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. 2014 Feb 5;10(4):945–963. doi: 10.4161/hv.27762

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Figure 1. (A) Following intravaginal infection with HSV-2; stimulation with pathogenic symptomatic and protective asymptomatic human epitopes, expressed by the virus, greatly contributes to development of HSV-specific memory CD8+ T cell subsets, with either VM-resident effector memory (TEM) and tissue-resident memory (TRM) or lymphoid resident central memory CD8+ T cells (TCM). (See text for details). We hypothesize that virus derived symptomatic epitopes boost primarily CD8+ TCM, that reside primarily in the secondary lymphoid tissues, such as GT-DLN, which, once re-activated, re-circulate through the bloodstream into the vaginal mucosa (VM). In contrast, virus derived asymptomatic epitopes boost primarily VM-resident CD8+ TEM/TRM that are retained in the mucosal site of viral entry. (B). Anatomic-distribution, phenotypic, and functional characteristics of HSV-specific symptomatic central memory CD8+ T cells (TCM) vs. asymptomatic effector memory (TEM) CD8+ T-cells induced following intravaginal infection with HSV-2. Intra-vaginal (VAG) infection with HSV-2 bearing both symptomatic or asymptomatic epitopes prime naïve T cells into effector T cells to clear the virus infection while simultaneously generating memory CD8+ T cells to protect against subsequent encounter with the virus following re-infection or reactivation from latently infected sensory ganglia. We hypothesize that after the clearance of the virus, there is an optimum equilibrium between SLECs (IL7RlowKLRG1high) and MPECs (IL7RhighKLRG1low) cells derived from an early effector cells (EECs, IL7RlowKLRG1low), which then transit to 2 main categories of memory CD8+ T cells: TCM CD8+ T cells specific to symptomatic epitopes and TEM CD8+ T cells specific to asymptomatic epitopes. TEM CD8+ T-cells are mainly retained in the vaginal mucosa (see text for detail).