RT Journal Article SR Electronic T1 Differentiation of exhausted CD8 T cells after termination of chronic antigen stimulation stops short of achieving functional T cell memory JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.04.03.437705 DO 10.1101/2021.04.03.437705 A1 Pierre Tonnerre A1 David Wolski A1 Sonu Subudhi A1 Jihad Al-Jabban A1 Ruben C. Hoogeveen A1 Marcos Damasio A1 Hannah K. Drescher A1 Lea M. Bartsch A1 Damien C. Tully A1 Debattama R. Sen A1 David J. Bean A1 Joelle Brown A1 Almudena Torres-Cornejo A1 Maxwell Robidoux A1 Daniel Kvistad A1 Nadia Alatrakchi A1 Ang Cui A1 David Lieb A1 James A. Cheney A1 Jenna Gustafson A1 Lia L Lewis-Ximenez A1 Lucile Massenet-Regad A1 Thomas Eisenhaure A1 Jasneet Aneja A1 W. Nicholas Haining A1 Raymond T. Chung A1 Nir Hacohen A1 Todd M. Allen A1 Arthur Y. Kim A1 Georg M. Lauer YR 2021 UL http://biorxiv.org/content/early/2021/04/04/2021.04.03.437705.abstract AB T cell exhaustion is associated with failure to clear chronic infections and malignant cells. Defining the molecular mechanisms of T cell exhaustion and reinvigoration is essential to improving immunotherapeutic modalities. Analysis of antigen-specific CD8+ T cells before and after antigen removal in human hepatitis C virus (HCV) infection confirmed pervasive phenotypic, functional, and transcriptional differences between exhausted and memory CD8+ T cells. After viral cure, we observed broad phenotypic and transcriptional changes in clonally stable exhausted T-cell populations suggesting differentiation towards a memory-like profile. However, functionally, the cells showed little improvement and critical transcriptional regulators remained in the exhaustion state. Notably, T cells from chronic HCV infection that were exposed to antigen for shorter periods of time because of viral escape mutations were functionally and transcriptionally more similar to memory T cells from spontaneously resolved acute HCV infection. Thus, duration of T cell stimulation impacts the ability to recover from exhaustion, as antigen removal after long-term T cell exhaustion is insufficient for the development of key T cell memory characteristics.Competing Interest StatementAbbVie sponsored the clinical trial (NCT02476617) and provided input to the trial design and clinical and biological sample collection schedule. W.N.H. is an employee of Merck and Company and holds equity in Tango Therapeutics and Arsenal Biosciences. All other authors declare no competing interests.