Control of human cytomegalovirus (HCMV) requires a continuous immune surveillance, thus HCMV is the most important viral pathogen in severely immunocompromised individuals. Both innate and adaptive immunity contribute to the control of HCMV. Here, we report that peripheral blood natural killer cells (PBNKs) from HCMV-seropositive donors showed an enhanced activity toward HCMV-infected autologous macrophages. However, this enhanced response was abolished when purified NK cells were applied as effectors. We demonstrate that this enhanced PBNK activity was dependent on the interleukin-2 (IL-2) secretion of CD4 ؉ T cells when reexposed to the virus. Purified T cells enhanced the activity of purified NK cells in response to HCMV-infected macrophages. This effect could be suppressed by IL-2 blocking. Our findings not only extend the knowledge on the immune surveillance in HCMV-namely, that NK cell-mediated innate immunity can be enhanced by a preexisting T cell antiviral immunity-but also indicate a potential clinical implication for patients at risk for severe HCMV manifestations due to immunosuppressive drugs, which mainly suppress IL-2 production and T cell responsiveness.
IMPORTANCE
Human cytomegalovirus (HCMV) is never cleared by the host after primary infection but instead establishes a lifelong latent infection with possible reactivations when the host=s immunity becomes suppressed. Both innate immunity and adaptive immunity are important for the control of viral infections. Natural killer (NK) cells are main innate effectors providing a rapid response to virus-infected cells. Virus-specific T cells are the main adaptive effectors that are critical for the control of the latent infection and limitation of reinfection. In this study, we found that IL-2 secreted by adaptive CD4 ؉ T cells after reexposure to HCMV enhances the activity of NK cells in response to HCMV-infected target cells. This is the first direct evidence that the adaptive T cells can help NK cells to act against HCMV infection.H uman cytomegalovirus (HCMV) infects and establishes a persistent infection in the majority of humans worldwide. Postnatally it rarely causes severe complications in healthy individuals. However, HCMV is a significant cause of morbidity and mortality in severely immunocompromised individuals (1). This indicates the importance of immune surveillance in the control of HCMV. While T cells and HCMV antibodies are considered to be the main effectors of protective immunity, recent evidence supports the idea that NK cells also play an important role in the control of HCMV (2-4) and that NK cells degranulate after contact with HCMV-infected cells (5, 6). We have shown before that humoral antiviral immunity enhanced the degranulation and gamma interferon (IFN-␥) production of NK cells in response to HCMV-infected macrophages (6). In this article, we show that NK cell activity can also be enhanced by the T cell-mediated antiviral immunity against HCMV.The activity of NK cells is regulated by (i) a balance of signals from act...