Memory CD8 T cells, generated by natural pathogen exposure or intentional vaccination, protect the host against specific viral infections1. It has long been proposed that the number of memory CD8 T cells in the host is inflexible, and that individual cells are constantly competing for limited space2,3. Consequently, vaccines that introduce over-abundant quantities of memory CD8 T cells specific for an agent of interest could have catastrophic consequences for the host by displacing memory CD8 T cells specific for all previous infections4,5,6. To test this paradigm, we developed a vaccination regimen in mice that introduced as many new long-lived memory CD8 T cells specific for a single vaccine antigen as there were memory CD8 T cells in the host before vaccination. Here we show that, in contrast to expectations, the size of the memory CD8 T-cell compartment doubled to accommodate these new cells, a change due solely to the addition of effector memory CD8 T cells. This increase did not affect the number of CD4 T cells, B cells or naive CD8 T cells, and pre-existing memory CD8 T cells specific for a previously encountered infection were largely preserved. Thus, the number of effector memory CD8 T cells in the mammalian host adapts according to immunological experience. Developing vaccines that abundantly introduce new memory CD8 T cells should not necessarily ablate pre-existing immunity to other infections.
Conventional knowledge dictates that the size and composition of the adaptive immune system, including the number of memory CD8 T cells, is invariable. This paradigm serves as the basis for theories regarding the regulation of immune memory and stipulates that new infections and vaccines erode pre-existing immunity. However, because of variability between mice and the fact that single infections result in the addition of relatively small new memory populations, it is actually quite challenging to enumerate changes in the composition and size of different lymphocyte compartments induced by the addition of new memory CD8 T cells. We overcame this difficulty by developing a unique heterologous prime–boost vaccination strategy designed to introduce enormous numbers of memory CD8 T cells specific for a single antigen7, equal in number to the entire population of memory CD8 T cells specific for all previously encountered infections in unvaccinated mice. This event could reflect what occurs naturally on repeated exposure to serological variants of pathogens that express shared CD8 T-cell epitopes, or more probably, such a response could be intentionally induced to test the potential of memory CD8 T cells to protect against pathogens for which antibody-based vaccines have consistently failed8. Most importantly, in this context, it provides a more stringent test of the impact of introducing new memory CD8 T cells on the size of the naive and memory CD8 T-cell compartments, the size of the B and CD4 T-cell compartments, and the number of pre-existing memory CD8 T cells specific for a different pathogen.
To establish a defined and easily detectable population of pre-existing memory CD8 T cells, we transferred naive P14 cells, which are CD8 T cells specific for an immunodominant epitope of lymphocytic choriomeningitis virus (LCMV), into C57Bl/6J mice, and then infected recipient mice with LCMV (Armstrong strain)9. This allowed us to track precisely a population of non-cross-reactive monoclonal memory CD8 T cells. After LCMV-specific memory was established, mice were subjected to three heterologous prime–boost immunizations, which resulted in a large addition of memory CD8 T cells specific for the ‘N’ peptide of vesicular stomatitis virus (Fig. 1a–c)7. Control mice received phosphate buffered saline (PBS) instead of three heterologous prime–boost immunizations, which did not result in an N-peptide-specific response (Fig. 1b).
Consistent with previous reports10,11, new immune challenges caused a substantial reduction in the percentage of CD8 T cells specific for LCMV, suggesting profound attrition of pre-existing memory CD8 T cells (Fig. 1b, c). However, we noted that the proportion of CD8+ lymphocytes in blood unexpectedly increased permanently, from 11.1 ± 0.8% (± s.e.m.) in control mice to 25.4 ± 1.1% in boosted mice (P < 0.0001, measured 94 days after final immunization or PBS inoculation, Fig. 1d). If the size of the CD8 T-cell compartment is malleable, it confounds interpretation based on percentages alone (Fig. 1e).
For this reason, we counted the numbers of CD8 T, CD4 T, and B cells in various tissues between 80 and 160 days after the final immunization. We found that heterologous prime–boost immunizations induced a permanent increase in the number of CD8 T cells in almost all tissues, with no significant affect on the number of CD4 T or B cells. For example, the number of CD8 T cells in the spleen increased by 54.9% relative to control mice (Fig. 2), and similar, or even greater, increases were noted in liver, bone marrow (data not shown) and lung (94.5% increase, Supplementary Fig. 1a). The one exception was lymph node, in which there was no change in the number or composition of lymphocytes (Supplementary Fig. 1b). In addition, no changes were seen among any subset of CD4 T cells in any tissue (Supplementary Figs 1 and 2).
We then determined whether the increase in CD8 T cells reflected changes in the numbers of naive CD8 T cells, memory CD8 T cells or both by staining cells for CD44 and CD62L. We found that heterologous prime–boost immunization induced no change among naive (CD44lo) CD8 T cells (Fig. 3). Consistent with these data, prime–boost immunized mice mounted primary CD8 T-cell responses that were equivalent to age-matched controls when challenged with a new infection (Supplementary Fig. 3), suggesting no defect in immunocompetence or reduction in naive CD8 T-cell responsiveness.
