Dominant recalled immune cells can sustain infection by killing local support cells
Effector induced support cell deletionIn a subset of older adults, recalled cytotoxic T cells may sustain tissue infection by killing uninfected dendritic cells.
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In a subset of older adults with discordant tissue infections, abundant recalled cytotoxic T cells destroy uninfected, antigen-bearing local dendritic cells faster than they eliminate infected targets. This removes the cellular support required by other protective responses. The maladaptive state is sustained by repeated destruction of replacement presenters, rather than absent protective receptors. Increasing local access of the dominant recalled specificity worsens protection; temporarily excluding that specificity permits existing alternative effectors to restore control. Preventing this destructive interaction stabilizes SPV_7 while preserving established protection elsewhere.
In autologous infected tissue cultures, selectively removing the dominant event-associated cytotoxic population reduces viable pathogen burden across repeated challenges despite reducing cognate cytotoxic-cell abundance.
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Live imaging must show that presenter survival improves before pathogen control improves. Adding the same population back restores presenter loss and impaired control. Removing presenters from the rescued culture abolishes rescue. Access enhancement or addition of more cells with the dominant specificity instead worsens control. These outcomes distinguish destructive recall from insufficient access, nutrient suppression, and a missing-specificity explanation.
Delayed nutrient depletion causes recurring gaps in local immune protection predicts instead: During repeated challenge, local effector activity rises before IDO1 activity rises and tryptophan falls; loss of protection follows that trough.
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A phase-targeted tryptophan clamp restores protection more effectively than an equal-total supplement delivered outside the trough, with receptor membership and cellular access held constant. Rescue must persist when kynurenine exposure is experimentally matched. Directly placing additional competent cells in the tissue fails during the trough, whereas existing cells recover after nutrient restoration. Failure to detect the predicted ordering or phase dependence rejects the delay mechanism.
The blood vessel lining kills protective immune cells as they enter tissue predicts instead: In a perfused endothelial–tissue preparation, event-reactive cells undergo caspase activation at the endothelial interface before accumulating in tissue. Endothelial-restricted FasL interruption restores viable entry and pathogen control. Direct placement of the same cells beyond the interface produces equivalent rescue without changing their receptors. Adding more relevant cells upstream fails, while unrelated-specificity controls do not rescue. Nutrient restoration alone does not prevent entry-associated death.