Abstract
Antiviral T cells are thought to regulate whether hepatitis C virus (HCV) and human immunodeficiency virus (HIV) infections result in viral control, asymptomatic persistence or severe disease, although the reasons for these different outcomes remain unclear. Recent genetic evidence, however, has indicated a correlation between certain natural killer (NK)-cell receptors and progression of both HIV and HCV infection1,2,3, implying that NK cells have a role in these T-cell-associated diseases. Although direct NK-cell-mediated lysis of virus-infected cells may contribute to antiviral defence during some virus infections—especially murine cytomegalovirus (MCMV) infections in mice and perhaps HIV in humans4,5—NK cells have also been suspected of having immunoregulatory functions. For instance, NK cells may indirectly regulate T-cell responses by lysing MCMV-infected antigen-presenting cells6,7. In contrast to MCMV, lymphocytic choriomeningitis virus (LCMV) infection in mice seems to be resistant to any direct antiviral effects of NK cells5,8. Here we examine the roles of NK cells in regulating T-cell-dependent viral persistence and immunopathology in mice infected with LCMV, an established model for HIV and HCV infections in humans. We describe a three-way interaction, whereby activated NK cells cytolytically eliminate activated CD4 T cells that affect CD8 T-cell function and exhaustion. At high virus doses, NK cells prevented fatal pathology while enabling T-cell exhaustion and viral persistence, but at medium doses NK cells paradoxically facilitated lethal T-cell-mediated pathology. Thus, NK cells can act as rheostats, regulating CD4 T-cell-mediated support for the antiviral CD8 T cells that control viral pathogenesis and persistence.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 51 print issues and online access
$199.00 per year
only $3.90 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout




Similar content being viewed by others
References
Martin, M. P. et al. Epistatic interaction between KIR3DS1 and HLA-B delays the progression to AIDS. Nature Genet. 31, 429–434 (2002)
Jennes, W. et al. Cutting edge: resistance to HIV-1 infection among African female sex workers is associated with inhibitory KIR in the absence of their HLA ligands. J. Immunol. 177, 6588–6592 (2006)
Khakoo, S. I. et al. HLA and NK cell inhibitory receptor genes in resolving hepatitis C virus infection. Science 305, 872–874 (2004)
Alter, G. et al. HIV-1 adaptation to NK-cell-mediated immune pressure. Nature 476, 96–100 (2011)
Bukowski, J. F., Woda, B. A., Habu, S., Okumura, K. & Welsh, R. M. Natural killer cell depletion enhances virus synthesis and virus-induced hepatitis in vivo . J. Immunol. 131, 1531–1538 (1983)
Robbins, S. H. et al. Natural killer cells promote early CD8 T cell responses against cytomegalovirus. PLoS Pathog. 3, e123 (2007)
Andrews, D. M. et al. Innate immunity defines the capacity of antiviral T cells to limit persistent infection. J. Exp. Med. 207, 1333–1343 (2010)
Welsh, R. M., Brubaker, J. O., Vargas-Cortes, M. & O’Donnell, C. L. Natural killer (NK) cell response to virus infections in mice with severe combined immunodeficiency. The stimulation of NK cells and the NK cell-dependent control of virus infections occur independently of T and B cell function. J. Exp. Med. 173, 1053–1063 (1991)
Ahmed, R., Salmi, A., Butler, L. D., Chiller, J. M. & Oldstone, M. B. Selection of genetic variants of lymphocytic choriomeningitis virus in spleens of persistently infected mice. Role in suppression of cytotoxic T lymphocyte response and viral persistence. J. Exp. Med. 160, 521–540 (1984)
Zajac, A. J. et al. Viral immune evasion due to persistence of activated T cells without effector function. J. Exp. Med. 188, 2205–2213 (1998)
Yang, H., Yogeeswaran, G., Bukowski, J. F. & Welsh, R. M. Expression of asialo GM1 and other antigens and glycolipids on natural killer cells and spleen leukocytes in virus-infected mice. Nat. Immun. Cell Growth Regul. 4, 21–39 (1985)
Battegay, M. et al. Enhanced establishment of a virus carrier state in adult CD4+ T-cell-deficient mice. J. Virol. 68, 4700–4704 (1994)
Matloubian, M., Concepcion, R. J. & Ahmed, R. CD4+ T cells are required to sustain CD8+ cytotoxic T-cell responses during chronic viral infection. J. Virol. 68, 8056–8063 (1994)
Fuller, M. J., Khanolkar, A., Tebo, A. E. & Zajac, A. J. Maintenance, loss, and resurgence of T cell responses during acute, protracted, and chronic viral infections. J. Immunol. 172, 4204–4214 (2004)
Noval Rivas, M. et al. NK cell regulation of CD4 T cell-mediated graft-versus-host disease. J. Immunol. 184, 6790–6798 (2010)
Rabinovich, B. A. et al. Activated, but not resting, T cells can be recognized and killed by syngeneic NK cells. J. Immunol. 170, 3572–3576 (2003)
Soderquest, K. et al. Cutting edge: CD8+ T cell priming in the absence of NK cells leads to enhanced memory responses. J. Immunol. 186, 3304–3308 (2011)
Ogasawara, K. et al. NKG2D blockade prevents autoimmune diabetes in NOD mice. Immunity 20, 757–767 (2004)
Naganuma, H. et al. Increased susceptibility of IFN-γ-treated neuroblastoma cells to lysis by lymphokine-activated killer cells: participation of ICAM-1 induction on target cells. Int. J. Cancer 47, 527–532 (1991)
Barber, D. F., Faure, M. & Long, E. O. LFA-1 contributes an early signal for NK cell cytotoxicity. J. Immunol. 173, 3653–3659 (2004)
