07% in a relatively large screen
of HLA-A2 donors without melanoma [14]. Interestingly, tetramer-binding CD8+ T cells are Opaganib supplier also detectable in HLA-A2-negative healthy subjects at frequencies that are barely detectable ex vivo and approximately one order of magnitude lower than those detected in the HLA-A2+ individuals [15]. In both HLA-A2+ and A2– healthy donors, the phenotype and functional profile of these tetramer-binding CD8+ T cells are indistinguishable from that of the naïve CD8+ T-cell pool [13-15]. These findings were surprising and had no precedent in either the human or the mouse immune systems. For most other epitopes of CD8+ check details and also CD4+ T cells, the precursor frequency of naïve cells is far below the limit of detection of tetramers by ex vivo, multiparameter flow cytometry analyses. The estimates of such frequencies after magnetic
bead pull down of tetramer+ T cells have been approximated at one specific T cell per one million T cells [16-18]. In fact, the frequencies of Melan-A/MART-1-specific CD8+T cells in healthy individuals are comparable to those measured of T cells specific for some viral epitopes [19]. In sharp contrast, however, T cells specific for viral epitopes are phenotypically and functionally antigen-experienced memory T cells, corresponding to the previous exposure to the respective antigens [20]. Thus, the question was how such an abundant repertoire of naïve antigen-specific T cells could be generated, at least a hundred times more abundant than most other antigen-specific naïve T-cell precursors measured by tetramer binding
assays (Fig. 1). Two major reasons have emerged upon careful study of these cells in the human thymus and the composition of their TCR repertoire. It became clear, on the one hand, that a significant proportion of human subjects (more than half) contain detectable Melan-A/MART-1 tetramer+ CD8+ T cells in cord blood Liothyronine Sodium lymphocytes [21]. Moreover, these cells are also measurable in single CD8+ thymocytes in thymuses from children. Thus, it appears that a high thymic output is one of the reasons for the high frequency of these cells. This is coupled with a slow in vivo turnover of these cells during adult life, as could be directly estimated by measuring two tell-tale features of proliferative history in human lymphocytes: the length of chromosomal telomeres and the levels of TCR-alpha excision circles [21]. To this day, the remarkable stability of the naïve Melan-A specific T-cell repertoire remains most intriguing. Indeed, the antigen Melan-A is normally expressed by melanocytes and even keratinocytes which receive from melanocytes melanosomes containing the Melan-A/MART-1 polypeptide [22].