Abstract

The induction of adaptive immunological memory, mediated by T and B cells, plays an important role in protective immunity to pathogens induced by previous infections or vaccination. Naive CD4+ T cells that have been primed by antigen develop into memory or effector cells, which may be distinguished by their capability to exert a long-term and rapid response upon re-challenge by antigen, to produce distinct cytokines and surface marker expression phenotypes such as CD45RA/RO, CD27, CD62L, and CCR7. Moreover, a distinct lineage of memory T cells populates tissues (tissue-resident memory T cells or TRM cells) which orchestratea the response to pathogens re encountered at tissue sites. Recent evidence, however, has highlighted that CD4+ naive T cells are much more heterogeneous that previously thought, and that they harbor diversity in phenotypes, differentiation stages, persistence, functions, and anatomic localizations. These cells represent cellular subsets that are extremely heterogeneous and multifunctional at their very initial stages of differentiation, with the potential to become “atypical” memory and effector cells. In this mini review, we focus on recently obtained data from studies in humans, in which this newly recognized heterogeneity in the naive T cell pool was discovered in terms of surface marker expression, cytokine production, or transcriptomic profiles. The deep analysis of immune functions at the single cell level combined with a better understanding of the generation and maintenance of the various atypical memory CD4+ T cell subsets with a naive-like phenotype will be important in immune-monitoring of vaccination and immunotherapies in infectious diseases.

Highlights

  • CD4+ T lymphocytes mature in the thymus after passing through the processes of positive and negative selection and migrate to secondary lymphoid organs

  • We have identified in the peripheral blood of patients with tuberculosis a novel human effector/memory CD4+ T cell subset with a non-classical, naive-like T cell phenotype

  • Whether or not the CD4+ TCNP cells we have described represent a stable or transient T cell subset [5, 6, 23, 26], if they derive from antigen-driven or cytokine-driven homeostatic proliferation and how this population is related to TSCM [6, 23], TMNP [18], or other populations of effector/memory cells, remain to be determined in future research including studies in experimental animal models

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Summary

Frontiers in Immunology

Received: 19 September 2018 Accepted: 16 November 2018 Published: 03 December 2018. Citation: Caccamo N, Joosten SA, Ottenhoff THM and Dieli F (2018) Atypical Human Effector/Memory CD4+ T Cells With a Naive-Like Phenotype. Recent evidence has highlighted that CD4+ naive T cells are much more heterogeneous that previously thought, and that they harbor diversity in phenotypes, differentiation stages, persistence, functions, and anatomic localizations These cells represent cellular subsets that are extremely heterogeneous and multifunctional at their very initial stages of differentiation, with the potential to become “atypical” memory and effector cells. In this mini review, we focus on recently obtained data from studies in humans, in which this newly recognized heterogeneity in the naive T cell pool was discovered in terms of surface marker expression, cytokine production, or transcriptomic profiles.

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