Polyclonal but not monoclonal circulating memory CD4 T cells attenuate the severity of bacteremia.

bacteremia causes significant morbidity and mortality. Treatment of staphylococcal infections is hindered by widespread antibiotic resistance, and attempts to develop an vaccine have failed. Improved treatment and infection prevention options require a deeper understanding of the correlates of protective immunity. CD4 T cells have been identified as key orchestrators in the defense against , but uncertainties persist regarding the subset, polarity, and breadth of the memory CD4 T-cell pool required for protection. Here, using a mouse model of systemic infection, we discovered that the breadth of bacterium-specific memory CD4 T-cell pool is a critical factor for protective immunity against invasive infections. Seeding mice with a monoclonal bacterium-specific circulating memory CD4 T-cell population failed to protect against systemic infection; however, the introduction of a polyclonal and polyfunctional memory CD4 T-cell pool significantly reduced the bacterial burden. Our findings support the development of a multi-epitope T-cell-based vaccine, as a strategy to mitigate the severity of bacteremia.