Transcription factor T-bet represses expression of the inhibitory receptor PD-1 and sustains virus-specific CD8+ T cell responses during chronic infection

C Kao, KJ Oestreich, MA Paley, A Crawford… - Nature …, 2011 - nature.com
C Kao, KJ Oestreich, MA Paley, A Crawford, JM Angelosanto, MAA Ali, AM Intlekofer
Nature immunology, 2011nature.com
T cell exhaustion has a major role in failure to control chronic infection. High expression of
inhibitory receptors, including PD-1, and the inability to sustain functional T cell responses
contribute to exhaustion. However, the transcriptional control of these processes remains
unclear. Here we demonstrate that the transcription factor T-bet regulated the exhaustion of
CD8+ T cells and the expression of inhibitory receptors. T-bet directly repressed
transcription of the gene encoding PD-1 and resulted in lower expression of other inhibitory …
Abstract
T cell exhaustion has a major role in failure to control chronic infection. High expression of inhibitory receptors, including PD-1, and the inability to sustain functional T cell responses contribute to exhaustion. However, the transcriptional control of these processes remains unclear. Here we demonstrate that the transcription factor T-bet regulated the exhaustion of CD8+ T cells and the expression of inhibitory receptors. T-bet directly repressed transcription of the gene encoding PD-1 and resulted in lower expression of other inhibitory receptors. Although a greater abundance of T-bet promoted terminal differentiation after acute infection, high T-bet expression sustained exhausted CD8+ T cells and repressed the expression of inhibitory receptors during chronic viral infection. Persistent antigenic stimulation caused downregulation of T-bet, which resulted in more severe exhaustion of CD8+ T cells. Our observations suggest therapeutic opportunities involving higher T-bet expression during chronic infection.
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