Lucas Baumard, PhD | 13th June 2025
Memory T cells are specialized CD4+ or CD8+ subsets that are important for giving long term protection from re-infection or cancer. In dysfunction, however, these cells can drive autoimmunity and chronic inflammation.
Memory cells derive from antigen-reactive T cells that remain after the bulk of effector cells die following antigen clearance, albeit at low numbers. Re-exposure to the specific antigen drives these memory cells to quickly proliferate and differentiate into effector cells in order to mount a rapid response.1 Memory cells provide a more robust response to secondary infection/ antigen stimulation because these antigen-specific cells are present at a higher proportion than antigen-naïve T cells, increasing the likelihood and specificity of an immune response.2 Memory T cells require a lower strength of, and lower exposure to, co-stimulatory signals from antigen presenting cells than naïve T cells do. Furthermore, while naïve T cells can only be activated by dendritic cells, a wide variety of antigen-presenting cells (APCs) can activate memory T cells, increasing the speed and strength of the immune response.3,4
Memory T cells can be sub-divided by their tissue trophism (central memory T cells (Tcm), tissue-resident memory T cells (Trm)) and by activity (T effector memory T cells (Tem)) (Figure 1). Table 1 shows a summary of these cells’ roles and some common markers.
Figure 1: Memory T cell subsets have distinct migration patterns. Tcm cells and naïve T memory cells migrate between the lymph, blood, and T cell zones (TCZ) within secondary lymphoid organs (SLO). Tem cells circulate between blood, non-lymphoid tissue, and afferent lymphatics (passing transiently through lymph nodes). Trm cells do not circulate, remaining within their non-lymphoid tissue of residence.
| Memory T cell subtype | CD4+/ CD8+ | Surface Markers | Cytokine Markers | Location | Activity | Refs |
|---|---|---|---|---|---|---|
| T central memory (Tcm) | Both | CCR7+ CD44 CD45RO CCR6 CXCR3 CD18mid CD62L | IL-2 | Secondary lymphoid organs (e.g. lymph nodes, spleen) | Sustained protection against pathogens | 1,5 |
| T effector memory (Tem) | Both | CCR7- CD44 β1, β2 integrins CD11b CCR6 CXCR3 CD18 CLA | IL-2low IL-4 IL-5 IFN-γ | Peripheral organs, lymph nodes | Rapid, briefly sustained reaction to pathogen | 1 |
| Tissue-resident memory (Trm) | Both | CD44 CD69 CD103 | Granzyme B IL-2 | Epithelial barrier tissues | Sustained protection against pathogens | 5,6 |
Table 1: Core markers and characteristics of distinct memory T cell subsets.
As indicated in Table 1, high expression of CD44 can be regarded as a pan memory T cell marker, in general distinguishing naïve (CD44low) from antigen-experienced (CD44high) T cells.2 Following antigen activation, T cells upregulate CD44, the receptor for hyaluronate, which may allow activated T cells to enter regions of high inflammation. This expression is maintained on memory T cells. While it cannot be used to distinguish memory T cell subsets from each other nor other activated T cells, CD44 is a classic marker for effector T activation.
In addition to the populations illustrated above, memory T cells can be divided into CD4 or CD8 subsets; generally, Tcm cells are predominantly CD4+ while Tem are CD8+.7 CD4+ memory T cells tend to be less common (and less studied) due to their significantly limited proliferative capacity after activation and their low abundance in blood compared to CD8+ memory T cells.8,9
There are also some differences in the expression of surface markers for CD4+ and CD8+ memory T cells subsets (Table 2); most likely driven by the transient nature of CD4+ memory cells compared to CD8s.9 CD4 and CD8 memory T cells follow a similar response pattern to their non-memory CD4+/CD8+ T cell counterparts: providing helper and cytotoxic responses, respectively.
