CD4+ helper T cells contribute to the induction and maintenance of
antigen-specific CD8+ T cells. Their absence results in short-lived
antigen-specific CD8+ T cells and defective secondary CD8+ T cell responses because of
tumor necrosis factor-related apoptosis-inducing
ligand (TRAIL)-mediated apoptosis. Here, we show that
IL-15 codelivered with
vaccines can overcome CD4+ T cell deficiency for promoting longevity of
antigen-specific CD8+ T cells and avoidance of TRAIL-mediated apoptosis. In both priming and secondary responses,
IL-15 down-regulates proapoptotic Bax, an intermediate in TRAIL-mediated apoptosis, and increases anti-apoptotic Bcl-X(L) in CD8+ T cells. Thus,
IL-15 is sufficient to mimic CD4+ T cell help.
Antigen-specific CD4+ T cells induce dendritic cells (DCs) to produce
IL-15.
IL-15 is also necessary for optimal help, because helper cells do not deliver effective help through IL-15-/- DCs. Therefore,
IL-15 codelivered with
vaccines can overcome CD4+ helper T cell deficiency for induction of functionally efficient CD8+ T cells and maintenance of CD8+ cytotoxic T lymphocytes (CTLs), and
IL-15 is probably one of the natural mediators of help. These findings suggest new
vaccine strategies against
infections and
cancers, especially in individuals with CD4-deficiency.