Exhaustion and Inflation at Antipodes of T Cell Responses to Chronic Virus Infection.

Abstract:

:Viruses that have coevolved with their host establish chronic infections that are well tolerated by the host. Other viruses, that are partly adapted to their host, may induce chronic infections where persistent replication and viral antigen expression occur. The former induce highly functional and resilient CD8T cell responses called memory inflation. The latter induce dysfunctional and exhausted responses. The reasons compelling T cell responses towards inflationary or exhausted responses are only partly understood. In this review we compare the two conditions and describe mechanistic similarities and differences. We also provide a list of potential reasons why exhaustion or inflation occur in different virus infections. We propose that T cell-mediated transcriptional repression of viral gene expression provides a critical feature of inflation that allows peaceful virus and host coexistence. The virus is controlled, but its genome is not eradicated. If this mechanism is not available, as in the case of RNA viruses, the virus and the host are compelled to an arms race. If virus proliferation and spread proceed uncontrolled for too long, T cells are forced to strike a balance between viral control and tissue destruction, losing antiviral potency and facilitating virus persistence.

journal_name

Trends Microbiol

journal_title

Trends in microbiology

authors

Cicin-Sain L,Arens R

doi

10.1016/j.tim.2017.11.012

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

498-509

issue

6

eissn

0966-842X

issn

1878-4380

pii

S0966-842X(17)30261-5

journal_volume

26

pub_type

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