The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow An erratum has been published
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Poluektova, L. Y.
Right arrow Articles by Gendelman, H. E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Poluektova, L. Y.
Right arrow Articles by Gendelman, H. E.
The Journal of Immunology, 2002, 168: 3941-3949.
Copyright © 2002 by The American Association of Immunologists

Generation of Cytotoxic T Cells Against Virus-Infected Human Brain Macrophages in a Murine Model of HIV-1 Encephalitis1

Larisa Y. Poluektova2,*, David H. Munn{ddagger}, Yuri Persidsky3,* and Howard E. Gendelman3,*,{dagger}

* Center for Neurovirology and Neurodegenerative Disorders, and Departments of Pathology and Microbiology and {dagger} Internal Medicine, University of Nebraska Medical Center, Omaha, NE 68198; and {ddagger} Program in Molecular Immunology, Institute of Molecular Medicine and Genetics, Medical College of Georgia, Augusta, GA 30912


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
HIV-1 encephalitis (HIVE) and its associated dementia can occur in up to 20% of infected individuals, usually when productive viral replication in brain mononuclear phagocytes (macrophages and microglia) and depletion of CD4+ T lymphocytes are most significant. T cells control viral replication through much of HIV-1 disease, but how this occurs remains incompletely understood. With this in mind, we studied HIV-1-specific CTL responses in a nonobese diabetic (NOD)-SCID mouse model of HIVE. HIV-1-infected monocyte-derived macrophages (MDM) were injected into the basal ganglia after syngeneic immune reconstitution by HLA-A*0201-positive human PBL to generate a human PBL-NOD-SCID HIVE mouse. Engrafted T lymphocytes produced HIV-1gag- and HIV-1pol-specific CTL against virus-infected brain MDM within 7 days. This was demonstrated by tetramer staining of human PBL in mouse spleens and by IFN-{gamma} ELISPOT. CD8, granzyme B, HLA-DR, and CD45R0 Ag-reactive T cells and CD79{alpha}-positive B cells migrated to and were in contact with human MDM in brain areas where infected macrophages were abundant. The numbers of productively infected MDM were markedly reduced (>85%) during 2 wk of observation. The human PBL-NOD-SCID HIVE mouse provides a new tool for studies of cellular immune responses against HIV-1-infected brain mononuclear phagocytes during natural disease and after vaccination.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Human immunodeficiency virus 1-associated dementia is a late complication of progressive viral infection (1). Cognitive, motor, and/or behavior disturbances usually occur late in the course of disease in infected individuals with high peripheral viral loads and severe immunosuppression (2). Interestingly, HIV-1 infection remains highly restricted for years despite early brain invasion (3). How this occurs remains incompletely understood, but probably represents a combination of innate and acquired immune responses directed against infected brain mononuclear phagocytes (MP4; macrophages and microglia), the target cell for virus (4, 5, 6). In support of this idea, MP and astrocytes secrete a variety of immune factors that restrict viral growth, including IFN-{alpha}, -{beta}, and -{gamma} and cytokines (TGF-{beta} and TNF-{alpha}) among others (7, 8). In addition, Ag-specific CD8+ CTL serves a prominent role in the control of HIV infection, in both brain and peripheral tissues (9, 10). HIV-1-infected tissue macrophages attract T and B lymphocytes while serving as APC, thus affecting virus-specific acquired immune responses. In this way, HIV-1-specific CTL can eliminate virus in tissues such as brain, where ongoing viral production occurs.

To test the ability of HIV-1-infected MP to induce an effective CTL response as a means of viral elimination, we produced a mouse model of HIV-1 encephalitis (HIVE) in nonobese diabetic (NOD)-C.B-17 SCID mice reconstituted with human (hu) PBL (hu-PBL-NOD-SCID HIVE). HIVE was established 7 days after immune reconstitution by stereotactic injection of human HIV-1-infected human monocyte-derived macrophages (MDM) into the subcortex. Tetramer staining showed HIV-1gag- and HIV-1pol-specific CTL in mouse spleens 1 wk after injection of infected MDM. CD8, granzyme B, HLA-DR, and CD45R0 Ag-immunoreactive T cells and CD79{alpha}-positive B cells migrated to the sites of human MDM. This hu-PBL-NOD-SCID HIVE mouse model recapitulates the cellular immune responses against HIV-1-infected brain macrophages that occur in humans during progressive disease. The generation of HIV-1-specific CTL against virus-infected human macrophages in mice was demonstrated in this report. The work supports the hypothesis that elimination of infected HIV-1 macrophages can occur effectively in the nervous system and provides new insights into the mechanisms of restricted virus infection in the brain that occurs over years following viral exposure.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Isolation and culture of primary human monocytes

Monocytes and lymphocytes were obtained from leukopheresis of HIV-1-, HIV-2-, and hepatitis B-seronegative donors and were purified by countercurrent centrifugal elutriation. Cell suspensions were documented as >98% monocytes by criteria of cell morphology in Wright-stained cytosmears. Monocytes were cultured as suspensions in Teflon flasks (2 x 106 cells/ml) in DMEM (Sigma-Aldrich, St. Louis, MO) with 10% heat-inactivated pooled human serum, 1% glutamine, 50 µg/ml gentamicin, and/or 10 µg/ml ciprofloxacin (Sigma-Aldrich) and 1000 U/ml highly purified human rM-CSF (a gift from Genetics Institute, Cambridge, MA). Culture medium was changed every 3 days. All tissue culture reagents were screened and found negative for endotoxin (<10 pg/ml; Associates of Cape Cod, Woods Hole, MA) and mycoplasma contamination (Gen-Probe II; Gen-Probe, San Diego, CA).

HIV-1 infection of MDM

After 7 days in culture, MDM were infected with HIV-1ADA (a macrophage tropic strain) at a multiplicity of infection of 0.01 (11). The percentage of HIV-infected MDM was determined by immunostaining with HIV-1 p24gag mAb (DAKO, Carpinteria, CA).

NOD-SCID mouse model of HIVE

Four-week-old male NOD-C.B-17 SCID mice were purchased from The Jackson Laboratory (Bar Harbor, ME). Animals were maintained in sterile microisolator cages under pathogen-free conditions in accordance with ethical guidelines for care of laboratory animals at the University of Nebraska Medical Center set forth by the National Institutes of Health. All animal manipulations, including intracerebral (i.c.) inoculations, were performed in a laminar flow hood. Animals were injected i.p. with asialo-GM1 polyclonal rabbit Abs (WAKO, Richmond, VA) 24 h before and 3 days after PBL injection to facilitate engraftment.

