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For many years, the focus of prophylactic vaccines was to elicit neutralizing antibodies, but it has become increasingly evident that T cell-mediated immunity plays a central role in controlling persistent viral infections such as with human immunodeficiency virus, cytomegalovirus, and hepatitis C virus. Currently, various promising prophylactic vaccines, capable of inducing substantial vaccine-specific T cell responses, are investigated in preclinical and clinical studies. There is compelling evidence that protection by T cells is related to the magnitude and breadth of the T cell response, the type and homing properties of the memory T cell subsets, and their cytokine polyfunctionality and metabolic fitness. In this review, we evaluated these key factors that determine the qualitative and quantitative properties of CD4+ and CD8+ T cell responses in the context of chronic viral disease and prophylactic vaccine development. Elucidation of the mechanisms underlying T cell-mediated protection against chronic viral pathogens will facilitate the development of more potent, durable and safe prophylactic T cell-based vaccines.

Original publication

DOI

10.3389/fimmu.2018.00276

Type

Journal article

Journal

Front Immunol

Publication Date

2018

Volume

9

Keywords

T cells, chronic infection, prophylaxis, quality, vaccine, virus, Antibodies, Neutralizing, Antibodies, Viral, CD4-Positive T-Lymphocytes, CD8-Positive T-Lymphocytes, Chronic Disease, Humans, Viral Vaccines, Virus Diseases