Table 3.
Influence of adaptive immune responses on relative susceptibility of newborns to HSV or CMV infection
HSV | CMV | |
---|---|---|
Humoral immunity | Circulating antibodies may limit viral dissemination [244, 245] |
|
Cellular immunity | Overall diminished proliferation and IFN-γ production of newborn PBMCs relative to adults in response to HSV antigen [244, 262] |
Cord blood PBMCs after congenital infection can function comparably to adult cells [264–266] |
CD4+ T-cells | Paucity of TH1 and TH2 cytokines after HSV infection in neonatal mice relative to adults [263] |
Lower IFN-γ and IL-2 production by CD4+ T- cells in response to CMV antigen in young children relative to adults [265]. Lower expression of CD154 (CD40 ligand) in CMV-specific CD4+ T-cells from young children compared with adult cells [265] |
CD8+ T-cells | CD8+ T-cell response in draining lymph nodes is delayed in newborn mice infected with HSV compared with adults, with a lower peak activity [269] |
Young children have identical frequencies of CMV-specific CD8+ T-cells and detection of intracellular IFN-γ perforin as adults [264] |
Tregs | Expansion, activation, and cytotoxicity of HSV- specific CD8+ T-cells in the absence of Tregs is enhanced in neonatal but not adult mice [277]. |