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Updated: Jun 25, 2026

Separation of Immune Cell Subpopulations in Peripheral Blood Samples from Children with Infectious Mononucleosis
Published on: September 7, 2022
EBV-associated mononucleosis does not induce long-term global deficit in T-cell responsiveness to IL-15
Julien Giron-Michel1, Fanny Menard, Simone Negrini
1Inserm Unite Mixte de Recherche 542, Université de Paris-Sud, Hôpital Paul Brousse, Villejuif, France.
Abstract:
It has been reported that infectious mononucleosis (IM)-symptomatic primary Epstein-Barr virus infection produces a global down-regulation of interleukin-15 receptor-alpha (IL-15Ralpha) on T cells and natural killer cells associated with a defective IL-15 responsiveness that lasts for many years after the disease episode. In contrast with these results, our data indicate that, in the T-cell compartment derived from remote IM subjects, there is no quantitative or qualitative defect in the expression of the IL-15Ralpha chain and no deficit in T-cell responsiveness to IL-15. We observed efficient signal transduction, survival, and proliferation even in response to low IL-15 concentrations. These data are relevant and shed new light on the immune long-term response in IM subjects because they contradict the hypothesis that defects in Epstein-Barr virus-host immune balance may be correlated with a long-lasting global deficit in T-cell responsiveness to IL-15.
Insights
Infectious mononucleosis (IM) does not cause long-term T-cell defects in interleukin-15 receptor-alpha (IL-15Ralpha) expression or responsiveness. This finding challenges previous hypotheses about Epstein-Barr virus-induced immune imbalances.
Area of Science:
- Immunology
- Virology
- Cellular Biology
Background:
- Infectious mononucleosis (IM), caused by Epstein-Barr virus (EBV), has been linked to long-term immune system deficits.
- Previous studies suggested a persistent down-regulation of interleukin-15 receptor-alpha (IL-15Ralpha) on immune cells, impairing IL-15 responsiveness after IM.
Purpose of the Study:
- To investigate the long-term effects of remote IM on T-cell expression and function of IL-15Ralpha.
- To re-evaluate the hypothesis that EBV infection causes a lasting global deficit in T-cell responsiveness to IL-15.
Main Methods:
- Analysis of T-cell populations from individuals with a history of remote IM.
- Quantitative and qualitative assessment of IL-15Ralpha chain expression on T cells.
- Evaluation of T-cell signal transduction, survival, and proliferation in response to IL-15 stimulation.
Main Results:
- No quantitative or qualitative defect in IL-15Ralpha expression was found on T cells from remote IM subjects.
- T cells from these individuals exhibited efficient signal transduction, survival, and proliferation, even at low IL-15 concentrations.
- These findings contradict previous reports of a long-lasting global deficit in T-cell IL-15 responsiveness post-IM.
Conclusions:
- Remote Epstein-Barr virus infection does not appear to cause a persistent impairment in T-cell IL-15Ralpha expression or function.
- The immune balance following IM may not be characterized by a long-term global deficit in T-cell IL-15 responsiveness.
- These results offer new insights into the long-term immune sequelae of infectious mononucleosis.
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