Failing immune control as a result of impaired CD8+ T-cell maturation: CD27 might provide a clue

Trends Immunol. 2002 Dec;23(12):586-91. doi: 10.1016/s1471-4906(02)02326-8.

Abstract

Despite readily detectable virus-specific CD8(+) T cells in most HIV-infected patients, immune surveillance is eventually lost, leading to progression to AIDS. Recently developed insights into human T-cell differentiation have been used to study the phenotype of virus-specific T cells in HIV-infected individuals. Based on these results, we propose that failing immune control in human viral infection could be a result of impaired cytotoxic T-lymphocyte (CTL) maturation into fully differentiated effector T cells. Impaired maturation is not confined to HIV-specific CD8(+) T cells but could also be involved in failing immunity to Epstein-Barr virus and other viral infections. We postulate that CD27(-) effector CD8(+) T cells might be required for adequate control of chronic viral infection and prevention of disease development.

Publication types

  • Review

MeSH terms

  • CD8-Positive T-Lymphocytes / immunology*
  • CD8-Positive T-Lymphocytes / pathology
  • Cell Differentiation
  • Epstein-Barr Virus Infections / immunology
  • Epstein-Barr Virus Infections / pathology
  • HIV Infections / immunology
  • HIV Infections / pathology
  • Humans
  • Models, Immunological
  • T-Lymphocytes, Cytotoxic / immunology
  • T-Lymphocytes, Cytotoxic / pathology
  • Tumor Necrosis Factor Receptor Superfamily, Member 7 / metabolism*
  • Virus Diseases / immunology*
  • Virus Diseases / pathology

Substances

  • Tumor Necrosis Factor Receptor Superfamily, Member 7