Human PBMC from HLA-A*0201-positive donor were separated into a monocyte- and PBL-enriched fraction. Human PBL (8 x 107 cells in 0.5 ml PBS) were injected i.p. into recipient animals. Three of 16 injected mice did not engraft human lymphocytes. Injection of HIV-1ADA-infected MDM into the subcortex was performed following i.p. ketamine/xylazine anesthesia (100 mg/kg ketamine and 16 mg/kg xylazine) on day 8 after PBL engraftment. These were named hu-PBL-NOD-SCID HIVE mice. Control NOD-SCID mice not engrafted with human PBL, but that received i.c. injections of HIV-1ADA-infected MDM, were termed NOD-SCID HIVE mice. Each animal received 10 µl of suspension containing 3.0 x 105 HIV-1-infected MDM injected into the left hemisphere caudate and putamen, using the coordinates previously described (12). Animals were sacrificed 7, 14, and 21 days after injection. To evaluate the optimal conditions for generating a CTL response, 11 mice/group received simultaneous transplantation of HLA-mismatched PBL (i.p.) and HIV-1-infected MDM (i.c.). These animals were sacrificed at 3, 7, and 14 days after cell injections. Blood was collected in EDTA-containing tubes, and plasma was separated for HIV-1p24gag ELISA tests (Beckman Coulter, Miami, FL).

Activation and expansion of human cells from the spleens of NOD-SCID mice

Single-cell suspensions were prepared from spleens depleted of erythrocytes. Splenocytes were cultivated at a concentration of 2 x 106 cells/ml in RPMI 1640 (Sigma-Aldrich) supplemented with 10% heat-inactivated FBS (Mediatech; Cellgro, Herndon, VA), 1% L-glutamine, and 0.2% gentamicin. Single-cell suspensions were activated with PHA-P (1 µg/ml) in RPMI 1640 supplemented with 10% IL-2 (Advanced Biotechnologies, Columbia, MD). On day 11 after stimulation, cells were stained and free of mouse CD45+ (leukocyte common Ag, Ly-5) contamination.

Immunophenotypic analyses

Splenocytes from mice engrafted with human PBL were incubated with fluorochrome-conjugated mAbs to human CD4, CD8, and CD56 (BD PharMingen, Los Angeles, CA) for 30 min at 4°C. FITC-conjugated mAbs to mouse CD45 (leukocyte common Ag, Ly-5) identified murine cells. To determine Ag-specific CTL, allophycocyanin-conjugated tetramer staining for HIV-1gag (p17(aa 77–85) SLYNTVATL, SL-9) and HIV-1pol ((aa 476–485) ILKEPVHGV, IL-9) was performed on fresh and PHA/IL-2-stimulated splenocytes. Cells were stained following the recommendations of the National Institutes of Health/National Institute of Allergy and Infectious Disease, National Tetramer Core Facility (Atlanta, GA), and analyzed with a FACSCaliber using CellQuest software (BD Immunocytometry Systems, San Jose, CA).

Tetramer staining was positive in 0.0–0.04% of nonactivated splenocytes derived from hu-PBL-NOD-SCID mice not exposed to HIV-1. Staining of PHA/IL-2-activated lymphocytes derived from PBL-reconstituted animals not exposed to HIV-1 was 0.22–0.49% for HLA-A*0201 and 0.07–0.14% for HLA-mismatched donor PBL. Splenocytes from animals engrafted with HLA-A3-mismatched donor PBL and PHA/IL-2-stimulated lymphoblasts served as controls (data not shown).

ELISPOT assay

Human IFN-{gamma} ELISPOT assays were performed from single-cell suspensions of splenocytes collected from hu-PBL-NOD-SCID HIVE mice. Human PBL not exposed to HIV-1 served as the control. Lymphocytes were isolated from splenocyte single-cell suspensions by gradient centrifugation and adjusted to a concentration 2 x 106 cells/ml. Trypan blue exclusion showed 98% cell viability. ELISPOT was performed in triplicate determinations (50 µl of responders) in nitrocellulose-lined 96-well microtiter plates (MAHA S45; Millipore, Bedford, MA) with a human IFN-{gamma} ELISPOT kit (Cell Science, Norwood, MA). The assays were performed according to manufacturer’s instructions. Irradiated syngeneic donor PBL (50 µl, with a ratio to responders of 1:1) served as APCs. Ags, including HIV-1gag (SL-9), HIV-1pol (IL-9), and OVA, were used at a concentration of 10 µg/ml. Activation with PHA at a concentration 1 µg/ml was used as a positive control. Results were adjusted to the number of human cells in the suspension determined by FACS.

Histopathology and image analysis

Brain tissue was collected at necropsy. Tissue was fixed in 4% phosphate-buffered paraformaldehyde and paraffin-embedded or frozen at -80°C for later analysis. Neuropathological analyses were performed 7, 14, and 21 days after injection of infected MDM. For each mouse 30–100 serial (5-µm-thick) sections were cut from the injection site and three to seven sections (10 sections apart) around the needle track were analyzed. Blocks were cut until the inoculation site was identified. The Abs used for immunohistochemical tests are listed in Table IGo. The Vectastain Elite ABC kit (Vector Laboratories, Burlingame, CA) and the Dako EnVision kit were the detection system for one or two Ags. All sections were counterstained with Mayer’s hematoxylin. Deletion of the primary Ab or use of mouse IgG served as the control. The numbers of HIV-1 p24gag Ag-positive MDM and lymphocytes detected were averaged for each mouse. Stained tissue images were analyzed with a Nikon Microphot-FXA microscope (Melville, NY) and acquired by DVC-1312 digital optics. Data was analyzed with Excel (Microsoft, Redmond, WA) and Kaleidagraph 2.0 software (Synergy Software, Reading, PA) using the Student t test for comparisons.


