The role of CD4 help during CD8 response and memory differentiation has been clearly demonstrated in different experimental models. However, the exact mechanisms of CD4 help remain largely unknown and preclude replacement therapy to develop. Interestingly, studies have shown that administration of an agonist aCD40ab can substitute CD4 help in vitro and in vivo, whereas the targets of this antibody remain elusive. In this study, we address the exact role of CD40 expression on APCs and CD8 T cells using aCD40ab treatment in mice. We demonstrate that aCD40 antibodies have synergetic effects on APCs and CD8 T cells. Full efficiency of aCD40 treatment requires CD40 expression on both populations: if one of these cell populations is CD40-deficient, the CD8 T cell response is impaired. Most importantly, direct CD40 signaling on APCs and CD8 T cells affects CD8 T cell differentiation differently. In our model, CD40 expression on APCs plays an important but dispensable role on CD8 T cell expansion and effector functions during the early phase of the immune response. Conversely, CD40 on CD8 T cells is crucial and nonredundant for their progressive differentiation into memory cells. Altogether, these results highlight that CD40-CD40L-dependent and independent effects of CD4 help to drive a complete CD8 T cell differentiation.

Objective To investigate whether regulatory T cells (Treg) can control B cell function in rheumatoid arthritis (RA) and if not to explore the basis for this defect.Methods Suppression of B cell responses by Treg was analysed in vitro by flow cytometry and ELISA using peripheral blood mononuclear cells from 65 patients with RA and 41 sex-matched and aged-matched healthy volunteers. Blocking and agonistic antibodies were used to define the role of Fas-mediated apoptosis in B cell regulation.

The role of CD4 help during CD8 memory differentiation has been clearly demonstrated in different experimental models. However, the mechanisms involved to mediate CD4 help and the extent of its effects remain largely unknown. Using gene analysis at a single cell level, which allows the study of gene expression in terms of frequency, intensity and coxpression, we show that unhelped CD8 T cells harbor severe defects in the expression of crucial genes involved in proliferation, survival, and cytotoxic functions, the three main characteristics of CD8 memory differentiation described so far. Importantly, during secondary response, unhelped CD8 T cells exhibit blockade in all cytotoxic pathways (perforin, Fas ligand, IFN-γ), demonstrating the highly ubiquitous effect of CD4 help. Secondly, resting unhelped CD8 T cells extinguish the majority of their stimulated genes, showing that CD4 help favors the persistence of gene expression. Indeed, during secondary response, unhelped CD8 T cells exhibit a profile very similar to naive T cells, demonstrating that no instructive program has been imprinted in these cells. Finally unhelped CD8 T cells exhibit a higher sensitivity to immunoregulatory genes during secondary immune response. Therefore, these results characterize the multiple effects of CD4 help on CD8 memory differentiation and provide important insights for the understanding of protective memory responses.