| Classification | Subtype | Marker Expression | Frequency of cells in PBMC populations | |||
|---|---|---|---|---|---|---|
| CD45RA | CD62L | CCR7 | Healthy | Virally infected | ||
| CD4+ | Naïve | + | High | + | ++++ | ++/+++ |
| TCM | – | High | + | +/++ | ++ | |
| TEM | – | Hi/lo | – | ++ | ++ | |
| + | Hi/lo | – | – | + | ||
| CD8+ | Naïve | + | High | + | ++ | + |
| TCM | – | High | + | ++ | + | |
| TEM | – | Low | – | + | ++ | |
| + | Low | – | ++ | +++ | ||
Table 2: Difference in frequency and surface marker expression between CD4+ and CD8+ naïve and memory T cell subsets. Data from 9.
Characterization of memory subsets is complicated by their dual natures: non-activated memory T cells are long lived whereas activated memory T cells are relatively transient: after antigen-dependent activation, activated memory T cells rapidly differentiate into non-memory effector sub-types. For instance, upon antigen stimulation, Tem cells re-express CCR7 and CXCR5 (chemokine receptors that drive migration, associated with Tcm cells) and downregulate CCR5, while CD62L is rapidly shed after activation and migration have finished.10,11
The study of memory T cells therefore faces multiple difficulties:
These difficulties can be overcome by the careful management of activation and the use of multiple overlapping markers. Studying multiple parameters simultaneously, such as by examining surface marker expression (e.g. by flow cytometry) and cytokine expression (e.g. by ELISA, intracellular flow cytometry) can improve accuracy.
Tcm cells have limited effector function themselves. Instead, upon antigen stimulation, they home to T cell areas in secondary lymphoid organs (spleen, lymph nodes) and proliferate and differentiate into effector cells.7 Tcm cells are enriched in lymph nodes and tonsil tissue.12
Tcm cells are considered CD45RO+ CCR7+ CD62L+ CD44high cells, with CCR7 and CD62L being important for mediating migration through blood vessels to secondary lymphoid organs.13 As part of their support role, and to help drive rapid differentiation and proliferation upon activation, they release IL-2, transitioning to releasing IFN-γ and IL-4 as they differentiate.7
Figure 2: IHC of human spleen stained with Anti-CCR7 Antibody [ARC0231] (A307143).
Figure 3: IHC of human tonsil stained with Anti-CD45RO Antibody [T200/797] (A249812).
It is posited that Tcm cells are the developed (but not final) form of memory cells and that memory cells can switch between subsets. It was shown in a study - looking at CD8+ memory cells specifically – that whilst the absence of antigen stimulation pushes Tem cells into Tcm cells over time, this process is reversed upon antigen stimulation with Tcm converting back into Tem cells.14 The same study posited that Tcm represent the true form of memory cells, with Tem being a transitionary, effector population: naïve T cells → effector cells → Tem cells → Tcm cells.
CD45RO is an alternative splicing isoform of CD45 (expressed on all leucocytes; Figure 4) and a canonical marker of memory cells shown to respond to recall antigens.15 CD45RO+ cells have been shown to be more long lived and stable than their CD45RA+ counterparts and is considered a marker of activation.16
Figure 4: Alternative Splicing of CD45. A, Alternative splicing of exons 4, 5 and 6 results in various isoforms of CD45 due to the inclusion/exclusion of the heavily glycosylated segments A, B and C, respectively. Following differentiation of naïve T cells into memory T cells, upregulation of hnRNPLL inhibits inclusion of exons 4-6, resulting in characteristic CD45RO expression.17 B, Domains of the full CD45RABC form, including all 3 alternatively spliced exons.
