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Viral infections, particularly by rhinoviruses (RVs), represent major triggers of acute exacerbations in chronic obstructive pulmonary disease (COPD). However, the role of RV-specific T cell responses in COPD remains poorly characterized. Here, we investigated T cell recall responses to conserved RV-specific T cell epitopes in COPD patients and age-matched healthy controls using activation-induced marker and intracellular cytokine staining assays. The frequency of RV-specific CD4+ T cells was increased in COPD patients compared with healthy participants. RV-specific CD8+ T cells also tended to be increased in COPD participants, although the differences did not reach statistical significance. Functional T cell responses to RV-specific epitopes were biased toward IFN-γ and TNF-α production in COPD and healthy participants, with no significant differences between groups. Accordingly, there is a degree of functional dissociation between enhanced RV-specific CD4+ T cell recognition and cytokine responses in COPD. A modest inverse correlation, yet not statistically significant (p = 0.066), was observed between IFN-γ-producing CD4+ T cells and disease severity, as assessed by FEV1. Collectively, our findings suggest that T cell responses to conserved RV-specific epitopes are unlikely to be major drivers of COPD immunopathology, supporting their potential relevance for epitope-vaccine development in COPD.
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Fernandez et al. (2026) studied this question.
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