View this table:
[in this window]
[in a new window]
 
Table I. Immunohistochemical reagents used for cell detection

 

    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Generation of hu-PBL-NOD-SCID HIVE mice

Mice engrafted with PBL from HLA-A*0201-positive donors injected i.p. generated hu-PBL-NOD-SCID animals. Seven days after lymphocyte engraftment HIVE was established by stereotactic injection of syngeneic human HIV-1ADA-infected MDM into the basal ganglia and caudate, generating hu-PBL-NOD-SCID HIVE mice. Neuropathological analyses were performed 7, 14, and 21 days after injection of infected MDM (Fig. 1Go). Immunostaining of brain sections for glial fibrillary acidic protein (GFAP) and Griffonia simplicifolia showed wide areas of reactive astrocytes and microglia in and around areas of infected human cells (MDM and lymphocytes) 7 days after injection of human MDM. In hu-PBL-NOD-SCID HIVE mice, MDM showed elongated processes with dendritic-like morphology in contact with lymphocytes. Such morphological changes in MDM were rare at 14 and 21 days. MDM uniformly immunoreactive for HLA-DR and surrounded by HLA-DR Ag-positive lymphocytes were readily observed within the perivascular spaces.



View larger version (159K):
[in this window]
[in a new window]
 
FIGURE 1. Comparative brain histopathology in NOD-SCID HIVE and hu-PBL-NOD-SCID HIVE mice 7 days after injection of HIV-1ADA-infected MDM. a–c (Original magnification, x100) and g–i (x400) are serial sections of brain tissue from NOD-SCID HIVE mouse (no. 1291). d–f (x100) and j–l (x400) are serial sections of brain tissue from a hu-PBL-NOD-SCID HIVE mouse (no. 1298). a, d, g, and j are double immunostained with Abs to vimentin (diaminobenzidene (DAB), brown) and GFAP (Fast Red, red/magenta). The vimentin stains both human macrophages and lymphocytes and demonstrates the differences in distribution of cell types in both animal systems used. b, e, h, and k are double-stained with Abs to HIV-1p24 (DAB, brown) and GFAP (Fast Red, red/magenta). These panels show the distribution of virus-infected macrophages (NOD-SCID HIVE mice) and macrophages and lymphocytes (hu-PBL-NOD-SCID HIVE mice). c, f, i, and l are double-immunostained with Abs to Griffonia s. (DAB, brown) and vimentin (Fast Red, red/magenta). A marked microgliosis and monocyte infiltration accompanies lymphocyte brain infiltration in hu-PBL-NOD-SCID HIVE mice. Astrocytosis is most prevalent in NOD-SCID HIVE mice.

 
Lymphocyte migration in brains of hu-PBL-NOD-SCID HIVE mice

Lymphocyte migration into brain was significant 7 days after injection of MDM (Fig. 2Go). On the average, 303.8 ± 90.0 lymphocytes were detected in each 5-µm section (Table IIGo). Most lymphocytes were in close proximity to human MDM, in or around the needle track, and in the surrounding brain parenchyma adjacent to microvessels. Few lymphocytes were detected in vascular lumens in the contralateral noninjected hemisphere. Fifty to 80% of lymphocytes were CD8+, and 15–45% were granzyme B-positive on day 7 after MDM injection. On day 14, the number of lymphocytes in the brain decreased 2-fold to 151.6 ± 50.1 cells/section. The ratio of MDM to lymphocytes was 1:20, the maximum throughout the experimental period. On day 21, 35.3 ± 4.2 lymphocytes/section were observed. At all time points, lymphocytes were present only in areas with infected MDM (including the meninges, choroid plexus, and ventricles). The majority of lymphocytes were CD45RO-immunoreactive, indicating that they were activated memory cells. CD79{alpha}-positive B cells were also found in the injected hemisphere and in the meninges, but did not exceed 1–5% of the migrated lymphocytes. HIV-1 p24gag-immunoreactive lymphocytes were readily detected in brain 7 days after MDM injection. HIV-1 p24 gag-positive syncytia was observed at the site of MDM injection as well as in perivascular spaces and meninges. The numbers of infected lymphocytes were 39.0 ± 9.8, 14.5 ± 7.5, and 0.6 ± 0.4% on days 7, 14, and 21 following MDM injection, respectively.



View larger version (124K):
[in this window]
[in a new window]
 
FIGURE 2. Distribution of CD8+, CD8+/GrB+ lymphocytes and MDM in brains of hu-PBL-NOD-SCID HIVE mice. a–c, Serial sections of brain tissue cut 150–200 µm from the MDM injection site (mouse 1296, day 7 after MDM injection). d–f, Interaction of CD8+/GrB+ lymphocytes with HIV-1-infected macrophages (mouse 1311, day 14 after MDM injection). Formalin-fixed paraffin-embedded tissue was cut at 5-µm thickness. Panels are immunostained brown by immunoperoxidase techniques (see Materials and Methods) with Abs to vimentin (a and e), to CD8 (b), and to GrB (c). Double-stained sections with Abs to GrB (brown) and CD8 (red) are shown in d. f, HIV-1 p24gag-Ag-positive cells. The magnification was x20. The insets in c and d are at a magnification of x100. Immunofluorescent photomicrographs shown in g–j were taken from 10-µm-thick frozen sections of brain tissue (day 7 after MDM injection). Three-color immunostaining is shown in g. Macrophages are immunostained with HAM56 and Alexa Fluor 594, red (h); with CD8 and Alexa Fluor 350, blue (i); and with CD3 and Alexa Fluor 488, green (j). The magnification is x100.

 

View this table:
[in this window]
[in a new window]
 
Table II. Human cells in NOD-SCID HIVE and hu-PBL-NOD-SCID HIVE brain tissue

 
Elimination of human HIV-1-infected MDM in hu-PBL-NOD-SCID HIVE mice

One week after injection, the average numbers of human MDM were 29.1 ± 11.6 and 47.2 ± 14.8/section in NOD-SCID HIVE and hu-PBL-NOD-SCID HIVE mice, respectively. The percentages of HIV-1 p24gag Ag-reactive MDM were 74.7 ± 1.5 and 90.6 ± 5.4% in the NOD-SCID HIVE and hu-PBL-NOD-SCID HIVE mice, respectively. On day 14, the numbers of macrophages per section were 51.0 ± 11.8 and 6.6 ± 2.3 in the NOD-SCID HIVE and hu-PBL-NOD-SCID HIVE mice, respectively (p < 0.01; Fig. 3Go). All MDM in the hu-PBL-NOD-SCID HIVE and 65.9 ± 17.7% of the NOD-SCID HIVE MDM expressed HIV-1 p24gag Ag. On day 21, three of four hu-PBL-NOD-SCID HIVE mice had no or few multinucleated giant cells (0.4 ± 0.2/section). In NOD-SCID HIVE mice, the number of MDM was 15.2 ± 5.5/section. Of these, 83.3 ± 7.1% were viral Ag-positive (Table IIGo). The apoptotic macrophages and lymphocytes were visible in affected brain tissue of hu-PBL-NOD-SCID HIVE mice on day 7 after MDM injection. Multinucleated HIV-1-p24 giant cells were also seen without evidence of apoptosis in both animal groups (data not shown).



