Repeated administration or chronic presence of antigen during CD4(+) T cell
activation and a cytokine milieu enriched in IL-4 favour the generation an
d maintenance of a T(h)2 population. However, there is little data on how t
hese factors affect adult human CD8(+) T cell functions, We established in
vitro conditions to culture purified human CD8(+) T cells, and investigated
how repeated stimulation and exogenous IL-4 modulated their functions. Rep
eated TCR-CD3 stimulation of CD8(+) T cells increased the number of CD25-,
CD30- and CD40 ligand-expressing cells, and their capacity to secrete IL-4
and IL-5, In addition, repeatedly stimulated CD8(+) T cells had cytotoxic a
ctivity and provided help to resting a cells for IgE synthesis, The presenc
e of exogenous IL-4 during repeated stimulation further increased the numbe
r of CD25(+) and CD30(+) CD8(+) T cells, up-regulated the number of IL-5(+)
cells, and increased IL-5 levels released. These observations demonstrate
that repeated TCR-CD3 stimulation of normal human CD8(+) T cells favoured t
he growth of cells with a type 2 phenotype and that this was further amplif
ied by the presence of IL-4, These mechanisms may be important in virus-ind
uced lung eosinophilic inflammation in healthy subjects and virus-induced e
xacerbations of asthma.