CCR7 is a chemokine receptor and an important marker to identify cells with the ability to home to secondary lymphoid tissues – especially lymph nodes.18 It can be used to distinguish CCR7+CD62L+ Tcm from CCR7-CD62L+ Tem, which home instead to inflamed tissues. Tcm can transition into Tem, switching CCR7 expression for CCR5 in response to cytokine stimulation (IL-7, IL-15, TNF-α, IL-6, IL-10).19 CCR7 is expressed on Tcm, early Tfh cells,20 dendritic cells and B cells.21
CD62L (L-selectin, LECAM-1, LAM1, Leu8 antigen) is a cell adhesion molecule expressed on leucocytes and is important for their trafficking (Figure 5).22 The molecule is shed rapidly as it is expressed on the cell surface and binds to glycoproteins on the surface of blood vessels; this is thought to facilitate adhesion and transmigration.22
Figure 5: T cell migration, activation and arrest within high endothelial venules (HEVs) prior to entering lymph nodes from the blood. This is controlled by cell surface molecules such as CD62l, CCR6 and ICAM1 on T cell and endothelial cells.23
IL-2 is a general T cell growth factor which promotes the differentiation and proliferation of memory T cells as well as Th2 cells and CD8+ cytotoxic cells.24-26 High levels of IL-2 drives effector T cell differentiation and increases the expression of cytolytic effectors in these cells whilst low expression increases memory cell maturation.27
Tem cells are responsible for migrating to inflamed peripheral tissue and providing rapid effector activity in response to antigen stimulation 7. They are the rapid reaction force of the T cell memory compartment, giving time for other memory cells to come to bear, though they are not as long lived as Tcm cells.28 Tem cells are enriched in lung, liver and gastrointestinal tissue.12
CD8+ Tem cells express high amounts of perforin, and CD4 and CD8+ Tem cells both produce IFN-γ, IL-4 and IL-5 within hours of antigenic stimulation. Unlike Tcm, Tem cells have lost CCR7 expression and have a mixed CD62L and CD45RA expression pattern.7 Tem cells are typically described as CCR7- CD62low/high CD45RA+/- CD44high, and they can be further divided by the expression of chemokine receptors that are associated with Th1 and Th2 cells: CCR5 and CXCR5 for Th1, and CCR3 and CRTh2 for Th2 cells (See our T Helper Cell Markers page).
The combination of cytokine expression with that of surface markers (most of which are shared) is likely necessary to accurately distinguish Tem from Tcm. The tissue-specificity of Tem cells can be established by the combination of adhesion molecule and chemokine receptor expression: CLA and CCR4 for skin,29 α4β7 and CCR9 for gut-homing T cells.30
CD45RA is another splice variant of the CD45 gene (Figure 4) found on naïve T cells and re-expressed on Tem and some Tcm cells.31 CD45RA+ Tem (TemRA) probably represent a specific subset of Tem implicated in protective responses to specific pathogens.32
Perforin is a glycoprotein released from CD8+ T cells and natural killer (NK) cells that acts to kill target cells by the formation of pores in their cell membranes, disrupting mineral homeostasis and inducing pro-apoptotic pathways.33,34 CD8+ T cell release of perforin is dependent on MHC antigen presentation.33
Figure 6: Immunofluorescence of Jurkat cells stained with Anti-CD45RA Antibody [PTPRC/818] (A249785).
Figure 7: IHC of human spleen stained with Anti-Perforin Antibody [PRF1/2470] (A249713).
Interferon gamma (IFN-γ) is a type II interferon cytokine released by Th1 and NK cells in response to IL-12, IL-18, pattern recognition receptor activation or microbial antigens.35 The receptor, IFN-γR, is expressed on almost all cell types36 - an indication of the importance of the cytokine. IFN-γ activates macrophages, other T helper cells (including Th1) and B cells and downregulates Th2, Th17 responses.35,36
IL-4 is a cytokine important for the development of Th2 cells. IL-4 is also released by eosinophils,37 mast cells and basophils38 in response to parasitic infection, as well as by T follicular helper cells. IL-4 is also important in wound healing, nerve regeneration and allergic disease.39
IL-5 is also released from Tc2 and Th2 cells, mast cells and eosinophils.40 IL-5 specifically activates eosinophils, basophils and B cells as these cells preferentially express IL-5R.41,42 IL-5 is required for proliferation and Ig production in B cells.43
Trm cells were more recently discovered than Tcm and Tem. Their main feature is that they occupy tissues and do not circulate. They therefore provide an innate initial response to any infections detected at these locations. However, because these cells do not circulate in blood, they are hard to isolate and therefore characterize. In addition, the body of evidence focuses mostly on CD8+ Trm.