The increase in CD8 T cells in heterologous prime–boost immunized mice was entirely due to a large increase in the number of memory (CD44hi) CD8 T cells (Fig. 3). In fact, this increase occurred almost exclusively in the CD62Llo subset of memory CD8 T cells that are often referred to as non-lymphoid effector memory T cells. These data demonstrate that the size of the memory CD8 T-cell compartment is not fixed, and grows with immunological experience.
We then counted the number of new N-peptide-specific memory CD8 T cells, as well as the number of pre-existing memory (P14) CD8 T cells specific for LCMV (Fig. 4). As expected, no N-peptide-specific memory CD8 T cells were detected in control mice. The heterologous prime–boost regimen resulted in so many memory CD8 T cells specific for N, that the population was equivalent in size to the entire CD44hi (memory) CD8 T-cell population in control mice. If the size of the memory CD8 T-cell compartment was fixed, one would predict that almost 100% of pre-existing memory CD8 T cells would be ablated. In contrast, memory P14 CD8 T cells specific for LCMV only underwent a modest reduction (from 1.38 ± 0.17 × 106 to 9.15 ± 1.36 × 105, or a 33.6% reduction, P = 0.0484, n = 16–18 per group). Modest reductions in memory P14 CD8 T cells were also seen in other tissues (25.6% reduction in lung, P = 0.485, and 33.4% reduction in lymph node, P = 0.390, n = 13–15 per group). These data demonstrate that when very large numbers of new memory CD8 T cells are introduced, the erosion of pre-existing memory CD8 T cells is far less than predicted by a model of fixed homeostasis.
In other experiments, polyclonal endogenous LCMV-specific memory CD8 T cells in C57Bl/6J and/or Balb/c mice did not undergo attrition in response to infections with vaccinia (a virus that elicits a large CD8 T cell response), Listeria monocytogenes (an intracellular bacteria) or Plasmodium yoelii (a parasite that causes spleens of mice to increase to ∼900 × 106 lymphocytes), as shown in Supplementary Fig. 4. Although these results do not exclude that certain infections could result in memory T-cell loss—as a result of infection-associated pathology, destruction of lymphoid tissue or direct infection of lymphocytes—we found little evidence of attrition in all models tested.
In conclusion, the memory CD8 T-cell compartment is not fixed in size, as previously thought. Instead, the size and proportion of different subsets of the adaptive immune system are flexible and reflect adaptation to the immunological experience of the individual. These results seem to contradict earlier work describing profound attrition of memory CD8 T cells on exposure to new pathogens10,11. However, it should be noted that previous studies quantified this decline as a percentage of CD8 T cells. We also observed a substantial reduction in the frequency of pre-existing memory CD8 T cells specific for LCMV (Fig. 1). However, because the number of CD8 T cells increased in the organism, the erosion of pre-existing memory CD8 T cells was much less than predicted by frequency measurements alone. It should also be noted that previous studies restricted analysis to secondary lymphoid tissue after primary infections that result predominantly in the generation of central memory CD8 T cells. Heterologous prime–boost vaccination preferentially generates effector memory CD8 T cells that are enriched within non-lymphoid tissues (Supplementary Fig. 5 and ref. 7). Indeed, we found no evidence of an increase in total memory CD8 T cells within lymph node, nor an increase in CD62L+ memory CD8 T cells in any tissue (Fig. 3 and Supplementary Fig. 1). Thus, our study does not reject the hypothesis that central memory CD8 T cells, which are enriched in lymph nodes and depend on interleukin (IL)-15 for survival12, may be fixed in number. However, it does suggest that effector memory CD8 T cells, which express low levels of IL-15R and undergo very little ‘homeostatic’ division9,13,14, may not be subject to the same regulation. It should also be noted that the pathological response to certain infections, or situations in which pathogens directly infect memory lymphocytes, could result in the attrition of memory CD8 T cells.
Our data help to explain observed phenomena, and have practical implications. According to the fixed homeostasis model, it is predicted that the number of total memory CD8 T cells remains stable, regardless of exposure to additional pathogens15. Two observations cast doubt on this hypothesis. First, effector memory CD8 T cells steadily increase in blood through the first several decades of life16,17. Although the number of cells in tissues has not been quantified, and other physiological changes accompany ageing, this supports the hypothesis that the memory CD8 T-cell compartment might enlarge as one is exposed to additional infections. The fixed homeostasis model also predicts that pre-existing CD8 T-cell memory erodes significantly with successive infections. However, the longevity of CD8 T-cell memory after smallpox vaccination was recently shown to be remarkably long-lived (t1/2 = 8–16 years)18, which also favours a model of a flexible memory CD8 T-cell compartment.
