Key result
Acute rotavirus infection in vaccinated Malawian children induced circulating memory CD4+ T cell subsets, but VP6-specific CD4+ T cells producing IFN-γ and/or TNF-α were rarely detectable.
Why the study?
Strong CD4+ T cell-mediated immune protection after rotavirus infection is observed in animals, but its relevance in humans remains unclear.
Does acute rotavirus infection induce circulating memory CD4+ T cell subsets in hospitalized children?
Observational (n=35)
No
Does acute rotavirus infection induce circulating memory CD4+ T cell subsets in hospitalized children?
Acute rotavirus infection in vaccinated Malawian children induces memory Th2 cells but limited anti-viral cytokine-producing CD4+ T cells.
Acute rotavirus may induce Th2-biased memory CD4+ cells without strong cytokine responses; leaves open mechanisms of protective immunity in vaccinated children.
Strong CD4 + T cell-mediated immune protection following rotavirus infection has been observed in animal models, but its relevance in humans remains unclear. Here, we characterized acute and convalescent CD4 + T cell responses in children who were hospitalized with rotavirus-positive and rotavirus-negative diarrhoea in Blantyre, Malawi. Children presenting with laboratory-confirmed rotavirus infection had higher proportions of effector and central memory T helper 2 cells during acute infection i.e., at disease presentation compared to convalescence, 28 days post-infection defined by a follow-up 28 days after acute infection. However, circulating cytokine-producing (IFN-γ and/or TNF-α) rotavirus-specific VP6-specific CD4 + T cells were rarely detectable in children with rotavirus infection at both acute and convalescent stages. Moreover, following whole blood mitogenic stimulation, the responding CD4 + T cells were predominantly non-cytokine producers of IFN-γ and/or TNF-α. Our findings demonstrate limited induction of anti-viral IFN-γ and/or TNF-α-producing CD4 + T cells in rotavirus-vaccinated Malawian children following the development of laboratory-confirmed rotavirus infection.
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Malamba-Banda et al. (2023) conducted an observational in Severe diarrhoea (n=35). Acute rotavirus infection vs. Rotavirus-negative diarrhoea was evaluated on Proportion of effector memory CD4+ T cells during acute infection compared to convalescence (p=0.0208). Acute rotavirus infection in vaccinated Malawian children induced circulating memory CD4+ T cell subsets, but VP6-specific CD4+ T cells producing IFN-γ and/or TNF-α were rarely detectable.
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