View larger version (117K):
[in this window]
[in a new window]
 
FIGURE 3. Elimination of HIV-1-infected MDM by CTL in hu-PBL-NOD-SCID HIVE mice. NOD-SCID HIVE and hu-PBL-NOD-SCID HIVE mice 14 days after injection of HIV-1ADA-infected MDM are shown. a and c (original magnification, x100) and e and g (x400) are serial sections from a NOD-SCID HIVE mouse (no. 1306). b and d (x100) and f and h (x400) are serial sections from a hu-PBL-NOD-SCID HIVE mouse (no. 1318). a, b, e, and f are double-stained with Abs to vimentin (DAB, brown) and GFAP (Fast Red, red/magenta). Macrophages are present in large numbers in and around the needle track in NOD-SCID HIVE mice. In the hu-PBL NOD-SCID HIVE mice, lymphocytes, but not macrophages, are readily detected. c, d, g, and h are double-stained Abs to HIV-1p24gag (DAB, brown) and GFAP (Fast red, red/magenta). These stained sections demonstrate the presence of large numbers of HIV-1-infected brain macrophages in the NOD-SCID HIVE mice. The HIV-1-infected macrophages are eliminated in hu-PBL-NOD-SCID mice, supporting the generation of effective HIV-1-specific CTL responses against infected cells.

 
Detection of HIV-1gag- and HIV-1pol-specific CD8+ cells in spleen by tetramer staining

Tetramer staining was used to determine whether the engrafted human lymphocytes from HIV-1 and HIV-2-seronegative HLA-A*0201-positive donors reacted to HIV-1-infected brain macrophages. In these assays, freshly prepared and PHA/IL-2-activated splenocytes (both containing human lymphocytes) were used. Two well-characterized HLA-A*0201-restricted immunodominant CTL epitopes (HIV-1gag (SLYNTVATL) and HIV-1pol (ILKEPVHGV)), found in a majority of HIV-1-seropositive patients, were tested. Three-color flow cytometric analysis using tetramer-allophycocyanin, anti-human CD8-PE, and anti-mouse-Ly-5-FITC were performed. CD8+/HIV-1gag- and CD8+/HIV-1pol-positive human cells were detectable, but rare, in splenocyte suspensions. The percentages of human HIV-1 specific CD8+ cells following PHA/IL-2 activation of mouse splenocytes were 1.4 ± 0.3, 4.8 ± 0.7, and 3.7 ± 1.5% (days 7, 14, and 21) and 0.7 ± 0.1, 1.8 ± 0.3, and 4.0 ± 1.9% (days 7, 14, and 21) for HIV-1gag and HIV-1pol, respectively (Table IIIGo and Fig. 4Go). The numbers of MDM present in brain inversely correlated with the numbers of CD8+ HIV-1gag cells in spleen on day 7, but not on days 14 and 21 (Tables IIGo and IIIGo).


View this table:
[in this window]
[in a new window]
 
Table III. Human cells in hu-PBL-NOD-SCID HIVE mouse spleen and plasma levels of HIV-1 p24gag

 


View larger version (48K):
[in this window]
[in a new window]
 
FIGURE 4. FACS analysis for the detection of human Ag-specific CD8-positive cells in mouse spleens. a, Single-cell suspension of mouse splenocytes is shown from a hu-PBL-NOD-SCID HIVE mouse. Left top, Murine cells separated by gating of mouse CD45 (Ly-5)-negative cells. Right top, Control HLA-A*0201 donor cells not previously exposed to HIV-1. Middle and bottom panels, Mouse 1311 (middle panel) and mouse 1325 (bottom panel) demonstrating tetramer-positive cells. b, PHA/IL-2 lymphoblasts are shown on the left from the spleen of mouse 1311 and on the right from HLA-A*0201 donor cells not exposed to HIV-1.

 
IFN-{gamma} ELISPOT

To confirm functional properties of HIV-1-specific human cells that repopulated spleens of hu-PBL-NOD-SCID HIVE mice, an IFN-{gamma} ELISPOT was performed with collected frozen samples. Flow cytometry demonstrated that 30% of the cells were human T lymphocytes, and 80% of them were CD8-positive cells. Cells were activated with PHA (1 µg/ml), SL-9, IL-9 peptides, and OVA in the presence of irradiated syngeneic PBL. Results are shown in Fig. 5Go. Activation with PHA induced >1500 spots. The number of IFN-{gamma}-producing cells increased after exposure to HIV-1gag (SL-9) compared with those cells not exposed to the HIV-1 peptide (p < 0.05).



View larger version (20K):
[in this window]
[in a new window]
 
FIGURE 5. The frequency of human IFN-{gamma}-producing cells derived from hu-PBL-NOD-SCID HIVE mice. Cells separated from collected frozen splenocyte single-cell suspensions were tested for human IFN-{gamma} secretion in response to medium (spontaneous activation of human cells in a murine cell environment), HIV-1-specific p17(SL-9) and pol(IL-9) peptides, and OVA. Stimulation with PHA induced >1500 spots (not shown on graph). *, p < 0.05.

 
Human CD4+ T lymphocyte depletion in hu-PBL-NOD-SCID HIVE mice

Viral production was monitored by determining levels of HIV-1p24gag Ags in plasma of the NOD-SCID HIVE and hu-PBL-NOD-SCID HIVE mice on days 14 and 21. HIV-1 p24gag was not found in NOD-SCID HIVE mice. However, mice engrafted with lymphocytes had plasma HIV-1 p24gag Ag levels of 1043 ± 509 and 598 ± 187 pg/ml on days 14 and 21 (Table IIIGo).