The fact that the adaptive immune system has the capacity to accommodate increased numbers of memory CD8 T cells outside of lymph nodes could be exploited for vaccination. Most successful vaccines elicit protection by means of antibodies. This approach has not rendered a protective HIV vaccine, prompting many to consider vaccines that elicit effector memory CD8 T cells, for which the recognition mechanism is less vulnerable to viral mutations19. However, CD8 T cells only eliminate viruses after co-localizing with cells that are already infected, suggesting that low frequencies of CD8 T cells might not act rapidly enough to prevent chronic infection. So far, clinical vaccine trials using CD8 T cells have failed to protect against HIV20,21. However, we show that aggressive heterologous prime–boost vaccination with live replicating vectors has the potential to generate ∼100-fold larger memory CD8 T-cell frequencies than what is achieved with current approaches (Fig. 1)22. Crucially, we show that this only caused very modest attrition of pre-existing cellular immunity to other pathogens (Fig. 4). With this major caveat removed, perhaps the time has come to examine the potential of massive numbers of memory CD8 T cells to mediate very rapid clearance of viral infections.
Mice and infections
C57Bl/6J mice were purchased from The Jackson Laboratory. Thy1.1+ P14 mice bearing the H–2Db gp33-specific T-cell receptor were fully backcrossed to C57Bl/6J mice and maintained in our animal colony. We generated P14 chimaeras by transferring 3 × 104 naive transgenic Thy1.1+ P14 T cells into naive C57Bl/6J mice. The next day, mice were infected intraperitoneally (i.p.) with 2 × 105 plaque-forming units (p.f.u.) LCMV (Armstrong strain). Fifty-five days later, mice were infected with 5 × 105 p.f.u. vesicular stomatitis virus (New Jersey strain, VSV-NJ) intravenously (i.v.), rested for 67 days, infected with 2 × 106 p.f.u. recombinant vaccinia virus expressing the VSV nucleoprotein (VVn) i.v., rested for 94 days, and then infected with 1 × 106 p.f.u. VSV (Indiana strain, VSV-IND) i.v. Control mice received PBS i.v. in lieu of VSV and VVn infections. n = 16–18 mice per group. All mice were used in accordance with National Institutes of Health and the University of Minnesota or Emory University Institutional Animal Care and Use Committee guidelines.
Isolation of lymphocytes and immunofluorescence
Blood was obtained by disruption of the retro-orbital plexus, and peripheral blood lymphocytes (PBLs) were purified by underlaying Histopaque (Sigma-Aldrich) and performing density centrifugation (800g at 20 °C for 20 min). Lymphocytes were isolated from spleen, lung and inguinal lymph nodes as previously described7. Single-cell suspensions were surface-stained with anti-CD8, -Thy1.1, -CD44, -CD62L, -CD4, -B220, -CD3 and -IgD (BD Pharmingen). VSV-nucleoprotein-specific CD8 T cells were identified by staining with H–2Kb tetramers constructed with the N52–59 peptide, as previously described23. Endogenous LCMV-specific CD8 T cells (Supplementary Fig. 4) were identified by staining with H–2Db np396–404, H–2Db gp33–41, H–2Db gp276–286 and H–2Ld np118–126 tetramers, constructed as previously described (np and gp refer to LCMV nuleoprotein and glycoprotein, respectively)24. Samples were acquired on a FACSCalibur flow cytometer (BD Biosciences).
Mice and infections
To test the impact of large numbers of pre-existing memory CD8 T cells on responses to new infections (Supplementary Fig. 3), naive C57Bl/6J mice were subjected to the heterologous prime–boost regimen as follows: mice were infected with 5 × 105 p.f.u. VSV-NJ i.v., rested for 70 days, infected with 2 × 106 p.f.u. VVn i.v., rested for 140 days, and then infected with 1 × 106 p.f.u. VSV-IND i.v. and rested for 146 days. Age-matched control mice were rested without receiving the heterologous prime–boost regimen. Both groups were then challenged with 2 × 105 p.f.u. LCMV Armstrong strain i.p. and analysed 43 days later.
For the experiments described in Supplementary Fig. 4, C57Bl/6J or Balb/c mice were infected with 2 × 105 p.f.u. LCMV Armstrong strain. 45–60 days later, mice were challenged with 2 × 106 p.f.u. vaccinia virus i.p., 2 × 104 colony-forming units Listeria monocytogenes i.v. or 1 × 106 red blood cells parasitized with Plasmodium yoelii25 i.p., as indicated.
Quantification of antibody-secreting cells
Using a modification of the enzyme-linked immunospot (ELISPOT) technique, 96-well nitrocellulose plates were coated with LCMV-infected BHK cell lysate for approximately 16 h26. After washing off unbound antigen, splenocytes from immune and immune-challenged mice were plated and incubated for 5 h at 37 °C. Mouse immunoglobulin G was detected by means of an HRP-conjugated antibody and visualized with aminoethyl carbazole as the chromagen substrate. Spots were enumerated by means of a stereomicroscope and total numbers of antibody-secreting cells per spleen were calculated by multiplying total spleen cell numbers with numbers of spots per well.
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We thank S. Jameson, E. J. Wherry and A. Haase for critical discussions and reading of the manuscript, and J. W. Yewdell for recombinant vaccinia virus. This research was supported by start-up funds from the University of Minnesota Medical School (V.V. and D.M.) and NIH grant AI30048 (R. Ahmed).
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Vezys, V., Yates, A., Casey, K. et al. Memory CD8 T-cell compartment grows in size with immunological experience. Nature 457, 196–199 (2009). https://doi.org/10.1038/nature07486
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