Abstract

The enzyme telomerase is essential for maintaining the replicative capacity of memory T cells. Although CD28 costimulatory signals can up-regulate telomerase activity, human CD8(+) T cells lose CD28 expression after repeated activation. Nevertheless, telomerase is still inducible in CD8(+)CD28(-) T cells. To identify alternative costimulatory pathways that may be involved, we introduced chimeric receptors containing the signaling domains of CD28, CD27, CD137, CD134, and ICOS in series with the CD3 zeta (zeta) chain into primary human CD8(+) T cells. Although CD3 zeta-chain signals alone were ineffective, triggering of all the other constructs induced proliferation and telomerase activity. However, not all CD8(+)CD28(-) T cells could up-regulate this enzyme. The further fractionation of CD8(+)CD28(-) T cells into CD8(+)CD28(-) CD27(+) and CD8(+)CD28(-)CD27(-) subsets showed that the latter had significantly shorter telomeres and extremely poor telomerase activity. The restoration of CD28 signaling in CD8(+)CD28(-)CD27(-) T cells could not reverse the low telomerase activity that was not due to decreased expression of human telomerase reverse transcriptase, the enzyme catalytic subunit. Instead, the defect was associated with decreased phosphorylation of the kinase Akt, that phosphorylates human telomerase reverse transcriptase to induce telomerase activity. Furthermore, the defective Akt phosphorylation in these cells was specific for the Ser(473) but not the Thr(308) phosphorylation site of this molecule. Telomerase down-regulation in highly differentiated CD8(+)CD28(-)CD27(-) T cells marks their inexorable progress toward a replicative end stage after activation. This limits the ability of memory CD8(+) T cells to be maintained by continuous proliferation in vivo.

Highlights

  • Previous studies have shown that human CD8ϩ T cells lose surface expression of the costimulatory receptors CD28 and CD27 and that CD28ϪCD27Ϫ populations accumulate during aging [26, 27]

  • We found an accumulation of CD8ϩ T cells that had lost CD28 and CD27 in all three X-linked lymphoproliferative syndrome (XLP) patients studied and these cells resembled those in the old age group (Fig. 1, A and B)

  • We investigated whether the CD8ϩ subsets in young subjects that lost expression of CD28 and/or CD27 were functional by activating whole CD8ϩ T cells with anti-CD3 and APC

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Summary

Objectives

The central aim of the present study was to clarify the link between CD28 signaling, telomerase induction, and end-stage differentiation in human CD8ϩ T cell populations

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Results
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