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T Cell Immune Manipulation during Chronic Phase of Simian HIV Infection Confers Immunological Benefits1




*Department of Microbiology and Immunology, Center for Primate Biomedical Research, University of Illinois at Chicago, College of Medicine, Chicago, IL 60612;
Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30329; and
Institut für Klinische Immunologie und Transfusionsmedizin, Universitätsklinikum Gießen und Marburg, Giessen, Germany
V
2V
2 T cells, a major human 
T cell subset, recognize the phosphoantigen (E)-4-hydroxy-3-methyl-but-2-enyl pyrophosphate (HMBPP) produced by mycobacteria and some opportunistic pathogens, and they contribute to innate/adaptive/homeostatic and anticancer immunity. As initial efforts to explore V
2V
2 T cell-based therapeutics against HIV/AIDS-associated bacterial/protozoal infections and neoplasms, we investigated whether a well-defined HMBPP/IL-2 therapeutic regimen could overcome HIV-mediated immune suppression to massively expand polyfunctional V
2V
2 T cells, and whether such activation/expansion could impact AIDS pathogenesis in simian HIV (SHIV)-infected Chinese rhesus macaques. While HMBPP/IL-2 coadministration during acute or chronic phase of SHIV infection induced massive activation/expansion of V
2V
2 T cells, the consequences of such activation/expansions were different between these two treatment settings. HMBPP/IL-2 cotreatment during acute SHIV infection did not prevent the increases in peak and set-point viral loads or the accelerated disease progression seen with IL-2 treatment alone. In contrast, HMBPP/IL-2 cotreatment during chronic infection did not exacerbate disease, and more importantly it could confer immunological benefits. Surprisingly, although viral antigenic loads were not increased upon HMBPP/IL-2 cotreatment during chronic SHIV infection, HMBPP activation of V
2V
2 T cells boosted HIV Env-specific Ab titers. Such increases in Abs were sustained for >170 days and were immediately preceded by increased production of IFN-
, TNF-
, IL-4, and IL-10 during peak expansion of V
2V
2 T cells displaying memory phenotypes, as well as the short-term increased effector function of V
2V
2 T cells and CD4+ and CD8+
β T cells producing antimicrobial cytokines. Thus, HMBPP/V
2V
2 T cell-based intervention may potentially be useful for combating neoplasms and HMBPP-producing opportunistic pathogens in chronically HIV-infected individuals.
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 This work was supported by National Institutes of Health Grants R01 HL64560 and R01 RR13601 (both to Z.W.C.).
2 Address correspondence and reprint requests to Dr. Zheng W. Chen, Department of Microbiology and Immunology, Center for Primate Biomedical Research, University of Illinois at Chicago, College of Medicine, 835 S. Wolcott Avenue, MC790, Chicago, IL 60612. E-mail address: zchen{at}uic.edu
3 Abbreviations used in this paper: ART, antiretroviral treatment; HMBPP, (E)-4-hydroxy-3-methyl-but-2-enyl pyrophosphate; SHIV, simian HIV; HAART, highly active antiretroviral treatment.
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