Response
Human memory but not naïve ␥␦ T cells from TST-positive individuals respond to M tuberculosis antigenWe thank Casetti et al for their interest in our recent work, "CD4 ϩ CD25 ϩ Treg cells inhibit human memory ␥␦ T cells to produce IFN-␥ in response to M tuberculosis antigen ESAT-6." 1 In our article, we showed that stimulation of peripheral blood mononuclear cells (PBMCs) from tuberculin skin test (TST)-positive individuals with ESAT-6 resulted in not only the production of cytokines but also the activation and division of memory ␥␦ T cells. These responding ␥␦ T cells displayed the phenotype of memory but not naive ␥␦ T cells. Most interestingly, CD4 ϩ CD25 ϩ Treg cells could inhibit IFN-␥ production by ␥␦ T cells. Casetti et al observed that CD4 ϩ but not ␥␦ T cells from 4 patients with active tuberculosis (TB) disease and 4 subjects with latent TB infection (LTBI) responded to ESAT-6 to express IFN-␥. In accordance with their and others' observations, 2 in our unpublished data from a few active TB patients, we also found that CD4 ϩ T cells, in addition to ␥␦ T cells, produced IFN-␥ in response to ESAT-6. Of note, the cells from different individuals with TB infection had distinct quality of response. The discrepancies between their and our results on the response of ␥␦ T cells to ESAT-6 might be influenced by many factors. The concern might be that the source of ESAT-6 we purchased from suppliers was different from that Casetti et al used. The various preparations of recombinant antigens, including cloning, sequences, expression, and purification process from different companies, might have different biologic activities. Moreover, differences in the classical and nonclassical major histocompatibility class (MHC) molecules, the affinity to antigenic epitopes, and the distinct biologic features between eastern and western peoples might lead to distinct reactivity to the same antigen. Clearly, it has been reported that ␥␦ T cells from bovines could react to ESAT-6 by IFN-␥ production and proliferation. 3 In addition, several antigenic epitopes/proteins recognized by human ␥␦ T cells have been identified via CDR3␦ peptide-based immunobiochemical strategy. 4 These peptides not only bind to ␥␦ T cells but also activate ␥␦ T cells. Moreover, in human chronic human herpesvirus 8 (HHV-8) infection, purified viral proteins resulted in ␥␦ V␦1 T cell activation. 5 Taken together, we agree with Casetti et al that human ␥␦ T cells recognize nonpeptidic phosphoantigens, metabolites of the isoprenoid pathway. 6,7 However, the mechanism by which human ␥␦ T cells recognized protein antigens remains unclear currently and needs further investigation.
Li Li and Chang-You Wu
Approval was obtained from the Zhongshan School of Medicine, Sun Yat-Sen University institutional review board for these studies. Informed consent was obtained in accordance with the Declaration of Helsinki.
Conflict-of-interest disclosure: The authors declare no competing financial interests.Correspondence : Changyou Wu, MD, PhD, Department of Immuno...