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CD8 T cells inhibit respiratory syncytial virus (RSV) vaccine-enhanced disease
Journal article   Peer reviewed

CD8 T cells inhibit respiratory syncytial virus (RSV) vaccine-enhanced disease

Matthew R Olson and Steven M Varga
The Journal of immunology (1950), Vol.179(8), pp.5415-5424
10/15/2007
DOI: 10.4049/jimmunol.179.8.5415
PMID: 17911628

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Abstract

Vaccination of children with a formalin-inactivated (FI) respiratory syncytial virus (RSV) vaccine led to exacerbated disease including pulmonary eosinophilia following a natural RSV infection. Immunization of BALB/c mice with FI-RSV or a recombinant vaccinia virus (vv) expressing the RSV attachment (G) protein (vvG) results in a pulmonary Th2 response and eosinophilia after RSV challenge that closely mimics the RSV vaccine-enhanced disease observed in humans. The underlying causes of RSV vaccine-enhanced disease remain poorly understood. We demonstrate here that RSV M2-specific CD8 T cells reduce the Th2-mediated pathology induced by vvG-immunization and RSV challenge in an IFN-gamma-independent manner. We also demonstrate that FI-RSV immunization does not induce a measurable RSV-specific CD8 T cell response and that priming FI-RSV-immunized mice for a potent memory RSV-specific CD8 T cell response abrogates pulmonary eosinophilia after subsequent RSV challenge. Our results suggest that the failure of the FI-RSV vaccine to induce a CD8 T cell response may have contributed to the development of pulmonary eosinophilia and augmented disease that occurred in vaccinated individuals.
Pulmonary Eosinophilia - prevention & control Respiratory Syncytial Virus Vaccines - immunology Pulmonary Eosinophilia - virology Respiratory Syncytial Viruses - immunology Th2 Cells - immunology Lymphocyte Depletion Respiratory Syncytial Virus Infections - immunology Immunosuppression Animals CD8-Positive T-Lymphocytes - virology Respiratory Syncytial Virus Infections - prevention & control Female Immunologic Memory Mice Mice, Inbred BALB C Epitopes, T-Lymphocyte - immunology Kinetics CD8-Positive T-Lymphocytes - immunology Respiratory Syncytial Virus Infections - virology Th2 Cells - pathology Pulmonary Eosinophilia - immunology

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