T cell exhaustion during persistent viral infections.

T cell exhaustion during persistent viral infections.
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DOI:
10.1016/j.virol.2014.12.033
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发表时间:
2015-05
期刊:
影响因子:
3.7
通讯作者:
Zajac, Allan J.
Zajac, Allan J.
中科院分区:
医学3区
文献类型:
--
作者:
Kahan, Shannon M.;Wherry, E. John;Zajac, Allan J.

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虽然强大而高效的抗病毒T细胞有助于许多急性感染的清除,但病毒的持久性与功能低下、精疲力竭的T细胞反应的发展有关。衰竭是以循序渐进的方式发展的,严重程度不等,最终可导致抗病毒T细胞的缺失。这种解除反应的作用是重要的,因为它损害了病毒控制,并可能有助于抑制免疫介导的损害。精疲力竭的T细胞无法阐述典型的抗病毒效应功能。它们的特点是抑制性受体持续上调,并显示出不同于原型效应器和记忆性T细胞群体的基因表达谱。在这篇综述中,我们讨论了耗竭T细胞的特性;有利于其发展的病毒学和免疫学条件;维持耗竭状态的细胞和分子信号;以及预防和逆转耗竭的策略,以利于病毒控制。
Although robust and highly effective anti-viral T cells contribute to the clearance of many acute infections, viral persistence is associated with the development of functionally inferior, exhausted, T cell responses. Exhaustion develops in a step-wise and progressive manner, ranges in severity, and can culminate in the deletion of the anti-viral T cells. This disarming of the response is consequential as it compromises viral control and potentially serves to dampen immune-mediated damage. Exhausted T cells are unable to elaborate typical anti-viral effector functions. They are characterized by the sustained upregulation of inhibitory receptors and display a gene expression profile that distinguishes them from prototypic effector and memory T cell populations. In this review we discuss the properties of exhausted T cells; the virological and immunological conditions that favor their development; the cellular and molecular signals that sustain the exhausted state; and strategies for preventing and reversing exhaustion to favor viral control.
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