During HIV infection, increased CD57 expression among CD8؉ T cells has been associated with immune senescence and defective immune responses. Interestingly, CD57-expressing CD8؉ T cells exhibit a dual profile, being simultaneously highly cytotoxic (terminally differentiated effectors) and poorly proliferative (replicative senescent). Recent publications point toward a positive role of CD57-expressing CD8 ؉ T cell subsets, presumably due to their high cytolytic activity. We further investigated the phenotype of CD57-expressing CD8 ؉ T cells in healthy donors and during HIV infection combining CD57 expression to Eomesodermin (EOMES), a T box transcription factor which determines, coordinately with T-bet, effector and memory CD8 ؉ T cell differentiation. We defined in healthy donors two functionally distinct CD57-expressing CD8
primary infected patients, long-term viremic patients, aviremic patients treated with antiretroviral therapy, and HIV controllers; we demonstrated a higher percentage of CD57-expressing cells in all HIV-infected patients regardless of virological status. When heterogeneity in EOMES expression among CD57 cells was taken into account, we detected significantly higher proportions of EOMES hi CD57؉ cells among HIV-specific and nonspecific CD8 ؉ T cells from HIV controllers than in aviremic antiretroviral-treated patients and viremic patients. Importantly, such a peculiar non-terminally differentiated EOMES hi CD57 ؉ phenotypic profile was associated with viral control.
IMPORTANCEThis study demonstrates that functional heterogeneity exists among CD57-expressing CD8 T cells, which include both terminally differentiated, highly cytotoxic EOMES int CD57 ؉ CD8 ؉ T cells and less differentiated EOMES hi CD57 ؉ CD8 T cells, which do not exhibit immediate cytotoxic functions but present high proliferative capacity. Interestingly, HIV controllers present a high proportion of EOMES hi CD57 cells among CD57-expressing HIV-specific CD8 T cells compared to both long-term viremic and aviremic antiretroviral therapy (ART)-treated patients, suggesting a beneficial role for this cell subset in viral control.