Up-Regulation of Multiple CD8+ T Cell Exhaustion Pathways is Associated to Recurrent Ocular Herpes Simplex Virus Type 1 Infection

A large proportion of the world’s population harbors latent herpes simplex virus type 1 (HSV-1). Crosstalk between antiviral CD8 + T cells and HSV-1 appear to control latency/reactivation cycles. We found that, compared to healthy asymptomatic (ASYMP) individuals, in symptomatic (SYMP) patients the...

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Bibliographic Details
Published in:The Journal of immunology (1950) 2020-06, Vol.205 (2), p.454-468
Main Authors: Coulon, Pierre-Grégoire, Roy, Soumyabrata, Prakash, Swayam, Srivastava, Ruchi, Dhanushkodi, Nisha, Salazar, Stephanie, Amezquita, Cassandra, Nguyen, Lan, Vahed, Hawa, Nguyen, Angela M., Warsi, Wasay R., Ye, Caitlin, Carlos-Cruz, Edgar A., Mai, Uyen T., BenMohamed, Lbachir
Format: Article
Language:eng
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Summary:A large proportion of the world’s population harbors latent herpes simplex virus type 1 (HSV-1). Crosstalk between antiviral CD8 + T cells and HSV-1 appear to control latency/reactivation cycles. We found that, compared to healthy asymptomatic (ASYMP) individuals, in symptomatic (SYMP) patients the CD8 + T cells with the same HLA-A*0201-restricted HSV-1 epitope-specificities expressed multiple genes and proteins associated to major T cell exhaustion pathways and were dysfunctional. Blockade of immune checkpoints with αLAG-3 and αPD-1 antagonist mAbs synergistically restored the frequency and function of antiviral CD8 + T cells, both ( i ) ex vivo , in SYMP individuals and SYMP HLA-A*0201 transgenic mice; and ( ii ) in vivo in HSV-1 infected SYMP HLA-A*0201 transgenic mice. This was associated with a significant reduction in virus reactivation and recurrent ocular herpetic disease. These findings confirm antiviral CD8 + T cell exhaustion during symptomatic herpes infection and pave the way to targeting immune checkpoints to combat recurrent ocular herpes.
ISSN:0022-1767
1550-6606