[HTML][HTML] Transcriptional regulatory network for the establishment of CD8+ T cell exhaustion

W Seo, C Jerin, H Nishikawa - Experimental & molecular medicine, 2021 - nature.com
W Seo, C Jerin, H Nishikawa
Experimental & molecular medicine, 2021nature.com
Chronic infection with persistent antigenic stimulation results in the generation of exhausted
CD8+ T cells, which are considered defective effector CD8+ T cells, and thus compromises
effective immune responses. However, recent studies have illustrated that exhausted CD8+
T cells may be purposely generated and maintained to provide mild immune responses
against chronic infection or cancer, which can be safer over a long period of time than strong
immune responses. Indeed, a specific population of exhausted CD8+ T cells that behaves …
Abstract
Chronic infection with persistent antigenic stimulation results in the generation of exhausted CD8+ T cells, which are considered defective effector CD8+ T cells, and thus compromises effective immune responses. However, recent studies have illustrated that exhausted CD8+ T cells may be purposely generated and maintained to provide mild immune responses against chronic infection or cancer, which can be safer over a long period of time than strong immune responses. Indeed, a specific population of exhausted CD8+ T cells that behaves similarly to self-renewing stem cells and provides a continuous supply of exhausted CD8+ T cells has been identified, indicating that this population can be considered progenitors of exhausted CD8+ T cells. Furthermore, several ground-breaking studies in the last few years have shed new light on the transcriptional regulatory network governing the generation and propagation of exhausted CD8+ T cells, which involves T cell receptor (TCR) signaling that leads to NFAT-TCF1 (nuclear factor of activated T cells-T cell factor 1) activity followed by activation of the TOX/NR4A axis. Elucidation of the intracellular signaling pathways will help to define the definitive developmental stages leading to exhausted CD8+ T cells, which can be exploited to advance our never-ending battle against cancer. This review will summarize the recent discoveries that have deepened our understanding of the exhaustion program of cytotoxic CD8+ T cells.
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