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Naïve, effector and memory CD8 T-cells in old age Beatrix Grubeck-Loebenstein Institute for Biomedical Aging Research of the Austrian Academy of Sciences Human post-thymic CD8+ T cell differentiation Antigen-experienced cells Non-primed cells Naive Central-Memory Effector-Memory Antigen Phenotype CD45RA+ CD62L+ / CCR7+ CD28+ / CD27+ IL-6R+ / IL-7R+ Effector Repeated antigenic stimulation/ cytokines CD45RO+ CD62L+ / CCR7+ CD28+ / CD27+ IL-6R+ / IL-7R+ CD45RO+ CD62L- / CCR7CD28+ / CD27+ IL-6R- / IL-7R+ CD45RA+ CD62L- / CCR7CD28- / CD27IL-6R- / IL-7R- Depletion of naïve and accumulation of effector CD8+ T cells in old age Peripheral blood Young Bone marrow Lymph node tissue 17 71 22 73 1 11 1 4 100 80 60 % 40 34 13 33 18 5 48 12 37 20 0 young CD28 Elderly CD45RA Lazuardi et al., Immunology (2005); Weinberger et al., Hum Immunol (2007) old The size of CD8+ T cell subsets changes with age Do certain conditions accelerate age related changes in the T cell pool? Latent cytomegalovirus infection Thymectomy in early life Latent CMV infection accelerates the depletion of naïve and the accumulation of effector CD8+ T cells CD45RA Almanzar et al., J Virol (2005) Human immunosenescence: Is it infectious? Pawelec G. et al., Immunol Rev (2005) The immunological burden of human cytomegalovirus infection Khan N. , Arch Immunol Ther Exp (Warsz) (2007) Ageing and life-long maintenance of T-cell subsets in the face of latent persistent infections Nikolich-Zugich J., Nat Rev Immunol (2008) The immune system in extreme longevity Sansoni P., Exp Gerontol (2008) Cytomegalovirus and human immunosenescence Pawelec G. et al., Rev Med Virol (2009) CD8+ subset distribution in young adults thymectomized during early childhood Sauce et al, J. Clin. Invest. (2009, in press) TRECs depend on chronological age as well as on the time post thymectomy in persons thymectomized during early childhood Prelog et al, Clin. Immunol. (2009) Latent infection with cytomegalovirus and thymectomy in early life accelerate age-related changes in the CD8+ T cell pool Do these changes represent a clinical problem? IL-2 75 % IL-2+ cells / CD8+ T cells GZMB CD45 RA+ CD28- 50 CD45RO+ CD28- 25 CD45RA+ CD28+ CD45RO+ CD28+ 0 75 CD45RA+ CD28+ CD45RO+ CD28+ 50 CD45RO+ CD28CD45 RA+ CD28- 25 0 IFN- % IFN-+ cells / CD8+ T cells % GZMB+ cells / CD8+ T cells CD28- T cells are proinflammatory and cytotoxic 75 50 25 0 CD45RO+ CD28- CD45RA+ CD28+ CD45RO+ CD28+ CD45 RA+ CD28- Decreased expression of CD8chain and of CD5 during CD8+ T cell differentiation CD45RA+ CD28+ CD45RO+ CD28+ CD45RO+ CD28– CD45RA+ CD28– TCR 5000 2.935 2.597 2.301 2.825 4000 3000 2000 1000 0 CD8 6000 4.347 4.028 3.314 2.813 -16% 4000 2000 0 CD8 10000 12.596 8.080 3.703 -59% 3.197 5000 0 20000 20.698 14.503 CD5 8.326 -55% 15000 10000 5000 – + FSC CD 4 CD 5RA 28 + 0 CD 4 CD 5RA 28 + 25.246 miRNAs are potent post-transcriptional regulators miRNA-expression during CD8+ T cell differentiation: CD28+ vs. CD28- T cells LNA miRNA array (Exigon) miRNA qPCR (intensity normalized) (GAPDH normalized) n=8 miR-17- 92 targets: CDKN1A (p21) CDKN1B (p27) RB1, Rbl1, Rbl2 PTEN Bim miR-17- 92 downregulation during CD8+ T cell differentiation may be a mediator of replicative exhaustion and/or apoptosis CD8+CD28- T cells are proinflammatory, can prevent the expansion of other specificities and have a decreased expression of important regulatory molecules such as the CD8chain, CD5 and the miR 17- 92 cluster. Are they dispensable? Is the clonotypic composition of CD28+ and CD28- CD8+ T cells different ? Experimental model CMV-Pentamer ex vivo 2.0% day 14 purified 74.6% 99.4% FSC 1) Isolation of CD8+ T cells 2) Isolation of CD28+ and CD28- T cells 1) Expansion of CMV NLV-specific T cells (IL-2, peptide, autologous feeder cells) 1) Purification of CMV NLV-specific T cells with CMVpentamer and MACS technology 1) spectratyping 2) CDR3 cloning and sequencing Weinberger, Immunol Letters 2009 (Epub ahead of print) Identical TCR-clonotypes in CD28+ and CD28- T cells Weinberger, Immunol Letters (2009, Epub ahead of print) Identical clonotypes are present in CD28+ and CD28- CD8+ T cells CD8+ CD28- T cells are dispensable Is there a way to assure the survival of other more valuable T cell subsets? Martina Prelog Pediatric Department, Innsbruck University Medical School Victor Appay, Delphine Sauce INSERM U945, Avenir Group, Paris Johannes Grillari University of Natural Resources and Applied Life Sciences, Vienna Frank Madeo Institute of Molecular Biosciences, University Graz National Research Network (S9308-B05), Austrian Science Fund Network of Excellence LifeSpan (EU-FP6 036894) Beatrix Grubeck-Loebenstein Birgit Weinberger Brigitte Jenewein Dietmar Herndler-Brandstetter Katja Landgraf Michael Keller Daniela Weiskopf Kathrin Welzl Petra Schmid Stefan Brunner Barbara Luhan