Low Avidity CMV + T Cells accumulate in Old Humans

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Supplementary Figure Legends Supplementary Figure 1. CD45RA expressing CMVpp65-specific T cell populations accumulate within HLA-A*0201 and HLA-B*0701 individuals Pooled data showing the size of the NLV/HLA-A*0201-specific (A, top left) and TPR/HLA- B*0701-specific (A, top right) population as a percentage of total CD8 + T cells as stratified by age (n= 36 and 25 respectively). Line of best fit was generated by linear regression and the correlation assessed by Pearson and Spearman rank (GraphPad Prism). Cumulative data comparing the percentage of CMVpp65-specific CD8 + T EMRA cells (CD45RA + CD45RO -, CD45RA + CCR7 -, CD45RA + CD11a - ) from the total CMV-specific compartment by age group (B, bottom panel, left, middle and right respectively). Supplementary Figure 2. Phenotype of high avidity CMV pp65-specific CD8 + T cells in HLA-A*0701 (TPR) individuals. Representative dotplots showing the presence of two populations of conventional TPR tetramer binding CD8 + T cells based on tetramer fluorescence intensity (A, top panel). The CD45RA/CD45RO expression profile of the high and low tetramer binding populations was assessed (A, bottom panel). Donor PBMCs were stained with either the conventional or high avidity TPR/HLA-A*0701 tetramer together with CD45RA and CD45RO antibodies (B). Collective data (n=16) showing no significant correlation between percentage of CD45RA + expression (left) and CD45RO + expression (right), with per cent binding high avidity tetramer within the total TPR/HLA-A*0701 specific populations). Lines of best fit were generated by linear regression and the correlation assessed by Pearson and Spearman rank (GraphPad Prism).

Supplementary Figure 3. Additional data demonstrating the superior functional response of high avidity CD45RO + NLV-specific cells. CMV pp65 peptide pool induced functional response (IFN, CD107a and TNF ) of null and conventional binding tetramer populations from one individual who demonstrated a mixed population of NLV-specific cells (0.48% conventional tetramer binding, 0.07% null binding) (A). Similar assessment of functionality in two individuals who had all high avidity cells(0.03%conventional vs 0.04% null, top panels and 0.01% conventional vs 0.01% null, bottom panels) (B). N.D. represents not done. Sorted CD45RA + (closed symbols) and CD45RO + (open symbols) CD8 + T cell populations were stimulated separately with unpulsed APCs or increasing ratios of NLV peptide-pulsed APCs and the IFN response recorded as described previously (C). U.S. represents the un-stimulated control (containing no APCs). The results from 3 additional different donors are shown. The IFN response of the NLV-specific cells within the sorted CD45RA + and CD45RO + population to polyclonal CD3 stimulation and PMA/Ionomycin activation (D) were also measured in the same donor whose NLV specific response is shown in C, left panel). Supplementary Figure 4. IL-15 and CMV specific expansion of CD8 + T cell populations The number of CD8 + T cell were counted and the percentage survival compared to the original number of cells seeded were calculated at each time point during the IL-15 incubation (CD45RA - CD45RO + CD8 + and NLV/CMVpp65 + T cells, A). CD45RA - CD45RO + and CD45RA + CD45RO - cells were sorted via FACS Aria (B). FACs plot analysis showing CD45RA/CD45RO expression on gated NLV-specific CD45RA - CD45RO + cells (top) and CD45RA + CD45RO - cells (bottom) at days 0 and 7 of incubation with CMV pp65 peptide pulsed irradiated APCs and IL-2. Numbers represent percentages in quadrants.

CD27/CD45RA CD8 + T cell subsets were isolated and incubated with IL-15 and the percentage survival compared to the original number of cells seeded was, determined at the time points indicated (C).