Abstract

It is well accepted that aging and HIV infection are associated with quantitative and functional changes of CMV-specific T cell responses. We studied here the expression of Mip-1β and the T cell maturation marker CD27 within CMVpp65-specific CD4+ and CD8+ T cells in relation to age, HIV and active Tuberculosis (TB) co-infection in a cohort of Tanzanian volunteers (≤16 years of age, n = 108 and ≥18 years, n = 79). Independent of HIV co-infection, IFNγ+ CMVpp65-specific CD4+ T cell frequencies increased with age. In adults, HIV co-infection further increased the frequencies of these cells. A high capacity for Mip-1β production together with a CD27low phenotype was characteristic for these cells in children and adults. Interestingly, in addition to HIV co-infection active TB disease was linked to further down regulation of CD27 and increased capacity of Mip-1β production in CMVpp65-specific CD4+ T cells. These phenotypic and functional changes of CMVpp65-specific CD4 T cells observed during HIV infection and active TB could be associated with increased CMV reactivation rates.

Highlights

  • Primary cytomegalovirus (CMV) infection occurs often at birth or during adolescence with prolonged viral shedding into the urine and saliva that can persist for years

  • Detection of CMV-specific T cell responses using polychromatic flow cytometry after in vitro stimulation is a reliable marker for determining the CMV infection status in children [16]

  • We show that CMVpp65-specific T cell responses are detectable in the peripheral blood of most Tanzanian children indicating that acquisition of CMV infection typically occurs during infancy and early childhood with HIV being a risk factor

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Summary

Introduction

Primary cytomegalovirus (CMV) infection occurs often at birth or during adolescence with prolonged viral shedding into the urine and saliva that can persist for years. Primary CMV infection is typically controlled within 6 months [1]. Thereafter, CMV persists lifelong in PLOS ONE | DOI:10.1371/journal.pone.0126716. Impact of Age, HIV and MTB Infections on CMV-Specific T Cell Responses. Geldmachers salary is funded by the German Center for Infection Research (DZIF). Damien Portevin’s salary was funded by the Basel University (Förderung exzellenter junger Forschender).

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