Numbers of human CD4-, CD8-, and CD56-immunopositive cells in splenocytes of hu-PBL-NOD-SCID HIVE mice were next analyzed. A marked decrease in the number of human CD4+ T lymphocytes was observed on day 21 after HIV-1-infected MDM injection. The percentages of CD4+ T cells in spleen were 8.8 ± 1.7, 8.7 ± 1.7, and 0.7 ± 0.1% on days 7, 14, and 21, respectively. In contrast, the percentages of CD8+ T cells were 20.3 ± 4.3, 28.4 ± 7.7, and 23.2 ± 5.4% on days 7, 14, and 21, respectively. The proportion of NK cells (CD56+) was highest on day 7 (13.3 ± 2.7%), then decreased on days 14 and 21 (2.4 ± 0.8 and 2.0 ± 0.4%, respectively). On day 7 after MDM injection, the number of NK and CD8+ cells in spleen inversely corresponded to the number of human brain MDM (Table IIGo, III). HIV-1-infected MDM were not detected in peripheral tissue. However, beginning on day 14 and continuing until day 21, HIV-1 p24gag-immunopositive lymphocytes and lymphocyte syncytia surrounded by CD8+ T cells were detected in liver, lung, and lymph nodes. These cells had typical lymphocyte morphology and failed to express CD68 Ags (data not shown). This corresponded to increased levels of HIV-1 p24gag in peripheral blood.

HLA-mismatched cells

As an additional control for the generation of HIV-1-reactive cells, cellular immune responses against the human MDM were monitored after simultaneous transplantation of HLA-mismatched PBL (i.p.) and MDM (i.c.). Neither migration of lymphocytes into brain nor reduction of MDM was observed (Table IVGo). Only a transient decrease in the numbers of HIV-1-infected MDM in hu-PBL-NOD-SCID HIVE, compared with those in NOD-SCID HIVE animals (0.7 ± 0.5 and 34.9 ± 9.9%, respectively; p < 0.005), was observed on day 7. There was no statistically significant difference in the numbers of MDM in either group of animals (34.8 ± 16.6 and 38.8 ± 15.6 MDM/section, respectively) on day 14. The numbers of CD4+ and CD8+ cells in spleens were equivalent in animals on days 7 and 14 after PBL transplantation.


View this table:
[in this window]
[in a new window]
 
Table IV. Human cells in HIVE brain tissue and spleens 7 days after HLA-mismatched PBL and MDM transplantation

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
A murine model of HIVE was developed to investigate whether human CTL could be generated against HIV-1-infected brain macrophages. HIV-1ADA-infected MDM were injected into the basal ganglia of NOD-SCID mice reconstituted with syngeneic PBL, enabling these CTL responses. The resultant hu-PBL-NOD-SCID HIVE mouse extends our previous SCID HIVE system (12, 13, 14) by enabling both innate and acquired anti-viral immunity to be studied during ongoing neurological disease.

The assault of HIV-1 on the nervous system is one of the most significant clinical consequences of progressive viral infection in its human host. Certainly, immune control of viral infection is involved in the delay of onset of productive HIV-1 replication in brain. How this occurs and why only a portion of those infected succumb to HIV-1-associated dementia remain incompletely understood. In this report, we demonstrate that viral infection of brain macrophages is itself a strong inducer of CTL and a powerful attractant for lymphocyte infiltration into the brain. The enhanced cell trafficking of HIV-1 Ag-specific CD8+ T lymphocytes into brain leads to the rapid elimination of virus-infected macrophages. We propose that similar mechanisms are operative during the course of viral infection in humans. This serves to protect the brain throughout most of HIV-1 disease or until significant immunosuppression leads to unrestricted viral growth and encephalopathy.

This work is among the first to generate a de novo human CTL response against HIV-1-infected cells in mice. In this system, HIV-1-infected MDM served as a stable reservoir for virus and a powerful APC in brain for the generation of HIV-1-specific CTL responses. Previous studies showed that engraftment of human PBL into NOD-SCID mice for 1–4 wk did not result in T cell anergy (15). Human T lymphocytes have been shown to affect humoral and cellular anti-viral immune responses in SCID and NOD-SCID mice following injection of HIV-1 proteins (16) or responses by dendritic cells pulsed with inactivated virus (17). However, HIV-1-specific CTL have not been generated in rodents by productively infected human cells. This observation makes the hu-PBL-NOD-SCID HIVE mouse model unique for studies of acquired viral immunity and for testing vaccine candidates.

CTL responses against HIV-1-infected human MDM were shown by tetramer staining of HIV-1gag- and HIV-1pol-specific CD8+ in spleens of hu-PBL-NOD-SCID HIVE mice. Virus-specific CD8+ cells were not found in animals injected i.c. with uninfected MDM, nor were these cells eliminated. Importantly, the number of tetramer-positive cells in spleen increased up to day 14 after injection of HIV-1-infected MDM. Thereafter, the number of HIV-1gag-specific CTL was minimally decreased in spleen with the depletion of human CD4+ T lymphocytes. In addition, the appearance of HIV-1-specific CTL in spleen corresponded to the presence of CD8+/granzyme B-positive lymphocytes in brain 7 days after injection of HIV-1-infected MDM. Infiltrating CD8+, CD45RO+ lymphocytes were observed in contact with MDM and were associated with a reduction in the number of infected cells. Indeed, the number of tetramer-positive cells in spleen was highest 14 days after human MDM injection, while the number of MDM in brain was markedly decreased (1 macrophage:20 lymphocytes at this time point). Lastly, we demonstrated a progressive loss of human CD4+ T lymphocytes in the spleens of hu-PBL-NOD-SCID HIVE mice. However, complete abrogation of CD4+ T lymphocytes was not observed. Indeed, the CTL responses seen would be impossible without the presence of residual helper T lymphocytes responding to MP-presented Ags.

