Introduction: Immunological memory is a main feature of adaptive immunity; however, allospecific memory T cells represent a barrier against long-term graft survival due to their prolonged half-life, access to lymphoid and not-lymphoid tissues and less activation requirements, compared to naïve T cells. Also, polyfunctional T cells, which are single cell producing multiple cytokines, present during active immune responses may be deleterious to graft survival. Determining these subpopulations may help to monitor the immunological status of transplanted patients. Aims: To evaluated T cell memory subpopulations and cytokine producing polyfunctional T cells after allogeneic stimulation of PBMCs from patients with long-term survival renal grafts (LTS), short-term graft survival (STS), undergoing chronic rejection (ChrRx), dialysis patients (Dial) and healthy controls (Ctrls) Methods: Circulating CD4+ and CD8+ cells, ex vivo and after stimulation with allogeneic cells or anti-CD3+anti-CD28 were evaluated for their memory phenotype according to the expression of CD45RO and CD27 in proliferating and non-proliferating cells. These cells were also evaluated for the production of IFNg, IL-2 and TNFa by intracellular staining. Also the memory phenotype of single cytokine producing cells was evaluated Results:ex vivo CD8+CD45RO-CD27+ cells were decreased in transplanted patients compared to non-transplanted individuals. After allogeneic stimulation, CD4+CD45RO+CD27+ cells were augmented in LTS and CD4+CD45RO-CD27- were higher in Dial compared to Ctrls and ChrRx. CD8+CD45RO-CD27- cells were increased in transplanted patients and CD8+CD45RO-CD27+ were augmented in Dial compared to the other groups. The response to polyclonal stimulation was very homogeneous among the groups and the main population responding to this stimulus in CD4 and CD8 cells was the CD45RO+CD27+ population. There were not differences among the groups in the percentage of cells producing IFNγ, IL-2 or TNFα only. IFNγ+TNFα+ cells, either CD4+ or CD8+, were detected in Ctrls and STS patients, but cells positive for the 3 cytokines were not detected in any group. CD45RO+CD27- cells, either CD4+ or CD8+, were the more frequent producers of IFNγ, IL2 or TNFα, followed by CD45RO-CD27- cells, particularly for CD8+IFNγ+ and CD8+IL-2+ cells. Of note, transplanted patients had decreased percentage of CD4+IFNγ+ cells compared with non-transplanted individuals, also CD45RO-CD27- cells producing either IFNγ or IL-2 were elevated in LTS patients. The presence of alloreactive polyfunctional T cells may be indicative of the potential immune responsiveness, as suggested by the finding that double positive cells were detected mainly in healthy controls and dialysis patients, but not in ChrRx or LTS patients. Contrariwise, the predominance of single cytokine producing cells in the transplanted patients may be a consequence of the chronic stimulation exerted by the graft on the T cells from these patients. How these T cell subpopulation affects the transplant outcome remains to be defined. Supported by Colciencias grant 11154592-1497
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