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Infection and Immunity, October 2005, p. 6659-6667, Vol. 73, No. 10
0019-9567/05/$08.00+0 doi:10.1128/IAI.73.10.6659-6667.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Department of Molecular Microbiology and Immunology, University of Missouri, Columbia, Missouri 65211,1 U.S. Department of Agriculture, Agricultural Research Service, National Animal Disease Center, Bacterial Diseases of Livestock Research Unit, Ames, Iowa 50010,2 Department of Veterinary Microbiology and Pathology, College of Veterinary Medicine, Washington State University, Pullman, Washington 99164,3 College of Veterinary Medicine, Veterinary Microbiology and Preventive Medicine, Iowa State University, Ames, Iowa 50011,4 University of Texas Medical Branch, Department of Pediatrics and the Sealy Center for Vaccine Development, Galveston, Texas 775555
Received 15 April 2005/ Returned for modification 13 June 2005/ Accepted 21 June 2005
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T-cell-receptor-positive cells. CD4+ and CD8+ cells also exhibited significant changes (P < 0.05) in expression of CD45 isoforms. Using a flow cytometry-based proliferation assay, it was determined that CD45R expression is downregulated (P < 0.05) and that CD45RO expression is upregulated (P < 0.05) on proliferating (i.e., activated) CD4+ cells. Collectively, data indicate that recall immune responses directed toward the rESAT-6-CFP10 fusion protein or purified protein derivative are comparable and that recall to mycobacterial antigens correlates with a CD45RO+ phenotype. |
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) (1, 32, 39). Due to its relatively early expression and antigenicity, ESAT-6 has been used as a candidate subunit vaccine against tuberculosis. ESAT-6 DNA vaccination of rodents and cattle induces protection against challenge with tubercle bacilli (23, 29). The reintroduction of RD1 into BCG improves the efficacy of BCG as a vaccine (35). Mice and guinea pigs vaccinated with recombinant RD1-expressing BCG possess reduced bacterial burdens following challenge with M. tuberculosis (35). Thus, ESAT-6 and other proteins of RD1, alone or in combination with BCG, show promise in establishing new vaccine regimens against tuberculosis. However, further evaluation of the immune response directed toward RD1 proteins is needed.
Cell-mediated immune responses are critical in controlling mycobacterial infection. Protective roles have been attributed to CD4+, CD8+, and 
T-cell-receptor-positive (TCR+) T cells (8, 17). Mice possessing defective CD4+- and CD8+-T-cell responses are quite susceptible to infection with M. tuberculosis (3, 13, 17, 41). Both subsets contribute to IFN-
production required for macrophage activation (17). IFN-
is an indispensable component of the antimycobacterial response (14, 18). In the mouse, 1 week following infection with M. tuberculosis, the number of activated CD4+ and CD8+ T cells increases in the lung-associated lymph nodes (16, 17, 38). Following activation by mycobacteria, T cells upregulate molecules involved in homing to sites of infection while conversely decreasing the expression of molecules that restrict trafficking (16, 17, 38). Murine CD4+ cells homing to sites of M. tuberculosis infection possess an activated phenotype defined by the increased expression of CD25, CD44, and CD69 and decreased expression of CD62L (2). In response to purified protein derivative (PPD), T cells from M. bovis-infected cattle also upregulate CD25 and CD44 while decreasing expression of CD62L (46). Subsequent to the increase of activated T cells in the lymph nodes, these T-cell populations migrate to the lung and display an effector/memory phenotype (CD44hi CD45lo CD62L) (17). Long-term immunity in the mouse is likely mediated by memory CD4+ cells that express a naïve phenotype until restimulated by antigen (2). Human memory CD4+ T cells specific for tuberculin have been shown to possess a CD45RO+ phenotype (42). Naïve, activated, and memory T-cell subsets are relatively defined in humans and mice; however, few studies have been conducted in cattle, especially with regard to tuberculosis.
