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BackgroundHuman CD8 immunodeficiency is characterized by undetectable CD8 + lymphocytes and an increased population of CD4 -CD8 -(double negative) T lymphocytes.
Design and MethodsWe hypothesized that the double negative subset corresponds to the cellular population that should express CD8 and is committed to the cytotoxic T lymphocyte lineage. To assess this, we determined the phenotype and function of peripheral blood mononuclear cells and/or magnetically isolated double negative T lymphocytes from two CD8-deficient patients. To analyze the expression and co-localization with different organelles, 293T cells were transfected with plasmids bearing wild-type or mutated CD8a.
ResultsCD8a mutated protein was retained in the cytoplasm of transfected cells. The percentages of double negative cells in patients were lower than the percentages of CD8 + T cells in healthy controls. Double negative cells mostly had an effector or effector memory phenotype whereas naïve T cells were under-represented. A low concentration of T-cell receptor excision circles together with a skewed T-cell receptor-Vb repertoire were observed in the double negative population. These data suggest that, in the absence of CD8 co-receptor, the thymic positive selection functions suboptimally and a limited number of mature T-cell clones would emerge from the thymus. In vitro, the double negative cells showed a mild defect in cytotoxic function and decreased proliferative capacity.
ConclusionsIt is possible that the double negative cells are major histocompatibility complex class-I restricted T cells with cytolytic function. These results show for the first time in humans that the presence of the CD8 co-receptor is dispensable for cytotoxic ability, but that it affects the generation of thymic precursors committed to the cytotoxic T lymphocyte lineage and the proliferation of mature cytotoxic T cells.Key words: CD8 immunodeficiency, double negative T lympho cytes, MHC class-I, cytotoxic T lymphocyte proliferation. 2011;96(8):1195-1203. doi:10.3324/haematol.2011 This is an open-access paper.
Citation: Bernardo I, Mancebo E, Aguiló I, Anel A, Allende LM, Guerra-Vales JM, Ruiz-Contreras J, Serrano A, Talayero P, de la Calle O, Gonzalez-Santesteban C, and Paz-Artal E. Phenotypic and functional evaluation of CD3 + CD4 -CD8 -T cells in human CD8 immunodeficiency. Haematologica
Phenotypic and functional evaluation of CD3 + CD4 -CD8 -T cells in human CD8 immunodeficiency