Cellular and Molecular Mechanisms of CD8<sup>+</sup> T Cell Differentiation, Dysfunction and Exhaustion

T cells follow a triphasic distinct pathway of activation, proliferation and differentiation before becoming functionally and phenotypically “exhausted” in settings of chronic infection, autoimmunity and in cancer. Exhausted T cells progressively lose canonical effector functions, exhibit altered tr...

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Main Authors: Daniel J. Verdon, Matthias Mulazzani, Misty R. Jenkins
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/21/19/7357
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author Daniel J. Verdon
Matthias Mulazzani
Misty R. Jenkins
author_facet Daniel J. Verdon
Matthias Mulazzani
Misty R. Jenkins
author_sort Daniel J. Verdon
collection DOAJ
description T cells follow a triphasic distinct pathway of activation, proliferation and differentiation before becoming functionally and phenotypically “exhausted” in settings of chronic infection, autoimmunity and in cancer. Exhausted T cells progressively lose canonical effector functions, exhibit altered transcriptional networks and epigenetic signatures and gain constitutive expression of a broad coinhibitory receptor suite. This review outlines recent advances in our understanding of exhausted T cell biology and examines cellular and molecular mechanisms by which a state of dysfunction or exhaustion is established, and mechanisms by which exhausted T cells may still contribute to pathogen or tumour control. Further, this review describes our understanding of exhausted T cell heterogeneity and outlines the mechanisms by which checkpoint blockade differentially engages exhausted T cell subsets to overcome exhaustion and recover T cell function.
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spelling doaj.art-b8e8c286e097408dbddb9f0fa2ca28aa2023-11-20T16:07:09ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672020-10-012119735710.3390/ijms21197357Cellular and Molecular Mechanisms of CD8<sup>+</sup> T Cell Differentiation, Dysfunction and ExhaustionDaniel J. Verdon0Matthias Mulazzani1Misty R. Jenkins2Immunology Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, VIC 3052, AustraliaImmunology Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, VIC 3052, AustraliaImmunology Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, VIC 3052, AustraliaT cells follow a triphasic distinct pathway of activation, proliferation and differentiation before becoming functionally and phenotypically “exhausted” in settings of chronic infection, autoimmunity and in cancer. Exhausted T cells progressively lose canonical effector functions, exhibit altered transcriptional networks and epigenetic signatures and gain constitutive expression of a broad coinhibitory receptor suite. This review outlines recent advances in our understanding of exhausted T cell biology and examines cellular and molecular mechanisms by which a state of dysfunction or exhaustion is established, and mechanisms by which exhausted T cells may still contribute to pathogen or tumour control. Further, this review describes our understanding of exhausted T cell heterogeneity and outlines the mechanisms by which checkpoint blockade differentially engages exhausted T cell subsets to overcome exhaustion and recover T cell function.https://www.mdpi.com/1422-0067/21/19/7357T cell exhaustionchronic viral infectionscancerimmunotherapyepigeneticsPD-1
spellingShingle Daniel J. Verdon
Matthias Mulazzani
Misty R. Jenkins
Cellular and Molecular Mechanisms of CD8<sup>+</sup> T Cell Differentiation, Dysfunction and Exhaustion
International Journal of Molecular Sciences
T cell exhaustion
chronic viral infections
cancer
immunotherapy
epigenetics
PD-1
title Cellular and Molecular Mechanisms of CD8<sup>+</sup> T Cell Differentiation, Dysfunction and Exhaustion
title_full Cellular and Molecular Mechanisms of CD8<sup>+</sup> T Cell Differentiation, Dysfunction and Exhaustion
title_fullStr Cellular and Molecular Mechanisms of CD8<sup>+</sup> T Cell Differentiation, Dysfunction and Exhaustion
title_full_unstemmed Cellular and Molecular Mechanisms of CD8<sup>+</sup> T Cell Differentiation, Dysfunction and Exhaustion
title_short Cellular and Molecular Mechanisms of CD8<sup>+</sup> T Cell Differentiation, Dysfunction and Exhaustion
title_sort cellular and molecular mechanisms of cd8 sup sup t cell differentiation dysfunction and exhaustion
topic T cell exhaustion
chronic viral infections
cancer
immunotherapy
epigenetics
PD-1
url https://www.mdpi.com/1422-0067/21/19/7357
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