Simultaneous quantification of human cytomegalovirus (HCMV)-specific CD4+ and CD8+ T cells by a novel method using

Laura Lozza1, Daniele Lilleri, Elena Percivalle

  • 1Servizio di Virologia, IRCCS Policlinico San Matteo, Pavia, Italy.

Insights

This study developed a new assay using infected dendritic cells (DC) to measure human cytomegalovirus (HCMV)-specific T cell responses. The method effectively detects both CD4(+) and CD8(+) T cell activity, crucial for monitoring immunity in transplant patients.

Area of Science:

  • Immunology
  • Virology
  • Cell Biology

Background:

  • Human cytomegalovirus (HCMV) is a significant pathogen, particularly in immunocompromised individuals.
  • Assessing HCMV-specific T cell immunity is vital for managing transplant recipients.
  • Existing methods for evaluating T cell responses can be complex and time-consuming.

Purpose of the Study:

  • To develop and validate a novel ex vivo assay for simultaneously measuring HCMV-specific CD4(+) and CD8(+) T cell responses.
  • To investigate the efficacy of using infected dendritic cells (DCs) as a stimulus for T cell activation.
  • To establish a reliable method for discriminating between immune and non-immune individuals regarding HCMV.

Main Methods:

  • Immature dendritic cells (DCs) were infected with an endotheliotropic and leukotropic HCMV strain (Huv(+) Leuk(+)).
  • Infected DCs were co-cultured with autologous peripheral blood mononuclear cells.
  • Intracellular flow cytometry was used to analyze interferon-gamma (IFN-gamma) production, indicating T cell activation.

Main Results:

  • Productively infected DCs efficiently stimulated both HCMV-specific CD4(+) and CD8(+) T cell responses.
  • A negligible CD8(+) T cell response was observed with non-infectious HCMV strains or inactivated viral antigens.
  • The assay successfully differentiated between HCMV-seropositive and HCMV-seronegative subjects, establishing a discrimination cut-off.

Conclusions:

  • The novel ex vivo assay enables simultaneous evaluation of HCMV-specific CD4(+) and CD8(+) T cell immunity.
  • This method provides a robust tool for monitoring T cell activity in immunocompromised patients, such as transplant recipients.
  • The use of productively infected DCs is a key factor for efficient T cell stimulation in this assay.