Interestingly, our data showed that human MDM remain potent APC even when placed within the murine brain environment. HIV-1ADA infection of brain MDM and the presence of syngeneic lymphocytes induced morphologic changes reminiscent of what occurs after IFN-{gamma} treatment and/or during Ag presentation (18). One-third of freshly elutriated human monocytes are CD2+ precursors of myeloid lineage dendritic cells (19). We cannot exclude the direct involvement of dendritic cells engrafted with lymphocytes in the development of immune responses. However, after 1 wk in a xenogenic environment, few immature precursors of dendritic cells would survive. It is more likely that human MDM would adopt a dendritic morphology with potent APC functions. In this scenario, in vitro maturation of MDM in the presence of MCSF was not a limiting factor for generating HIV-1-specific CTL responses (20, 21). MDM trafficking between the brain and periphery also could trigger HIV-1-specific CTL responses (22). Our observation supports a previously published report for SIV encephalitis (23). In this report, SIV-specific CD8+ CTL were isolated from blood, cerebrospinal fluid, and brains of SIV-infected rhesus macaques. CTL were found as early as 1 wk following viral exposure and correlated with SIV p27 Ags in blood. CTL isolated from cerebrospinal fluid and/or brain recognized a unique set of viral proteins compared with CTL from blood. This suggested that either a unique migratory pattern to the CNS occurred or a difference in activation profiles of lymphocytes emerged in these tissue compartments.

Our model system recapitulates what occurs in human HIVE, where productively infected brain macrophages recruit lymphocytes into the CNS. Such leukocyte trafficking could serve both as a means of viral spread as well as an attempt to elicit cellular immune responses to destroy infected MP. Certainly, several pathways are operative by which lymphocytes may reach the brain (24, 25). Circulating lymphocytes from periphery to brain and vice versa may deliver virus to regional lymph nodes as well as distant lymphoid tissues where uninfected T lymphocytes circulate (26). Ultimately, the forces that restrain viral growth prevail, resulting in restricted virus production. However, this does not occur without some cost to the host. Indeed, in our model, HIV-1 spreads from brain to periphery despite rapid elimination of infected cells. Viral p24gag protein levels were easily detected in the plasma of hu-PBL-NOD-SCID HIVE animals and corresponded to the rapid depletion of human CD4+ T lymphocytes from spleen within 3 wk after i.c. injection of infected macrophages. The importance of bidirectional migration of macrophages and lymphocytes in the induction of acquired immune responses within the brain is under investigation.

Cell-to-cell interactions between brain macrophages and lymphocytes represent an ongoing process leading to the elimination of infected cells. This process includes cell trafficking, Ag presentation, and cell destruction. The relative contributions of these individual events to the overall process and the roles of NK, NK-T, and CD4+ T lymphocytes in virus-infected macrophage elimination requires further study.

There are several parts of this model system worth noting: 1) the generation of CTL responses, which occurred when NOD-SCID animals were reconstituted with human PBL then injected i.c. with virus-infected macrophages 7 days later; 2) the requirement for M-CSF to human MDM, which permitted both optimal cell differentiation and viral growth; and 3) the timing of the lymphocyte reconstitution and their properties. Indeed, the simultaneous placement of PHA/IL-2-activated lymphoblasts i.p. and HIV-1-infected MDM i.c. produced low levels of infiltrating T cells. Moreover, the simultaneous placement of HLA-mismatched PBL and MDM failed to generate an effective anti-retroviral immune response. CTL escape mutants are one possible concern for long-term utility of this acute system in its relevance to human disease (27). Other concerns center around the reconstitution system and the injection of infected cells and their ability to elicit disease. Despite the limitations inherent in this animal model system, the ability to generate in vivo CTL responses against infected cells provides an avenue for studies of the effector arm of immune responses, vaccine development, and the discovery of drugs that target productively infected brain MP.

Four features of natural HIV-1 infection were reproduced in this model system, including 1) production of virus in both brain and blood, 2) depletion of human CD4+ T lymphocytes, 3) generation of HIV-1-specific CD8+ CTL, and 4) restriction of ongoing viral brain infection by CTL-mediated removal of infected cells. The ability to measure human primary immune responses against human infected brain macrophages in a murine system of HIVE is unique. Indeed, this hu-PBL-NOD-SCID HIVE model should prove valuable in elucidating how T cell immune responses regulate viral growth in brain macrophages and aid in the development and testing of an effective vaccine against HIV-1.


    Acknowledgments
 
We thank Robin Cotter, Robin Taylor, and Polina Poluektova for excellent editorial and/or technical assistance. Charles Kusinsky and Linda Wilkei are thanked for their help with the FACS analyses.


    Footnotes
 
1 This work was supported by National Institutes of Health Research Grants R29AI4240402, P01MH57556, P01NS31492, R01NS34239, R37NS36126, and R01NS36126. L.Y.P. is a Nickolus Badami Research Scholar. Back

2 Address correspondence and reprint requests to Dr. Larisa Y. Poluektova, Center for Neurovirology and Neurodegenerative Disorders, 985215 Nebraska Medical Center, Omaha, NE 68198-5215. Back

3 Y.P. and H.E.G. contributed equally to this work. Back

4 Abbreviations used in this paper: MP, mononuclear phagocyte; HIVE, HIV-1 encephalitis; i.c., intracerebral; MDM, monocyte-derived macrophage; NOD, nonobese diabetic; hu, human; GFAP, glial fibrillary acidic protein; DAB, diaminobenzidene. Back

