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The Journal of Immunology, 2006, 176: 6973-6981.
Copyright © 2006 by The American Association of Immunologists

Maintenance of HIV-Specific CD4+ T Cell Help Distinguishes HIV-2 from HIV-1 Infection1

Melody G. Duvall*,{ddagger}, Assan Jaye{dagger}, Tao Dong*, Jason M. Brenchley{ddagger}, Abraham S. Alabi{dagger}, David J. Jeffries{dagger}, Marianne van der Sande{dagger}, Toyin O. Togun{dagger}, Samuel J. McConkey{dagger}, Daniel C. Douek{ddagger}, Andrew J. McMichael*, Hilton C. Whittle{dagger}, Richard A. Koup{ddagger} and Sarah L. Rowland-Jones2,*,{dagger}

* Medical Research Council (MRC) Human Immunology Unit, Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom; {dagger} MRC Laboratories Fajara, Banjul, The Gambia, West Africa; and {ddagger} Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892

Unlike HIV-1-infected people, most HIV-2-infected subjects maintain a healthy CD4+ T cell count and a strong HIV-specific CD4+ T cell response. To define the cellular immunological correlates of good prognosis in HIV-2 infection, we conducted a cross-sectional study of HIV Gag-specific T cell function in HIV-1- and HIV-2-infected Gambians. Using cytokine flow cytometry and lymphoproliferation assays, we show that HIV-specific CD4+ T cells from HIV-2-infected individuals maintained proliferative capacity, were not terminally differentiated (CD57), and more frequently produced IFN-{gamma} or IL-2 than CD4+ T cells from HIV-1-infected donors. Polyfunctional (IFN-{gamma}+/IL-2+) HIV-specific CD4+ T cells were found exclusively in HIV-2+ donors. The disparity in CD4+ T cell responses between asymptomatic HIV-1- and HIV-2-infected subjects was not associated with differences in the proliferative capacity of HIV-specific CD8+ T cells. This study demonstrates that HIV-2-infected donors have a well-preserved and functionally heterogeneous HIV-specific memory CD4+ T cell response that is associated with delayed disease progression in the majority of infected people.




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