Trm derive from T cells that entered tissues during immune responses and differentiate into memory cells and reside there permanently.44 In the small intestine, newly arrived T cells are kept in situ through the loss of α4β7, which would normally facilitate migration.45 They also gain CD103 and CD69 and maintain granzyme B expression.46 They are associated with expression of IL-2, IFN-γ and IL-17, though expression differs based on tissue and CD4/ CD8 expression.47 Like Tcm and Tem cells, Trm cells express high levels of CD44.
| Up or downregulated vs circulating Tems | Protein | Cellular Localization | Effect |
|---|---|---|---|
| Upregulated | CD69 | Cell surface | Identification, tissue retention |
| CD101 | Cell surface | Identification (CD8+), immunoregulation | |
| CD49a | Cell surface | Tissue retention, adhesion | |
| CD103 | Cell surface | ||
| CRTAM | Cell surface | ||
| CXCR6 | Cell surface | Homing | |
| PD-1 | Cell surface | Inhibition | |
| DUSP6 | Cytoplasm | ||
| IFNγ | Extracellular (cytokine) | Rapid response on activation | |
| IL-2 | Extracellular (cytokine) | ||
| IL-17 | Extracellular (cytokine) | ||
| IL-10 | Extracellular (cytokine) | Anti-inflammatory | |
| Downregulated | CD62L | Cell surface | Reduced migratory cues |
| S1PR1 | Cell surface | ||
| S1PR5 | Cell surface | ||
| CX3CR1 | Cell surface | ||
| KLF2 | Nucleus | ||
| KLF3 | Nucleus | ||
| Ki67 | Nucleus | Decreased turnover |
Table 3: Human Trm (CD69+) transcription factors, cytokines and surface markers compared with circulating Tems. Information adapted from 47.
CD103 (αeβ7) is an integrin expressed on T cells, dendritic cells and mast cells whose main ligand is E-cadherin expressed on epithelial cells.48 It is essential to keep migrated T cells within some tissues,49 most likely due to the physical adherence via E-cadherin to tissue epithelial cells, though CD103 expression has also been shown to promote T cell survival.50 However, not all Trm express CD103 and it is not required for retention in some tissues (e.g. small intestine lamina propria).49
The lectin CD69 is induced in Trm after migration to sites of residence.50 Studies in mice have shown that the majority of CD4+ and CD8+ Trm cells express CD69, across multiple sites.46,51-53 CD69 expression is negatively associated with Sphingosine-1 phosphate receptor 1 (S1PR1) expression54 while IFN-γ, IL-33 and TNF-α induce CD69 expression.49,55-57 S1P is a chemotaxis molecule that mediates T cell egress to lymph nodes,54 and the loss of the receptor maintains Trm in tissues (Figure 6). The role and expression of CD69 in human Trm is not fully elucidated.
Granzyme B (GzB) is a serine protease released by activated CD8+ T cells and NK cells.58 GzB enters the target cell’s cytoplasm, where it disrupts various proteins, eventually leading to cell death.58 Some models of its action require perforin to create the pores which allow it to enter the cell, but the exact mechanisms of action are not fully understood.
Figure 8: Flow cytometry of human PHA-activated peripheral blood stained with Anti-CD69 Antibody [FN50] (PE) (A86795).
Figure 9: IHC of human spleen stained with Recombinant Anti-Integrin alpha E Antibody [ITGAE/3904R] (A249061).
Diagrams created with BioRender.com.