Received for publication September 24, 2001. Accepted for publication January 25, 2002.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Price, R. W., J. Sidtis, M. Rosenblum. 1988. The AIDS dementia complex: some current questions. Ann. Neurol. 23:S27.
  2. Kieburtz, K., R. Schiffer. 1989. Neurologic manifestations of human immunodeficiency virus infections. Neurol. Clin. 7:447.
  3. Gray, F., F. Scaravilli, I. Everall, F. Chretien, S. An, D. Boche, H. Adle-Biassette, L. Wingertsmann, M. Durigon, B. Hurtrel, et al 1996. Neuropathology of early HIV-1 infection. Brain Pathol. 6:1.[Medline]
  4. Sopper, S., U. Sauer, S. Hemm, M. Demuth, J. Muller, C. Stahl-Hennig, G. Hunsmann, V. ter Meulen, R. Dorries. 1998. Protective role of the virus-specific immune response for development of severe neurologic signs in simian immunodeficiency virus-infected macaques. J. Virol. 72:9940.[Abstract/Free Full Text]
  5. Jassoy, C., R. P. Johnson, B. A. Navia, J. Worth, B. D. Walker. 1992. Detection of a vigorous HIV-1-specific cytotoxic T lymphocyte response in cerebrospinal fluid from infected persons with AIDS dementia complex. J. Immunol. 149:3113.[Abstract]
  6. Jassoy, C., T. Harrer, T. Rosenthal, B. A. Navia, J. Worth, R. P. Johnson, B. D. Walker. 1993. Human immunodeficiency virus type 1-specific cytotoxic T lymphocytes release {gamma} interferon, tumor necrosis factor {alpha} (TNF-{alpha}), and TNF-{beta} when they encounter their target antigens. J. Virol. 67:2844.[Abstract/Free Full Text]
  7. Lokensgard, J. R., G. Gekker, L. C. Ehrlich, S. Hu, C. C. Chao, P. K. Peterson. 1997. Proinflammatory cytokines inhibiti HIV-1sf162 expression acutely infected human brain cell cultures. J. Immunol. 158:2449.[Abstract]
  8. Poli, G., A. L. Kinter, J. S. Justement, P. Bressler, J. H. Kehrl, A. S. Fauci. 1991. Transforming growth factor {beta} suppresses human immunodeficiency virus expression and replication in infected cells of the monocyte/macrophage lineage. J. Exp. Med. 173:589.[Abstract/Free Full Text]
  9. Sewell, A. K., D. A. Price, A. Oxenius, A. D. Kelleher, R. E. Phillips. 2000. Cytotoxic T lymphocyte responses to human immunodeficiency virus: control and escape. Stem Cells 18:230.[Medline]
  10. McMichael, A. J., S. L. Rowland-Jones. 2001. Cellular immune responses to HIV. Nature 410:980.[Medline]
  11. Gendelman, H. E., J. M. Orenstein, M. A. Martin, C. Ferrua, R. Mitra, T. Phipps, L. A. Wahl, H. C. Lane, A. S. Fauci, D. S. Burke. 1988. Efficient isolation and propagation of human immunodeficiency virus on recombinant colony-stimulating factor 1-treated monocytes. J. Exp. Med. 167:1428.[Abstract/Free Full Text]
  12. Persidsky, Y., J. Limoges, R. McComb, P. Bock, T. Baldwin, W. Tyor, A. Patil, H. S. Nottet, L. Epstein, H. Gelbard, et al 1996. Human immunodeficiency virus encephalitis in SCID mice. Am. J. Pathol. 149:1027.[Abstract]
  13. Limoges, J., Y. Persidsky, L. Poluektova, J. Rasmussen, W. Ratanasuwan, M. Zelivyanskaya, D. R. McClernon, E. R. Lanier, H. E. Gendelman. 2000. Evaluation of antiretroviral drug efficacy for HIV-1 encephalitis in SCID mice. Neurology 54:379.[Abstract/Free Full Text]
  14. Limoges, J., L. Poluektova, W. Ratanasuwan, J. Rasmussen, M. Zelivyanskaya, D. R. McClernon, E. R. Lanier, H. E. Gendelman, Y. Persidsky. 2001. The efficacy of potent anti-retroviral drug combinations tested in a murine model of HIV-1 encephalitis. Virology 281:21.[Medline]
  15. Cao, T., G. Leroux-Roels. 2000. Antigen-specific T cell responses in human peripheral blood leucocyte (hu-PBL)-mouse chimera conditioned with radiation and an antibody directed against the mouse IL-2 receptor {beta}-chain. Clin. Exp. Immunol. 122:117.[Medline]
  16. Segall, H., I. Lubin, H. Marcus, A. Canaan, Y. Reisner. 1996. Generation of primary antigen-specific human cytotoxic T lymphocytes in human/mouse radiation chimera. Blood 88:721.[Abstract/Free Full Text]
  17. Santini, S. M., C. Lapenta, M. Logozzi, S. Parlato, M. Spada, T. Di Pucchio, F. Belardelli. 2000. Type I interferon as a powerful adjuvant for monocyte-derived dendritic cell development and activity in vitro and in Hu-PBL-SCID mice. J. Exp. Med. 191:1777.[Abstract/Free Full Text]
  18. Underhill, D. M., M. Bassetti, A. Rudensky, A. Aderem. 1999. Dynamic interactions of macrophages with T cells during antigen presentation. J. Exp. Med. 190:1909.[Abstract/Free Full Text]
  19. Crawford, K., D. Gabuzda, V. Pantazopoulos, J. Xu, C. Clement, E. Reinherz, C. A. Alper. 1999. Circulating CD2+ monocytes are dendritic cells. J. Immunol. 163:5920.[Abstract/Free Full Text]
  20. Palucka, K. A., N. Taquet, F. Sanchez-Chapuis, J. C. Gluckman. 1998. Dendritic cells as the terminal stage of monocyte differentiation. J. Immunol. 160:4587.[Abstract/Free Full Text]
  21. Hausser, G., B. Ludewig, H. R. Gelderblom, Y. Tsunetsugu-Yokota, K. Akagawa, A. Meyerhans. 1997. Monocyte-derived dendritic cells represent a transient stage of differentiation in the myeloid lineage. Immunobiology 197:534.[Medline]
  22. Randolph, G. J., S. Beaulieu, S. Lebecque, R. M. Steinman, W. A. Muller. 1998. Differentiation of monocytes into dendritic cells in a model of transendothelial trafficking. Science 282:480.[Abstract/Free Full Text]
  23. von Herrath, M., M. B. Oldstone, H. S. Fox. 1995. Simian immunodeficiency virus (SIV)-specific CTL in cerebrospinal fluid and brains of SIV-infected rhesus macaques. J. Immunol. 154:5582.[Abstract]
  24. Kida, S., R. O. Weller, E. T. Zhang, M. J. Phillips, F. Iannotti. 1995. Anatomical pathways for lymphatic drainage of the brain and their pathological significance. Neuropathol. Appl. Neurobiol. 21:181.[Medline]
  25. Hickey, W.. 1997. Leukocyte migration into the central nervous system. P. Peterson, and J. Remington, eds. In Deffence of the Brain: Current Concepts in the Immunopathogenesis and Clinical Aspects of CNS Infections 11. Blackwell Science, Malden.
  26. Koyanagi, Y., Y. Tanaka, J. Kira, M. Ito, K. Hioki, N. Misawa, Y. Kawano, K. Yamasaki, R. Tanaka, Y. Suzuki, et al 1997. Primary human immunodeficiency virus type 1 viremia and central nervous system invasion in a novel hu-PBL-immunodeficient mouse strain. J. Virol. 71:2417.[Abstract]
  27. Schutten, M., C. A. van Baalen, C. Guillon, R. C. Huisman, P. H. Boers, K. Sintnicolaas, R. A. Gruters, A. D. Osterhaus. 2001. Macrophage tropism of human immunodeficiency virus type 1 facilitates in vivo escape from cytotoxic T-lymphocyte pressure. J. Virol. 75:2706.[Abstract/Free Full Text]



