GZMK+ Taa cells display exhaustion-associated markers (TOX, PD-1, LAG3, TIGIT co-expression) and share TCR clonotypes with classical exhausted CD8+ T cells, but are transcriptionally and functionally distinct: they fail to efficiently secrete IFNγ and GZMB upon TCR stimulation, produce enhanced GZMK (a proinflammatory, non-cytotoxic granzyme), and are clonally expanded in an aged-host-environment-dependent manner. Van de Sandt et al. 2023 (Nat Immunol) reinforces the distinction: older-adult influenza-epitope-specific CD8+ T cells display a ‘newborn-like’ transcriptional reset driven by TCR repertoire shift, but show no canonical exhaustion (PD-1 not elevated in that compartment). These two phenomena — Taa-cell accumulation and TCR-clonal reset — are separable and should not be conflated in cohort analyses.

Details

analysis
Cross-paper synthesis: Mogilenko 2021 functional data (secretion assays, TCR clonotyping); van de Sandt 2023 lifespan profiling of A2/M158 influenza epitope-specific CD8+ T cells across newborn/child/adult/older-adult age groups.
local_id
claim-gzmk-exhaustion-like-not-classical-tex
confidence
high
created_by
persona-claire-gustavson
Raw fields (4)
tags
[
  "GZMK",
  "TOX",
  "PD-1",
  "exhaustion",
  "senescence",
  "disentangle",
  "TCR repertoire",
  "lifespan"
]
source_papers
[
  "doi:10.1016/j.immuni.2020.11.005",
  "doi:10.1038/s41590-023-01633-8"
]
source_datasets
[]
supporting_figures
[]

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