Modulation of cytomegalovirus immune evasion identifies direct antigen presentation as the predominant mode of CD8 T-cell priming during immune reconstitution after hematopoietic cell transplantation

Cytomegalovirus (CMV) infection is the most critical infectious complication in recipients of hematopoietic cell transplantation (HCT) in the period between a therapeutic hematoablative treatment and the hematopoietic reconstitution of the immune system. Clinical investigation as well as the mouse m...

Full description

Bibliographic Details
Main Authors: Rafaela Holtappels, Julia K. Büttner, Kirsten Freitag, Matthias J. Reddehase, Niels A. Lemmermann
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1355153/full
_version_ 1827349923823091712
author Rafaela Holtappels
Julia K. Büttner
Kirsten Freitag
Matthias J. Reddehase
Niels A. Lemmermann
Niels A. Lemmermann
author_facet Rafaela Holtappels
Julia K. Büttner
Kirsten Freitag
Matthias J. Reddehase
Niels A. Lemmermann
Niels A. Lemmermann
author_sort Rafaela Holtappels
collection DOAJ
description Cytomegalovirus (CMV) infection is the most critical infectious complication in recipients of hematopoietic cell transplantation (HCT) in the period between a therapeutic hematoablative treatment and the hematopoietic reconstitution of the immune system. Clinical investigation as well as the mouse model of experimental HCT have consistently shown that timely reconstitution of antiviral CD8 T cells is critical for preventing CMV disease in HCT recipients. Reconstitution of cells of the T-cell lineage generates naïve CD8 T cells with random specificities among which CMV-specific cells need to be primed by presentation of viral antigen for antigen-specific clonal expansion and generation of protective antiviral effector CD8 T cells. For CD8 T-cell priming two pathways are discussed: “direct antigen presentation” by infected professional antigen-presenting cells (pAPCs) and “antigen cross-presentation” by uninfected pAPCs that take up antigenic material derived from infected tissue cells. Current view in CMV immunology favors the cross-priming hypothesis with the argument that viral immune evasion proteins, known to interfere with the MHC class-I pathway of direct antigen presentation by infected cells, would inhibit the CD8 T-cell response. While the mode of antigen presentation in the mouse model of CMV infection has been studied in the immunocompetent host under genetic or experimental conditions excluding either pathway of antigen presentation, we are not aware of any study addressing the medically relevant question of how newly generated naïve CD8 T cells become primed in the phase of lympho-hematopoietic reconstitution after HCT. Here we used the well-established mouse model of experimental HCT and infection with murine CMV (mCMV) and pursued the recently described approach of up- or down-modulating direct antigen presentation by using recombinant viruses lacking or overexpressing the central immune evasion protein m152 of mCMV, respectively. Our data reveal that the magnitude of the CD8 T-cell response directly reflects the level of direct antigen presentation.
first_indexed 2024-03-08T00:51:20Z
format Article
id doaj.art-c6a9e7e2512046fc8ea54b9f03241739
institution Directory Open Access Journal
issn 1664-3224
language English
last_indexed 2024-03-08T00:51:20Z
publishDate 2024-02-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj.art-c6a9e7e2512046fc8ea54b9f032417392024-02-15T04:56:27ZengFrontiers Media S.A.Frontiers in Immunology1664-32242024-02-011510.3389/fimmu.2024.13551531355153Modulation of cytomegalovirus immune evasion identifies direct antigen presentation as the predominant mode of CD8 T-cell priming during immune reconstitution after hematopoietic cell transplantationRafaela Holtappels0Julia K. Büttner1Kirsten Freitag2Matthias J. Reddehase3Niels A. Lemmermann4Niels A. Lemmermann5Institute for Virology and Research Center for Immunotherapy (FZI) at the University Medical Center of the Johannes Gutenberg University Mainz, Mainz, GermanyInstitute for Virology and Research Center for Immunotherapy (FZI) at the University Medical Center of the Johannes Gutenberg University Mainz, Mainz, GermanyInstitute for Virology and Research Center for Immunotherapy (FZI) at the University Medical Center of the Johannes Gutenberg University Mainz, Mainz, GermanyInstitute for Virology and Research Center for Immunotherapy (FZI) at the University Medical Center of the Johannes Gutenberg University Mainz, Mainz, GermanyInstitute for Virology and Research Center for Immunotherapy (FZI) at the University Medical Center of the Johannes Gutenberg University Mainz, Mainz, GermanyInstitute of Virology, Medical Faculty, University of Bonn, Bonn, GermanyCytomegalovirus (CMV) infection is the most critical infectious complication in recipients of hematopoietic cell transplantation (HCT) in the period between a therapeutic hematoablative treatment and the hematopoietic reconstitution of the immune system. Clinical investigation as well as the mouse model of experimental HCT have consistently