HomeAnswersInfectious Diseasescytotoxic t cellsHow long does a cytotoxic T cell response last?

How do cytotoxic T cells kill viruses?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At September 2, 2022
Reviewed AtJuly 12, 2023

Patient's Query

Hello doctor,

How long does cytotoxic T-cell response last?

For example, if an infection replicates in cells, will the cytotoxic T-cell response only stay for some months? And then, after a few months, when the infection repeats with the same protein, will it have another cytotoxic response, or will it continue as a cycle?

Or, if it is the same viral protein, will the cytotoxic T-cells recognize that and not respond to each replication?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Cytotoxic T-cells are cytotoxic against tumor cells and host cells infected with intracellular microbes. These cells destroy infected cells in an antigen-specific manner that depends on the expression of specific molecules and can kill target cells directly by inducing cell death. Enzymes activated in the process may help destroy the viral genome, thus preventing its further assembly and potential infection of other cells. These cells only induce cell death in the target cell; however, neighboring normal tissue cells are unaffected.

The protective CD8+ T cell response is achieved through the collective function of all effector and memory subsets. The antigenic memory enables the memory T-cells and effector cells to respond to a pathogen in a repeat infection.

Patient's Query

Thank you doctor for the reply,

Will the killer T-cells recognize the microbe that integrates with the deoxyribonucleic acid, cytoplasm, or replicates from cell to cell like a ribonucleic acid or gene-based virus? And if it does respond and misses some of the microbes in the killer response, the microbe then keeps replicating, and killer T-cells keep forgetting some of it. If this cycle keeps happening, how long would the killer T-cell response be as in months, hours, weeks, or years or would it be forever, and in that case, if it is forever and cyclical because it keeps missing some of the replicating microbes- does that mean all your cells effectively could be killed by the killer T-cells if this microbe enters healthy cells then replicates then those cells which are infected are killed by T-cells and if the T-cell response keeps happening and missing some of the target microbes aren't you going to have massive cell death, is it possible the human host could eventually die?

I suspect this would cause a person not to feel good as well.

And this is just for my curiosity and to be informed that I do not have a virus, cancer, or sickle cell.

Hello,

Welcome back to icliniq.com.

T-cells are so called because they are predominantly produced in the thymus. They recognize foreign particles (antigens) by a surface-expressed, highly variable T-cell receptor (TCR). There are two major types of T cells: the Helper T- cells and Cytotoxic T-cells. Helper T cells help other cells of the immune system, while cytotoxic T cells kill virally infected cells and tumors.

The T-cell receptor cannot bind antigen directly. Instead, it needs to have broken-down peptides of the antigen ‘presented’ to it by an antigen-presenting cell (APC). The molecules on the antigen-presenting cells that present the antigen are called major histocompatibility complexes (MHC). Hence the response is specific, and missing bacteria or viruses is unlikely.

Lifelong immunity will present inside the immune system as cell memory. And whenever antigens are presented, T cells reach and neutralize the antigen via the mechanisms mentioned above.

Patient's Query

Thank you doctor for the reply,

I tried looking up the definition of surface expression, but what does the term "surface" refer to? Does it represent the cell, or the membrane of the cytoplasm when the protein is expressed?

In the last part, you say whenever antigens are presented, but what if they never stop being presented, as in there is no break? They are just continuously presented and not all neutralized. Will the cytotoxic T-cell response never take a break and continue lifelong?

Hello,

Welcome back to icliniq.com.

Before I answer your query, I need to know your background, profession and purpose of these queries. Clearly you are not a patient as you stated.

Patient's Query

Hello doctor,

The questions are just because I am interested in cases I might contract in the future for my peace of mind. My profession is not relevant and unrelated, and as a patient, I have no infection. Still, I want to learn about the basic biology of what people currently know about the body and precisely only the Immune response, how long it lasts, and how long it lasts in case of replication.

Hello,

Welcome back to icliniq.com.

This platform is meant for patient related consultation. I have already answered the basic queries. You are welcome to contact when you have any medical consultation to do. For general knowledge, kindly refer scientific books, journals for your personal understanding.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shubadeep Debabrata Sinha
Dr. Shubadeep Debabrata Sinha

Infectious Diseases

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