periods of lymphopenia. However, the impact of lymphopenia and subsequent immune reconstitution on T cell responses and pulmonary pathology are poorly understood. Using a model of primary murine CMV infection in mice treated with cyclophosphamide (CY), the relationship of CD8+ T cell reconstitution to pneumonitis pathology was studied. Female BALB/c mice were infected with murine CMV (MCMV) with/without CY on day 1 post-infection. Lung pathology and viral specific T cell responses were assessed on days 7-28. T cell lymphocyte subsets, effector responses, and MCMV specificity were assessed at baseline and after in vitro stimulation of cells with immediate-early peptide pp89. CY treatment of MCMV-infected mice resulted in interstitial pneumonitis not seen with MCMV alone. Compared to MCMV alone, on day 14, MCMV/CY mice had greater number of CD8+ T cells, a fourfold increase in absolute number of pp89 tetramer-specific CD8+ cells, and an eightfold increase in MCMV specific T cell effector responses (IFN-γ; p<0.001). This expansion was preceded by transient lymphopenia, increased viral titers, and, most strikingly, a 10-fold increased proliferative capacity in MCMV/CY mice. In the setting of CY-associated lymphopenia, concurrent MCMV infection alters immune reconstitution toward a hyperexpanded MCMV-specific CD8+ effector T cell pool that correlates with significant lung immunopathology.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • CD8-Positive T-Lymphocytes / immunology*
  • Cyclophosphamide
  • Female
  • Herpesviridae Infections / immunology*
  • Herpesviridae Infections / virology
  • Immediate-Early Proteins / immunology
  • Immunocompromised Host / immunology*
  • Interferon-gamma / immunology
  • Lung / immunology
  • Lung / pathology
  • Lymphocyte Count
  • Lymphopenia / immunology*
  • Lymphopenia / virology
  • Mice
  • Mice, Inbred BALB C
  • Muromegalovirus / immunology*
  • Pneumonia / immunology
  • Pneumonia / virology
  • T-Lymphocyte Subsets / immunology

Substances

  • Immediate-Early Proteins
  • cytomegalovirus immediate early phosphoprotein pp89
  • Interferon-gamma
  • Cyclophosphamide