shown that timely reconstitution of antiviral CD8 T cells is critical for preventing CMV disease in HCT recipients. Reconstitution of cells of the T-cell lineage generates naïve CD8 T cells with random specificities among which CMV-specific cells need to be primed by presentation of viral antigen for antigen-specific clonal expansion and generation of protective antiviral effector CD8 T cells. For CD8 T-cell priming two pathways are discussed: “direct antigen presentation” by infected professional antigen-presenting cells (pAPCs) and “antigen cross-presentation” by uninfected pAPCs that take up antigenic material derived from infected tissue cells. Current view in CMV immunology favors the cross-priming hypothesis with the argument that viral immune evasion proteins, known to interfere with the MHC class-I pathway of direct antigen presentation by infected cells, would inhibit the CD8 T-cell response. While the mode of antigen presentation in the mouse model of CMV infection has been studied in the immunocompetent host under genetic or experimental conditions excluding either pathway of antigen presentation, we are not aware of any study addressing the medically relevant question of how newly generated naïve CD8 T cells become primed in the phase of lympho-hematopoietic reconstitution after HCT. Here we used the well-established mouse model of experimental HCT and infection with murine CMV (mCMV) and pursued the recently described approach of up- or down-modulating direct antigen presentation by using recombinant viruses lacking or overexpressing the central immune evasion protein m152 of mCMV, respectively. Our data reveal that the magnitude of the CD8 T-cell response directly reflects the level of direct antigen presentation.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1355153/fullantigen cross-presentationCD8 T-cell primingdirect antigen presentationeffector-memory T cells (TEM)immune evasionlatent infection
spellingShingle Rafaela Holtappels
Julia K. Büttner
Kirsten Freitag
Matthias J. Reddehase
Niels A. Lemmermann
Niels A. Lemmermann
Modulation of cytomegalovirus immune evasion identifies direct antigen presentation as the predominant mode of CD8 T-cell priming during immune reconstitution after hematopoietic cell transplantation
Frontiers in Immunology
antigen cross-presentation
CD8 T-cell priming
direct antigen presentation
effector-memory T cells (TEM)
immune evasion
latent infection
title Modulation of cytomegalovirus immune evasion identifies direct antigen presentation as the predominant mode of CD8 T-cell priming during immune reconstitution after hematopoietic cell transplantation
title_full Modulation of cytomegalovirus immune evasion identifies direct antigen presentation as the predominant mode of CD8 T-cell priming during immune reconstitution after hematopoietic cell transplantation
title_fullStr Modulation of cytomegalovirus immune evasion identifies direct antigen presentation as the predominant mode of CD8 T-cell priming during immune reconstitution after hematopoietic cell transplantation
title_full_unstemmed Modulation of cytomegalovirus immune evasion identifies direct antigen presentation as the predominant mode of CD8 T-cell priming during immune reconstitution after hematopoietic cell transplantation
title_short Modulation of cytomegalovirus immune evasion identifies direct antigen presentation as the predominant mode of CD8 T-cell priming during immune reconstitution after hematopoietic cell transplantation
title_sort modulation of cytomegalovirus immune evasion identifies direct antigen presentation as the predominant mode of cd8 t cell priming during immune reconstitution after hematopoietic cell transplantation
topic antigen cross-presentation
CD8 T-cell priming
direct antigen presentation
effector-memory T cells (TEM)
immune evasion
latent infection
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1355153/full
work_keys_str_mv AT rafaelaholtappels modulationofcytomegalovirusimmuneevasionidentifiesdirectantigenpresentationasthepredominantmodeofcd8tcellprimingduringimmunereconstitutionafterhematopoieticcelltransplantation
AT juliakbuttner modulationofcytomegalovirusimmuneevasionidentifiesdirectantigenpresentationasthepredominantmodeofcd8tcellprimingduringimmunereconstitutionafterhematopoieticcelltransplantation
AT kirstenfreitag modulationofcytomegalovirusimmuneevasionidentifiesdirectantigenpresentationasthepredominantmodeofcd8tcellprimingduringimmunereconstitutionafterhematopoieticcelltransplantation
AT matthiasjreddehase modulationofcytomegalovirusimmuneevasionidentifiesdirectantigenpresentationasthepredominantmodeofcd8tcellprimingduringimmunereconstitutionafterhematopoieticcelltransplantation
AT nielsalemmermann modulationofcytomegalovirusimmuneevasionidentifiesdirectantigenpresentationasthepredominantmodeofcd8tcellprimingduringimmunereconstitutionafterhematopoieticcelltransplantation
AT nielsalemmermann modulationofcytomegalovirusimmuneevasionidentifiesdirectantigenpresentationasthepredominantmodeofcd8tcellprimingduringimmunereconstitutionafterhematopoieticcelltransplantation