[HTML][HTML] Impaired NK cell responses to pertussis and H1N1 influenza vaccine antigens in human cytomegalovirus-infected individuals

CM Nielsen, MJ White, C Bottomley, C Lusa… - The Journal of …, 2015 - journals.aai.org
CM Nielsen, MJ White, C Bottomley, C Lusa, A Rodríguez-Galán, SEG Turner, MR Goodier
The Journal of Immunology, 2015journals.aai.org
NK cells contribute to postvaccination immune responses after activation by IL-2 from Ag-
specific memory T cells or by cross-linking of the low-affinity IgG receptor, CD16, by Ag–Ab
immune complexes. Sensitivity of NK cells to these signals from the adaptive immune
system is heterogeneous and influenced by their stage of differentiation. CD56 dim CD57+
NK cells are less responsive to IL-2 and produce less IFN-γ in response to T cell–mediated
activation than do CD56 bright or CD56 dim CD57− NK cells. Conversely, NK cell …
Abstract
NK cells contribute to postvaccination immune responses after activation by IL-2 from Ag-specific memory T cells or by cross-linking of the low-affinity IgG receptor, CD16, by Ag–Ab immune complexes. Sensitivity of NK cells to these signals from the adaptive immune system is heterogeneous and influenced by their stage of differentiation. CD56 dim CD57+ NK cells are less responsive to IL-2 and produce less IFN-γ in response to T cell–mediated activation than do CD56 bright or CD56 dim CD57− NK cells. Conversely, NK cell cytotoxicity, as measured by degranulation, is maintained across the CD56 dim subsets. Human CMV (HCMV), a highly prevalent herpes virus causing lifelong, usually latent, infections, drives the expansion of the CD56 dim CD57+ NKG2C+ NK cell population, skewing the NK cell repertoire in favor of cytotoxic responses at the expense of cytokine-driven responses. We hypothesized, therefore, that HCMV seropositivity would be associated with altered NK cell responses to vaccine Ags. In a cross-sectional study of 152 UK adults, with HCMV seroprevalence rate of 36%, we find that HCMV seropositivity is associated with lower NK cell IFN-γ production and degranulation after in vitro restimulation with pertussis or H1N1 influenza vaccine Ags. Higher expression of CD57/NKG2C and lower expression of IL-18Rα on NK cells from HCMV seropositive subjects do not fully explain these impaired responses, which are likely the result of multiple receptor–ligand interactions. This study demonstrates for the first time, to our knowledge, that HCMV serostatus influences NK cell contributions to adaptive immunity and raises important questions regarding the impact of HCMV infection on vaccine efficacy.
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