Stimulation via CD40 can substitute for CD4 T cell function in preventing reactivation of a latent herpesvirus

SR Sarawar, BJ Lee, SK Reiter… - Proceedings of the …, 2001 - National Acad Sciences
SR Sarawar, BJ Lee, SK Reiter, SP Schoenberger
Proceedings of the National Academy of Sciences, 2001National Acad Sciences
Reactivation of latent herpesviruses is a particular problem in immunocompromised
individuals, such as AIDS patients, who lack effective CD4 T helper cell function. An
important question is whether residual immune defenses can be mobilized to combat such
opportunistic infections, in the absence of CD4 T cells. In the present study, we used a
mouse model of opportunistic infection to determine whether stimulation via CD40 could
substitute for CD4 T cell function in preventing reactivation of a latent herpesvirus. Treatment …
Reactivation of latent herpesviruses is a particular problem in immunocompromised individuals, such as AIDS patients, who lack effective CD4 T helper cell function. An important question is whether residual immune defenses can be mobilized to combat such opportunistic infections, in the absence of CD4 T cells. In the present study, we used a mouse model of opportunistic infection to determine whether stimulation via CD40 could substitute for CD4 T cell function in preventing reactivation of a latent herpesvirus. Treatment with an agonistic antibody to CD40 was highly effective in preventing reactivation of latent murine gammaherpesvirus (MHV-68) in the lungs of CD4 T cell-deficient mice. CD8+ T cells were essential for this effect, whereas virus-specific serum antibody was undetectable and IFN-γ production was unchanged. This demonstration that immunostimulation via CD40 can replace CD4 T cell help in controlling latent virus in vivo has potential implications for the development of novel therapeutic agents to prevent viral reactivation in immunocompromised patients.
National Acad Sciences