Waggoner, S. N., Taniguchi, R. T., Mathew, P. A., Kumar, V. & Welsh, R. M. Absence of mouse 2B4 promotes NK cell-mediated killing of activated CD8+ T cells, leading to prolonged viral persistence and altered pathogenesis. J. Clin. Invest. 120, 1925–1938 (2010)
Welsh, R. M., Jr Cytotoxic cells induced during lymphocytic choriomeningitis virus infection of mice. I. Characterization of natural killer cell induction. J. Exp. Med. 148, 163–181 (1978)
Yi, J. S., Du, M. & Zajac, A. J. A vital role for interleukin-21 in the control of a chronic viral infection. Science 324, 1572–1576 (2009)
Frohlich, A. et al. IL-21R on T cells is critical for sustained functionality and control of chronic viral infection. Science 324, 1576–1580 (2009)
Elsaesser, H., Sauer, K. & Brooks, D. G. IL-21 is required to control chronic viral infection. Science 324, 1569–1572 (2009)
Bukowski, J. F., Woda, B. A. & Welsh, R. M. Pathogenesis of murine cytomegalovirus infection in natural killer cell-depleted mice. J. Virol. 52, 119–128 (1984)
Oldstone, M. B. Biology and pathogenesis of lymphocytic choriomeningitis virus infection. Curr. Top. Microbiol. Immunol. 263, 83–117 (2002)
Welsh, R. M. Regulation of virus infections by natural killer cells. Nat. Immun. Cell Growth Regul. 5, 169–199 (1986)
Su, H. C. et al. NK cell functions restrain T cell responses during viral infections. Eur. J. Immunol. 31, 3048–3055 (2001)
Zafirova, B. et al. Altered NK cell development and enhanced NK cell-mediated resistance to mouse cytomegalovirus in NKG2D-deficient mice. Immunity 31, 270–282 (2009)
Exley, M. A. et al. Innate immune response to encephalomyocarditis virus infection mediated by CD1d. Immunology 110, 519–526 (2003)
Pircher, H. et al. T cell tolerance to Mlsa encoded antigens in T cell receptor V beta 8.1 chain transgenic mice. EMBO J. 8, 719–727 (1989)
van der Most, R. G. et al. Identification of Db- and Kb-restricted subdominant cytotoxic T-cell responses in lymphocytic choriomeningitis virus-infected mice. Virology 240, 158–167 (1998)
Oxenius, A. et al. Presentation of endogenous viral proteins in association with major histocompatibility complex class II: on the role of intracellular compartmentalization, invariant chain and the TAP transporter system. Eur. J. Immunol. 25, 3402–3411 (1995)
Klavinskis, L. S., Whitton, J. L., Joly, E. & Oldstone, M. B. Vaccination and protection from a lethal viral infection: identification, incorporation, and use of a cytotoxic T lymphocyte glycoprotein epitope. Virology 178, 393–400 (1990)
Mylin, L. M. et al. Quantitation of CD8+ T-lymphocyte responses to multiple epitopes from simian virus 40 (SV40) large T antigen in C57BL/6 mice immunized with SV40, SV40 T-antigen-transformed cells, or vaccinia virus recombinants expressing full-length T antigen or epitope minigenes. J. Virol. 74, 6922–6934 (2000)
Acknowledgements
We thank K. Hearn, C. Baer, J. Suschak and P. Afriyie for technical support; K. Daniels and M. Seedhom for insightful discussions; R. Taniguchi and V. Kumar for sharing unpublished observations; and H. Ducharme for mouse husbandry. We thank L. Berg for NKT tetramer, L. Lanier for anti-NKG2D blocking antibody (CX5), B. Polić for Nkg2d−/− mice and M. Exley for Cd1d−/− mice. This work was supported by National Institutes of Health (NIH) training grant AI07349 (S.N.W.) and research grants AI-17672, AI-081675, CA34461 (R.M.W.), AI46578 (L.K.S.), a German Research Foundation fellowship CO310-2/1 (M.C.) and an institutional Diabetes Endocrinology Research Center (DERC) grant DK52530. The views expressed are those of the authors and do not necessarily express the views of the NIH.
Author information
Authors and Affiliations
Contributions
S.N.W. designed the study, performed experiments, analysed data and wrote the manuscript; R.M.W. designed the study, analysed data and wrote the manuscript; M.C. and L.K.S. were involved in study design, discussed results and commented on the manuscript.
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Supplementary information
Supplementary Figures
This file contains Supplementary Figures 1-10 with legends. (PDF 691 kb)
Rights and permissions
About this article
Cite this article
Waggoner, S., Cornberg, M., Selin, L. et al. Natural killer cells act as rheostats modulating antiviral T cells. Nature 481, 394–398 (2012). https://doi.org/10.1038/nature10624
Received:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/nature10624
This article is cited by
-
Distinct baseline immune characteristics associated with responses to conjugated and unconjugated pneumococcal polysaccharide vaccines in older adults
Nature Immunology (2024)
-
Impact of an Injectable Trace Mineral Supplement on the Immune Response and Outcome of Mannheimia haemolytica Infection in Feedlot Cattle
Biological Trace Element Research (2024)
-
Elevated free interleukin-18 associated with severity and mortality in prospective cohort study of 206 hospitalised COVID-19 patients
Intensive Care Medicine Experimental (2023)
-
Differential kinetics of splenic CD169+ macrophage death is one underlying cause of virus infection fate regulation
Cell Death & Disease (2023)
-
Innate receptors modulating adaptive T cell responses: KIR-HLA interactions and T cell-mediated control of chronic viral infections
Immunogenetics (2023)