This article has been cited by other articles:


Home page
J. Immunol.Home page
J. Liu, N. Gong, X. Huang, A. D. Reynolds, R. L. Mosley, and H. E. Gendelman
Neuromodulatory Activities of CD4+CD25+ Regulatory T Cells in a Murine Model of HIV-1-Associated Neurodegeneration
J. Immunol., March 15, 2009; 182(6): 3855 - 3865.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Pathol.Home page
M. Yamamoto, S. H. Ramirez, S. Sato, T. Kiyota, R. L. Cerny, K. Kaibuchi, Y. Persidsky, and T. Ikezu
Phosphorylation of Claudin-5 and Occludin by Rho Kinase in Brain Endothelial Cells
Am. J. Pathol., February 1, 2008; 172(2): 521 - 533.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
S. Gorantla, J. Liu, H. Sneller, H. Dou, A. Holguin, L. Smith, T. Ikezu, D. J. Volsky, L. Poluektova, and H. E. Gendelman
Copolymer-1 Induces Adaptive Immune Anti-inflammatory Glial and Neuroprotective Responses in a Murine Model of HIV-1 Encephalitis
J. Immunol., October 1, 2007; 179(7): 4345 - 4356.
[Abstract] [Full Text] [PDF]


Home page
J. Virol.Home page
S. Gorantla, H. Sneller, L. Walters, J. G. Sharp, S. J. Pirruccello, J. T. West, C. Wood, S. Dewhurst, H. E. Gendelman, and L. Poluektova
Human Immunodeficiency Virus Type 1 Pathobiology Studied in Humanized BALB/c-Rag2-/-{gamma}c-/- Mice
J. Virol., March 15, 2007; 81(6): 2700 - 2712.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
H. Dou, C. J. Destache, J. R. Morehead, R. L. Mosley, M. D. Boska, J. Kingsley, S. Gorantla, L. Poluektova, J. A. Nelson, M. Chaubal, et al.
Development of a macrophage-based nanoparticle platform for antiretroviral drug delivery
Blood, October 15, 2006; 108(8): 2827 - 2835.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Pathol.Home page
R. Potula, J. Haorah, B. Knipe, J. Leibhart, J. Chrastil, D. Heilman, H. Dou, R. Reddy, A. Ghorpade, and Y. Persidsky
Alcohol Abuse Enhances Neuroinflammation and Impairs Immune Responses in an Animal Model of Human Immunodeficiency Virus-1 Encephalitis
Am. J. Pathol., April 1, 2006; 168(4): 1335 - 1344.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
R. Potula, L. Poluektova, B. Knipe, J. Chrastil, D. Heilman, H. Dou, O. Takikawa, D. H. Munn, H. E. Gendelman, and Y. Persidsky
Inhibition of indoleamine 2,3-dioxygenase (IDO) enhances elimination of virus-infected macrophages in an animal model of HIV-1 encephalitis
Blood, October 1, 2005; 106(7): 2382 - 2390.
[Abstract] [Full Text] [PDF]


Home page
J. Virol.Home page
S. Gorantla, K. Santos, V. Meyer, S. Dewhurst, W. J. Bowers, H. J. Federoff, H. E. Gendelman, and L. Poluektova
Human Dendritic Cells Transduced with Herpes Simplex Virus Amplicons Encoding Human Immunodeficiency Virus Type 1 (HIV-1) gp120 Elicit Adaptive Immune Responses from Human Cells Engrafted into NOD/SCID Mice and Confer Partial Protection against HIV-1 Challenge
J. Virol., February 15, 2005; 79(4): 2124 - 2132.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
L. Poluektova, S. Gorantla, J. Faraci, K. Birusingh, H. Dou, and H. E. Gendelman
Neuroregulatory Events Follow Adaptive Immune-Mediated Elimination of HIV-1-Infected Macrophages: Studies in a Murine Model of Viral Encephalitis
J. Immunol., June 15, 2004; 172(12): 7610 - 7617.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Pathol.Home page
T. Fischer-Smith, S. Croul, A. Adeniyi, K. Rybicka, S. Morgello, K. Khalili, and J. Rappaport
Macrophage/Microglial Accumulation and Proliferating Cell Nuclear Antigen Expression in the Central Nervous System in Human Immunodeficiency Virus Encephalopathy
Am. J. Pathol., June 1, 2004; 164(6): 2089 - 2099.
[Abstract] [Full Text] [PDF]


Home page
J. Virol.Home page
M. Moniuszko, C. Brown, R. Pal, E. Tryniszewska, W.-P. Tsai, V. M. Hirsch, and G. Franchini
High Frequency of Virus-Specific CD8+ T Cells in the Central Nervous System of Macaques Chronically Infected with Simian Immunodeficiency Virus SIVmac251
J. Virol., November 15, 2003; 77(22): 12346 - 12351.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
Y. Persidsky and H. E. Gendelman
Mononuclear phagocyte immunity and the neuropathogenesis of HIV-1 infection
J. Leukoc. Biol., November 1, 2003; 74(5): 691 - 701.
[Abstract] [Full Text] [PDF]


Home page
PediatricsHome page
S. Sanchez-Ramon, J. Ma Bellon, S. Resino, C. Canto-Nogues, D. Gurbindo, J.-T. Ramos, and M. Munoz-Fernandez
Low Blood CD8+ T-Lymphocytes and High Circulating Monocytes Are Predictors of HIV-1-Associated Progressive Encephalopathy in Children
Pediatrics, February 1, 2003; 111(2): e168 - 175.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow An erratum has been published
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Poluektova, L. Y.
Right arrow Articles by Gendelman, H. E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Poluektova, L. Y.
Right arrow Articles by Gendelman, H. E.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS