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Updated: Jul 18, 2026
Phenotypic and Functional Analysis of Activated Regulatory T Cells Isolated from Chronic Lymphocytic Choriomeningitis Virus-infected Mice
Published on: June 22, 2016
Functionality and phenotype of T cells in patients with varying severity of acute dengue and metabolic status
Heshan Kuruppu1, Malithi De Silva1, Chathumini Dissanayake1
1Institute of Allergology and Immunology, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri Lanka.
Background:
Currently the role of dengue virus (DENV) specific T cell responses in disease pathogenesis and protection are not well understood, including potential differences in those who have obesity. We sought to investigate the functionality and phenotype of T cells in patients with acute dengue fever (DF) or dengue haemorrhagic fever (DHF).
Methods:
T cell function was assessed in patients with DF (n=50) and DHF (n=12), recruited within ≤4 days of illness and again on day 5 to 7, using 109 peptides representing CD8+ epitopes and 90 peptides targeting CD4+ T cell epitopes. Phenotypic analysis was in DF (n=21) and DHF patients (n=21), recruited between days 6-8 since onset of illness, by multicolor flow cytometry.
Results:
The frequency of ex vivo IFNγ ELISpot responses to both the CD4+ and CD8+ peptides pools significantly increased from the first to second time point in patients with DF (p<0.0001) but not with DHF. The frequency of ex vivo IFNγ ELISpot responses to CD4+ (p=0.001) and CD8+ peptides pools (p=0.0002) also significantly increased from the first to second time point in lean patients compared obese patients. Cutaneous lymphocyte associated antigen (CLA) expression was significantly higher in the CD8+ T cell subset in patients with DF and DHF compared to HC and these differences were most significant in CD8+CD45RA- T cells. CD8+CD45RA-CLA+ T cells consisted of >50% of the T cells in 9/21 patients with DHF, with 92.7% expressing CD38. CLA expression was highest in the CD8+CD45RA- of obese individuals, which was significantly higher compared to lean individuals (p=0.01). CD27 and CD127 were both significantly downregulated in patients with DHF compared to DF, with ICOS expression being significantly higher in CD8+ T cells in DHF.
Discussion:
Patients with DHF and obese individuals had impaired T cell functionality. Activated and skin homing CD8+ T cells were associated with DHF, with downregulation of CD27 and CD127. Therefore, the role of skin homing T cells, which have impaired functionality in disease pathogenesis, should be further investigated.
