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Peter C. Doherty, Anne Kelso
Published in Volume 118, Issue 10
J Clin Invest. 2008; 118(10):3273–3275 doi:10.1172/JCI37232
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Figure 1
The CTL response to influenza A virus infection.

Influenza A viruses rapidly grow to very high titers in the lungs of infected mice (primary virus growth). Virus clearance is only enhanced (secondary virus growth) by approximately 2–3 days (21) in those animals that have memory CD8+ CTL numbers at what might be considered normal, physiological prevalence (<0.5% in spleen). Boosting those CTL counts (to >5%) a few weeks before viral challenge by some form of secondary stimulation can cause the period before the virus is successfully eliminated to be shortened by 48 hours or more (tertiary virus growth) (22). As shown in this issue of the JCI in the study by Lee et al. (14), most people already possess memory CTLs specific for the influenza A viruses. In the face of a rapidly emerging seasonal influenza epidemic, or a pandemic caused by a novel influenza A virus, a possible future strategy to mitigate the impact would be to stockpile a vaccine for emergency use that increases CD8+ CTL numbers.