“…They also show a series of alterations that lead to a state of clonal exhaustion or replicative senescence, characterized by phenotypic and functional changes (12,18,22,43,49), which in turn lead to decreased levels of secretion of gamma interferon (2,37,38,42), perforin, and granzymes, making them more inefficient for cytotoxicity than CD45RA ϩ cells (4,54). In addition, these exhausted clones resemble in some aspects the senescent clones that naturally accumulate throughout aging (5,29,47,50), and age and latent HCMV infection seem to induce similar changes in the T-cell pool (51). Further studies are therefore necessary to clarify this aspect in transplant patients with prior HCMV replication.…”