Recently, progress in defining mycobacterial antigens has advanced; however, a comprehensive analysis of immune responses directed toward these antigens is lacking. Aims were to further define effector/memory populations in cattle and to compare the activation profiles generated by recombinant ESAT-6 (rESAT-6)-CFP10 and PPD. Analysis of the activation phenotype of lymphocytes from M. bovis-infected cattle in response to a defined antigen (rESAT-6-CFP10) or a crude mycobacterial antigen (PPD) was determined using flow cytometry. In the present study, it is demonstrated that several cell subsets proliferate in response to the rESAT-6-CFP10 fusion protein, CD4+ T cells expressing CD45RO expand in response to rESAT-6-CFP10, and several additional activation molecules are upregulated following mycobacterium-induced activation.
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production. Infected cattle (n = 4) were housed in temperature- and humidity-controlled rooms within a biosafety level 3 confinement facility with negative airflow exiting the building though high-efficiency particulate air (HEPA) filters. Directional airflow ensured that air from animal pens was pulled towards a central corridor and passed through HEPA filters before exiting the building. Noninfected control animals (n = 4) were housed similarly in a separate building. Personnel in contact with M. bovis-infected animals wore full-face HEPA-filtered respirators. All animals were housed at the National Animal Disease Center, Ames, Iowa, according to institutional guidelines for animal care. M. bovis strain 95-1315 was used for experimental infections. This strain was originally isolated from a white-tailed deer in Michigan in 1994 (37). Challenge inocula consisted of 106 CFU of mid-log-phase M. bovis strain 95-1315 cultures grown in Middlebrook 7H9 medium supplemented with 10% oleic acid-albumin-dextrose complex (Difco, Detroit, MI) plus 0.05% Tween 80 (Sigma, St. Louis, MO) as described previously (7). Enumeration of M. bovis strain 1315 was done by serial dilution plate counting on Middlebrook 7H11 selective agar plates (Becton Dickinson, Cockeysville, MD). For intratonsillar inoculation, cattle (n = 4) were sedated by intravenous administration of xylazine (0.025 mg/kg). Challenge inocula were instilled directly into the tonsillar crypts of sedated cattle as described previously for white-tailed deer (31). The effects of sedation were reversed by intravenous administration of tolazoline (4 mg/kg; Lloyd Laboratories, Shenandoah, IA). At the conclusion of the experiment, cattle were euthanized by intravenous administration of sodium pentobarbital (Sleepaway; Fort Dodge Laboratories, Fort Dodge, IA).
Cloning and expression of rESAT-6-CFP-10 fusion protein. The construction of pISM2202 expressing the ESAT-6-CFP10 fusion protein has been described previously (45). Purified recombinant protein was obtained by metal chelate chromatography as described previously (45), dialyzed overnight at 4°C in phosphate-buffered saline, and quantified by the Bradford assay.
Cell culture. At 12 months postinfection, peripheral blood mononuclear cells (PBMCs) were isolated from buffy coat fractions of peripheral blood collected in 2x acid citrate dextrose (12). Wells of 96-well round-bottom microtiter plates (Falcon; Becton-Dickinson, Lincoln Park, NJ) were seeded with 5 x 105 PBMCs in a total volume of 200 µl per well. Medium used was RPMI 1640 supplemented with 2 mM L-glutamine, 25 mM HEPES buffer, 100 U/ml penicillin, 100 µg/ml streptomycin, 1% nonessential amino acids (Sigma), 2% essential amino acids (Sigma), 1% sodium pyruvate (Sigma), 50 µM 2-mercaptoethanol (Sigma), and 10% (vol/vol) fetal bovine serum. Wells contained medium plus rESAT-6-CFP10 (10 µg/ml), M. bovis PPD (5 µg/ml), or medium alone. Cells were cultured in vitro for 3 or 6 days at 37°C in 5% CO2.
PKH67 proliferation assay. For four-color flow cytometric analysis, PBMCs were stained with PKH67 prior to cell culture in accordance with the manufacturer's instructions (Sigma) and as described previously (44, 46). Briefly, 2 x 107 PBMCs were centrifuged (10 min, 400 x g), supernatants were removed, and cells were resuspended in 1 ml of diluent provided in the PKH67 kit. Diluted cells were added to 1 ml of PKH67 green fluorescent dye (2 µM; Sigma) and incubated for 5 min, followed by a 1-min incubation with 2 ml of fetal bovine serum to absorb excess dye. Cells were then washed (10 min, 400 x g) three times with RPMI 1640. Cells were counted and plated out at a density of 5 x 105 cells per well. PKH67 proliferation was analyzed using commercially available software (Modfit Proliferation Wizard; Verity Software House Inc., Topsham, ME). Proliferation data are presented as the mean (± standard error of the mean [SEM]) numbers of cells that had proliferated per 10,000 PBMCs minus no-stimulation (medium alone) values.
Flow cytometry. Following the appropriate culture duration, cells were pooled from individual animals according to in vitro treatments (i.e., stimulation). Cells were then replated to ensure equal cell numbers. Cells were stained with primary antibodies (Table 1) at room temperature for 15 min. All primary antibodies were provided by the Washington State University Monoclonal Antibody Center VMRD (Pullman, WA). Antibodies were used at a concentration of 1 µg/106 cells. Primary antibodies have been described previously (25). Following incubation, cells were washed and stained with appropriate goat anti-mouse fluorescein isothiocyanate-, phycoerythrin-, allophycocyanin-, Cy5-, or peridinin chlorophyll protein-conjugated secondary antibodies at room temperature for 15 min. Three- and four-color flow cytometric analyses were performed with FACScan and BD LSR flow cytometers (Becton Dickinson), respectively. Data were analyzed using commercially available software (FlowJo [Tree Star Inc., San Carlos, CA] and CellQuest [Becton Dickinson]). Data are presented as the mean (±SEM) percentages of cells expressing a given marker minus control values (medium alone) or as percent expression.
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TABLE 1. Primary antibodies, isotypes, and specificitiesa
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TCR+ cells are the predominant cell subsets responding to PPD stimulation (46). Stimulation with rESAT-6-CFP10 induced significant (P < 0.05) expansion of CD4+, CD8+, immunoglobulin M-positive (IgM+), and CD172a+ cell subsets in cultures from infected animals (Table 2). Mycobacterium bovis PPD stimulation resulted in a similar proliferation profile with the exception of greater CD4+ cell proliferation compared to that of rESAT-6-CFP10 stimulation. CD4+ cells from M. bovis-infected cattle stimulated with PPD proliferated at nearly fourfold greater levels than did CD4+ cells stimulated with rESAT-6-CFP10. 
TCR+ cells did not display significant (0.05 < P < 0.1) proliferative responses compared to control animals in this experiment due to variation within group responses and a low level of nonspecific proliferation by control animals; however, ESAT-6 is a major antigenic target of WC1+ 
TCR+ cells that induces their proliferation and secretion of IFN-
(47).
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FIG. 1. Proliferation of PBMCs from M. bovis-infected cattle in response to rESAT-6-CFP10 and M. bovis PPD. Representative figures indicate PBMC gating strategy (A, B, C), and PKH67 histograms indicate proliferative responses of PBMCs from M. bovis-infected cattle in response to medium alone (D), rESAT-6-CFP10 fusion protein (10 µg/ml) (E), or M. bovis PPD (5 µg/ml) (F) following 6 days of culture. As cells divide, PKH67 fluorescence diminishes, resulting in subsequent daughter generations with similar intensities. Note that stimulation with mycobacterial antigen results in the formation of numerous daughter peaks. Analysis was performed with Modfit Proliferation Wizard (Verity Software House).
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TABLE 2. Proliferation of cell subsets in response to defined (rESAT-6-CFP10) or complex (M. bovis PPD) mycobacterial antigensa
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chain (CD25). After 6 days in culture, PBMCs from infected animals had increased percentages of cells expressing CD25 after stimulation with either PPD or rESAT-6-CFP10. Notably, CD4+, CD8+, and 
TCR+ cell subsets all exhibited significant increases in CD25 expression compared to that of noninfected control cultures (Fig. 2A, B, and C). Upregulation of CD25 expression was also detected on CD4+ and 
TCR+ cells after 3 days of in vitro culture with rESAT-6-CFP10 or M. bovis PPD (data not shown). Additionally, there was a notable increase in the number of cells expressing CD26. The cellular upregulation of CD26, an ectoenzyme, has been associated with an activated phenotype in cattle (26). CD4+, CD8+, and 
TCR+ cells from M. bovis-infected cattle, but not from noninfected animals, upregulated their expression of CD26 at 6 days of culture with mycobacterial antigens (Fig. 2D, E, and F). After 3 days of in vitro culture with rESAT-6-CFP10 or M. bovis PPD, CD26 expression was increased (P < 0.05) on CD4+ and 
TCR+ cells from M. bovis-infected cattle (data not shown).
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FIG. 2. Increased expression of CD25 and CD26 on PBMCs from M. bovis-infected cattle in response to stimulation with rESAT-6-CFP10 or M. bovis PPD. Mean percentages of CD4+ (A, D), CD8+ (B, E), and ![]() TCR+ (C, F) cells expressing CD25 and CD26 are shown. PBMCs from M. bovis-infected (n = 4) or noninfected (n = 4) animals were stimulated with either medium alone, rESAT-6-CFP10 (10 µg/ml), or M. bovis PPD (5 µg/ml) for 6 days. After cell culture, cells were stained for surface and activation markers and analyzed using flow cytometry. Data are presented as mean (±SEM) percentages of cells expressing a given activation marker in response to antigen minus values from medium alone. A single asterisk indicates a significant difference (P < 0.05) from M. bovis-infected animals compared to noninfected animals. A double asterisk indicates a significant difference (P < 0.01) from M. bovis-infected animals compared to noninfected animals.
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FIG. 3. Expression of ACT molecules on CD4+ (A) or CD4+ CD45RO+ (B) subsets. PBMCs from M. bovis-infected (n = 4) or noninfected (n = 4) animals were stimulated with either medium alone, rESAT-6-CFP10 (10 µg/ml), or M. bovis PPD (5 µg/ml) for 6 days. After cell culture, cells were stained for CD4, CD45RO, and activation markers and then analyzed using flow cytometry. Data are presented as mean (±SEM) percentages of cells expressing a given activation marker in response to antigen minus values from medium alone. A single asterisk indicates a significant difference (P < 0.05) from M. bovis-infected animals compared to noninfected animals for the identical stimulation. A double asterisk indicates a significant difference (P < 0.01) from M. bovis-infected animals compared to noninfected animals for the identical antigenic stimulation.
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FIG. 4. Expression of CD45R (A, C) and CD45RO (B, D) on CD4+ and CD8+ cell populations. PBMCs from M. bovis-infected cattle (n = 4) were stimulated with either medium alone (NS), rESAT-6-CFP10 (10 µg/ml), or M. bovis PPD (5 µg/ml) for 6 days. Following cell culture, cells were stained for CD4, CD8, CD45R, and CD45RO. Flow cytometric analysis was utilized to determine the percentage of each cell subset expressing CD45 molecules. Data are presented as mean (±SEM) percentages of cells expressing CD45R or CD45RO. A single asterisk indicates a significant difference (P < 0.05) from antigenic stimulation compared to no stimulation (medium alone). A double asterisk indicates a significant difference (P < 0.01) from antigenic stimulation compared to no stimulation (medium alone).
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CD4+ cells proliferating in response to mycobacterial antigens exhibit increased expression of CD45RO and decreased expression of CD45R. By utilizing PKH67 staining, analysis of CD45 isoforms was conducted to evaluate changes in expression on proliferating and nonproliferating cell populations. Cells actively proliferating display decreased PKH67 fluorescence (i.e., PKH67lo), whereas nonproliferative cells remain highly fluorescent (i.e., PKH67hi). Total lymphocytes from M. bovis-infected cattle displayed increased (P < 0.01) expression of CD45RO in PKH67lo fractions compared to nonproliferative fractions after 6 days of culture with either the rESAT-6-CFP10 fusion protein or M. bovis PPD (Fig. 5A). CD4-gated cells in the proliferative cell populations of infected animals exhibited decreased (P < 0.05) expression of CD45R after 6 days of restimulation with mycobacterial antigens (Fig. 5B). Conversely, CD45RO was increased (P < 0.01) on CD4-gated proliferating cells compared to noncycling cells (Fig. 5C). A similar trend was observed with regard to CD8+ cells. CD8+ cells within the cycling population exhibited significant reductions (P < 0.01) in CD45R expression (Fig. 5D); however, they did not change expression of CD45RO between PKH67 fractions.
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FIG. 5. Activated CD4+ cells display an effector/memory phenotype. PKH67-stained PBMCs from M. bovis-infected cattle (n = 4) were stimulated with either medium alone, rESAT-6-CFP10 (10 µg/ml), or M. bovis PPD (5 µg/ml) for 6 days. Following restimulation, PBMCs were harvested and stained for subset markers (CD4 and CD8) and CD45 (CD45R and CD45RO) for flow cytometry. Gating was set on PKH67lo (proliferating) and PKH67hi (nonproliferating) fractions. CD45RO within the PKH67 gates was analyzed on total PBMCs (A), CD4+ cells (C), and CD8+ cells (E). CD45R was similarly analyzed on CD4+ cells (B) and CD8+ cells (D). Data are presented as mean (±SEM) percentages of cells expressing a given CD45 isoform in response to antigen minus values from medium alone. A single asterisk indicates a significant difference (P < 0.05) from antigen-stimulated PKH67lo cell populations compared to antigen-stimulated PKH67hi cell populations. A double asterisk indicates a significant difference (P < 0.01) from antigen-stimulated PKH67lo cell populations compared to antigen-stimulated PKH67hi cell populations.
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TABLE 3. Expansion of CD45RO+ subsets following antigenic restimulationa
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Several cell types exhibited robust proliferative responses following stimulation with mycobacterial antigens. CD4+, CD8+, 
TCR+, IgM+, and CD172a+ cell subsets in cultures from infected animals expanded severalfold following exposure to antigen. Expansion of IgM+ and CD172a+ cell subsets to rESAT-6-CFP10 has not been reported in cattle to date. The expansion of a CD172a+ population is particularly interesting. CD172a+ (MyD1, SIRP
) is a member of a designated group of signal-regulatory proteins (10, 24). CD172a expression is restricted to cells of myeloid lineage, specifically, monocytes, macrophages, and granulocytes (10). Monoclonal antibody-mediated blockade of CD172a inhibits proliferation of bovine CD4+ T cells in response to antigen, thus suggesting a role in costimulating T-cell responses (10). CD172a signaling also modulates cells of the innate immune system (40). Cross-linking of CD172a inhibits the secretion of tumor necrosis factor alpha, but not the expression of tumor necrosis factor alpha mRNA, by human monocytes in response to stimulation with lipopolysaccharide, zymosan, or PPD (40). Although no functional analyses were conducted in this experiment, additional studies will need to be conducted to elucidate the precise role of CD172a-bearing cells in bovine tuberculosis.
CD4+, CD8+, and 
TCR+ cells displayed increased expression of CD25 and CD26 following stimulation with either the rESAT-6-CFP10 fusion protein or M. bovis PPD. The expression of CD25 correlates with an activated bovine T-cell population (46), as IL-2 is needed to drive a proliferative response. Membrane-expressed CD26 functions as a costimulatory signal in T cells (30). Ligation of CD26 increases the recruitment of CD26 to lipid rafts and facilitates association with CD45RO, thus enhancing the phosphorylation of downstream signaling molecules and enhancing IL-2 production (22). Differences in the expression of CD26 on CD4+ CD45RO+ or CD8+ CD45RO+ cells were not detected from proliferative cell populations in this study. An explanation for this observation is that CD26 may be internalized to lipid rafts following ligation, where it binds the cytoplasmic region of CD45RO (22). Additionally, CD4+ and CD4+ CD45RO+ cells upregulated expression of several ACT molecules. To date, these ACT molecules remain incompletely characterized, and data presented here will be beneficial as their identities become characterized (e.g., CD26 was formerly ACT3) (26). Regardless, CD4+, CD8+, and 
TCR+ cells from M. bovis-infected cattle exhibit an activated phenotype when restimulated with either an rESAT-6-CFP10 fusion protein or M. bovis PPD.
CD45R is a marker for naïve lymphocytes in cattle (20), and bovine CD45RA and CD45RB isoforms are not yet defined. CD45RO expression on bovine CD4+ cells is indicative of antigenic priming and can be used to identify effector/memory cell populations (5). Following activation, CD4+ and CD8+ T cells from infected animals exhibited decreased expression of CD45R. Decreased expression of CD45R was most evident in CD4+ cells restimulated with PPD and in CD8+ cells restimulated with rESAT-6-CFP10. CD45RO expression followed an inverse pattern. Following antigenic stimulation, CD45RO expression generally increased on CD4+ and CD8+ cell subsets. The trends in CD45 isoform expression were more highly pronounced when proliferative cell populations were evaluated. Significant downregulation of CD45R expression was evident on proliferating CD4+ and CD8+ cells stimulated with either mycobacterial antigen. CD45RO expression was greatly enhanced on proliferating CD4+ cells but was unchanged on proliferating CD8+ cells. These data corroborate observations presented previously by Bembridge et al., in which proliferative responses of CD4+ cells were entirely within the CD45RO+ subset (5). Bembridge et al. also reported that CD8+ cells downregulate expression of CD45RO after activation (5). Initially, increases in CD45RO expression were observed for CD8+ cells; however, following analysis of proliferative (i.e., activated) CD8+ cells, it was evident that activated CD8+ cells did not significantly alter CD45RO expression after restimulation with soluble mycobacterial antigens. As M. bovis-infected cattle were used as PBMC donors in this study, one cannot define all responsive CD45RO+ populations as memory cells, as they most likely represent an effector/memory subset of cells.
Immune responses from M. bovis-infected cattle directed towards rESAT-6-CFP10 fusion protein or M. bovis PPD were relatively comparable in most aspects except for the proliferation of CD4+ cells. The magnitude of CD4+ cell proliferation in response to PPD was approximately four times as large as what was observed for restimulation with rESAT-6-CFP10. A likely explanation for this discrepancy is that PPD is a complex antigen containing multiple antigens capable of stimulating CD4+ cells from tuberculous animals. The results presented here may be of importance for future vaccine design involving ESAT-6 and CFP10 in cattle, as functional CD4+ cells are an indispensable component of protective immunity against tuberculosis (17). Additionally, the decreased CD4+ proliferation may aid in explaining the increased time needed to develop delayed-type hypersensitivity reactions to ESAT-6 skin testing in cattle compared to administration of PPD (33). However, given the comparable level of activation relative to PPD, the data suggest that the rESAT-6-CFP10 fusion protein may be a promising candidate for diagnostic applications, as its use could allow for the differentiation of mycobacterial infections (11, 43, 45).
Findings presented in this study describe bovine recall responses to a defined mycobacterial antigen (rESAT-6-CFP10) and a complex antigen mixture (PPD). In conclusion, data reveal that bovine PBMCs, particularly CD4+, CD8+, and 
TCR+ cells, from M. bovis-infected cattle become highly activated following restimulation with an rESAT-6-CFP10 fusion protein. Additionally, novel findings describing the expansion of IgM+ and CD172a+ cell subsets of tuberculous cattle in response to rESAT-6-CFP10 were reported. Increased expression of CD25 and CD26 on CD4+, CD8+, and 
TCR+ cells corresponded with increased cellular proliferation. Generally, rESAT-6-CFP10- and PPD-induced immune responses were similar. Finally, data corroborate the finding that CD4+ CD45RO+ cells represent a subset of effector/memory cells, and we report that CD45RO+ cell subsets are responsible for proliferative recall responses to mycobacterial antigen and that effector/memory responses induced by rESAT-6-CFP10 stimulation are comparable to those induced by PPD.
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T cells to protein and nonprotein antigens of Mycobacterium bovis. Infect. Immun. 70:6114-6120.
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