Exhausted CD8+ T cells face a developmental fork in the road

R Zander, W Cui - Trends in Immunology, 2023 - cell.com
Trends in Immunology, 2023cell.com
Reinvigorating the function of exhausted CD8+ T cells during chronic viral infection and
cancer is a major goal of current immunotherapy regimens. Here, we discuss recent
advances in our understanding of exhausted CD8+ T cell heterogeneity as well as the
potential differentiation trajectories that exhausted T cells follow during chronic infection
and/or cancer. We highlight surmounting evidence suggesting that some T cell clones are
divergent in nature and can develop into either terminally differentiated effector or exhausted …
Abstract
Reinvigorating the function of exhausted CD8+ T cells during chronic viral infection and cancer is a major goal of current immunotherapy regimens. Here, we discuss recent advances in our understanding of exhausted CD8+ T cell heterogeneity as well as the potential differentiation trajectories that exhausted T cells follow during chronic infection and/or cancer. We highlight surmounting evidence suggesting that some T cell clones are divergent in nature and can develop into either terminally differentiated effector or exhausted CD8+ T cells. Lastly, we consider the potential therapeutic implications of such a bifurcation model of CD8+ T cell differentiation, including the intriguing hypothesis that redirecting progenitor CD8+ T cell differentiation along an effector pathway may serve as a novel approach to mitigate T cell exhaustion.
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