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+ and CD161+ Thymocytes Express HIV-1 in the SCID-hu Mouse, Potentially Contributing to Immune Dysfunction in HIV Infection1
,
,
Departments of
* Microbiology, Immunology, and Molecular Genetics and
Pediatrics,
Jonnson Comprehensive Cancer Center,
University of California, Los Angeles AIDS Institute, and
¶ Division of Infectious Diseases, University of California, Los Angeles, School of Medicine, Los Angeles, CA 90095; and
|| Cancer Immunology and AIDS, Dana-Farber Cancer Institute, Boston, MA 02115
| Abstract |
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cells. In addition, an immunoregulatory class of T cells
expressing the NK receptor protein 1A (CD161) responds to nonpeptide
Ags presented on the MHC-like CD1d molecule. The effect of HIV-1
infection on these specialized T cells in the thymus was studied using
the SCID-hu mouse model. We were able to identify CD161-expressing
CD3+ cells but not the CD1d-restricted invariant
V
24/V
11/CD161+ NK T cells in the thymus. A subset of
TCR
cells and CD161-expressing thymocytes express CD4, CXCR4, and
CCR5 during development in the thymus and are susceptible to HIV-1
infection. TCR
thymocytes were productively infectable by both X4
and R5 virus, and thymic HIV-1 infection induced depletion of
CD4+ TCR
cells. Similarly,
CD4+CD161+ thymocytes were depleted by thymic
HIV-1 infection, leading to enrichment of
CD4-CD161+ thymocytes. Furthermore, compared
with the general CD4-negative thymocyte population,
CD4-CD161+ NK T thymocytes exhibited as much
as a 27-fold lower frequency of virus-expressing cells. We conclude
that HIV-1 infection and/or disruption of cells important in both
innate and acquired immunity may contribute to the overall immune
dysfunction seen in HIV-1 disease. | Introduction |
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Thymic stroma is uniquely suited by expression of both MHC class I and
class II genes to direct the development of MHC-restricted T cells.
However, certain T cell gene rearrangements impart T cell recognition
to other nonclassical MHC-like molecules. The CD1 family of molecules
is nonpolymorphic and present nonpeptide Ags and self-Ags to
specialized T cells. The V
1 subset of TCR
cells recognize
nonpeptide Ags in the context of CD1c molecules and the MHC-related MIC
proteins (12, 13), and certain T cells that typically
express the NK receptor protein 1
(NKRP13; CD161)
interact with glycolipid Ags on the CD1d molecule
(14). These cell types possess specialized functions that
contribute to both innate and acquired immunity.
TCR
cells are particularly abundant in the intestinal mucosa and
are found in other epithelial tissues and peripheral blood
(15). These cells exhibit a more restricted repertoire
compared with TCR
cells and serve as a link between innate and
adaptive immunity by interaction with specific pathogens such as
mycobacteria (16, 17). The thymus, cord blood, and
epithelial tissues contain greater levels of TCR
cells expressing
V
1 than V
2 (15, 18, 19). In the adult
peripheral blood, V
2 cells represent the dominant population (70%)
(18), perhaps due to peripheral activation and expansion
of V
2 cells after exposure to Ag (3060%) (15, 18, 19).
However, in HIV-1-infected individuals there is a shift in the
proportions of peripheral blood V
subsets, with a drop in the
proportion of the dominant V
2+ cells and a
rise in V
1+ cells (20, 21). Since
only 15% of peripheral TCR
cells express CD4, direct HIV
infection and disruption of the peripheral TCR
pool is unlikely
to be the explanation (22). However, up to 70% of
TCR
cells in the thymus express CD4 (23), raising
the possibility that HIV-1 infection of the thymus may explain the
changes in the peripheral TCR
populations. Since TCR
cells
are exported to the periphery, understanding the effects of HIV-1 in
the thymus may help in understanding the phenotype of TCR
cells
in the periphery.
Other specialized T cells are T cells expressing NK cell-associated
markers, namely, NKRP1A (CD161). A subset of these cells express the
invariant V
24/J
Q TCR that recognizes glycolipid Ag presented on
the MHC-related CD1d molecule (14). The basis for their
immunoregulatory role is believed to be the abundant secretion of both
Th1 and Th2 cytokines, IFN-
and IL-4, respectively, upon TCR
ligation (24, 25). In addition, activation-induced
expression of macrophage-inflammatory protein 1
and
macrophage-inflammatory protein 1
signals the recruitment of and
interaction with CD1d-expressing myeloid dendritic cells
(26). They also exhibit an activated phenotype based on
CD69 expression even at birth (27, 28) and possess
cytolytic activity (24, 25). These specialized effector
functions have been described as playing a role in antitumor responses,
autoimmune responses, and antimicrobial responses (for review, see Ref.
29). Recently, van der Vliet et al. (30)
reported that these invariant NK T cells are reduced in HIV-1-infected
individuals. The decreased cell number was attributed to apoptosis
mediated by abundant Fas expression on these cells
(30).
CD1d restriction is not limited to the invariant NK T cell population, because CD1d restriction has been found on T cells expressing the NKRP1 (CD161) with diverse repertoire (31). Nor is CD161 expression exclusive for NK T cells, for as much as 25% of the peripheral blood T cells express CD161 (32) where invariant NK T cells make up <0.1% (33). Furthermore, CD161 and other NK markers are expressed on activated CD8+ CTL in both humans and mice (for review, see Ref. 34). This C-type lectin expressed on NK T cells has costimulatory activity (35), which may also be the same for activated CTL. In HIV-1 infection, the number of CD28-CD8+ peripheral T cells expressing NK markers such as CD161 is increased (36), likely due to the chronic activation state of the immune system as observed in other viral diseases, autoimmunity, cancers, and in the elderly (37).
The present study was undertaken to investigate whether TCR
thymocytes and CD161+ thymocytes can be
productively infected in the SCID-hu mouse model. Due to our inability
to identify the canonical NK T cell phenotype (V
24/J
Q/CD161) in
the human thymus, we studied the total
CD161+/CD3+ thymocyte
population. HIV-1 thymic infection could potentially disrupt the
function of these cells and contribute to the observed changes of these
cells in the periphery, leading to immunodeficiency.
| Materials and Methods |
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Monoclonal Abs to CD3, CD4, CD8, TCR
, CD161, and isotype
control Abs mouse IgG1 and mouse IgG2 conjugated with fluorescein
(FITC), PE, and/or allophycocyanin were obtained from BD
Immunocytometry Systems (San Jose, CA). The mAbs KC57-FITC and KC57-PE
(which identify intracellular HIV p17 gag and precursor gag Ag
expression) and TCRV
24 and TCRV
11 were obtained from Beckman
Coulter (Miami, FL). Monoclonal Abs to CD3, CD4, and CD8
conjugated with Tricolor (Cy5-PE-tandem, referred as TC) and the mouse
IgG2a control Ab conjugated to TC were obtained from Caltag
Laboratories (Burlingame, CA). Monoclonal Abs to CCR5 and CXCR4
conjugated to FITC, PE, or allophycocyanin were obtained from BD
PharMingen (La Jolla, CA). mAb, clone 6B11-FITC, raised to the CDR3
region of V
24+ NK T cells was a gift from Dr.
S. B. Wilson (Dana-Farber Cancer Institute, Boston, MA). CD1d
tetramers both loaded and unloaded with the
-galactosylceramide ligand were gifts from Dr. M. Kronenberg
(La Jolla Institute for Allergy and Immunology, La Jolla, CA).
7-Amino-actinomycin D and Tween 20 were obtained from Sigma-Aldrich
(St. Louis, MO). Actinomycin D was obtained from Boehringer
Mannheim (Indianapolis, IN). Paraformaldehyde was obtained from
Polysciences (Warrington, PA). Recombinant human IL-2 (1.5 x
106 U/ml) and IL-4 (0.7 mg/ml) was provided by
Amgen (Thousand Oaks, CA). Recombinant human IL-15 (1.9 mg/ml) was
obtained from Amgen (Thousand Oaks, CA).
Thymocyte and PBMC preparation
Normal human postnatal thymus specimens were obtained from infants and children undergoing corrective cardiac surgery. The tissue was cut into small pieces and RBC were removed by NH4Cl-Tris lysis and passed over a cell strainer to generate a single-cell suspension of thymocytes as previously described (8). The cells were washed in PBS and serum-free medium (AT-IMDM) consisting of IMDM (Omega Scientific, Tarzana, CA) supplemented with delipidated BSA (Sigma-Aldrich) at 1100 µg/ml, transferrin (Sigma-Aldrich) at 85 µg/ml, 2 mM glutamine, and penicillin/streptomycin at 25 U/25 µg/ml (8, 38). The thymocytes were resuspended at 2 x 105 cells/ml in AT-IMDM for HIV infection (see below).
PBMC were obtained from the Virology Core Facility at the University of California, Los Angeles. Briefly, blood was drawn from normal donors and spun over Ficoll-Paque Plus (Amersham Pharmacia Biotech, Piscataway, NJ) gradient. Cells in the buffy coat were collected and counted before flow cytometric staining.
TCR
thymocyte purification
TCR
thymocytes from the postnatal thymus specimens were
purified using the TCR
microbead kit by MACS with positive
selection columns on a Variomax magnet according to the manufacturers
guidelines (Miltenyi Biotec, Auburn CA) to >75% purity determined by
flow cytometric staining.
HIV-1 infection of SCID-hu mice and postnatal thymocytes
The syncytium-inducing, CXCR4 tropic hybrid molecular clone HIV-1NL4-3 (NL4-3) was used for part of these studies (39). Virus stocks were prepared from 24-h harvests of supernatants from CEM cells (CCRF-CEM) infected with virus derived from COS cells electroporated with plasmid pNL4-3 (39). The nonsyncytium-inducing CCR5-tropic molecular clone HIV-1JR-CSF (JR-CSF) stocks were prepared from 24-h harvests of supernatants from stimulated PBMC infected with the supernatant of COS cells electroporated with plasmid pYKJR-CSF (40) and expanded in stimulated PBMC or in a cryopreserved pool of purified activated allogenic CD4+ cells prepared as described in the literature (41). Briefly, allogenic CD4+ cells from three normal donors were individually purified by capture in CD4 mAb-coated tissue culture flasks (Applied Immunosciences, Santa Clara, CA) and activated by stimulation with Ab to CD3 (OKT3; Ortho Biotech, Raritan, NJ) at 200 ng/ml and with rIL-2 (5000 U/ml) for 5 days. Cells from three donors were combined, cryopreserved in liquid nitrogen, and then thawed and cultured in medium with IL-2 for 23 days before infection. Virus stocks were stored at -70°C and treated with 2 µg/ml DNase (Worthington Biochemical, Lakewood, NJ) for 30 min at room temperature in the presence of 0.01 M MgCl2 before infections. All infections were standardized by determining infectious units (i.u.) in limiting dilution studies using PHA-stimulated PBMC (42, 43).
C.B.17 SCID mice were bred at the University of California, Los Angeles and implanted with human fetal thymus and liver graft (thy/liv) under the murine kidney capsule as previously described (44, 45, 46, 47). Four to 6 mo postimplantation, the thy/liv grafts were infected by direct injection of HIV into the graft. Ten nanograms of p24 from R5 HIV-1 JR-CSF and 2 ng of p24 X4 HIV-1 NL4-3 were injected in the implants in a 50-µl volume, equivalent to 10,000 i.u. per implant and 100 i.u. per implant, respectively. Mock-infected implants, used as controls in all experiments, were injected with an equal volume of the appropriate control supernatant from uninfected cells used to grow the virus. At 4, 5, 7, and 8 wk postinfection, mice were sacrificed and the thy/liv implant was processed as described above for the postnatal thymus specimens.
TCR
thymocytes, TCR
-depleted thymocytes, and total
thymocytes were infected in vitro and cultured as previously described
for total thymocytes (8, 38). Briefly, 2 x
105 freshly isolated, nonstimulated thymocytes
were incubated with 7 ng of viral p24 in the presence of 10 µg/ml
polybrene (Sigma-Aldrich) for 1 h at 37°C. Control thymocytes
were mock infected in the presence of polybrene with supernatants from
the same uninfected cells used to prepare the virus stocks. After
infection, the cells were washed and resuspended in serum-free medium
in the presence of the cytokine IL-4 (20 ng/ml). Viral replication was
assessed by measuring viral p24 Ag in the supernatant by ELISA (Beckman
Coulter)
Immunofluorescent intracellular staining and flow cytometry
Surface and intracellular immunophenotyping of purified human thymocytes and PBMC with directly conjugated Abs was performed as previously described (48, 49). Briefly, for intracellular staining, cells were surface immunophenotyped, fixed in 1% paraformaldehyde, and subsequently permeabilized in 0.2% Tween 20 for 15 min at 37°C. The cells were washed with PBS containing 2% newborn calf serum and 0.1% sodium azide (FACS buffer), blocked with human AB serum, and stained with 2.5 µl of KC57 fluorescent Ab or IgG control. Finally, cells were washed with 0.2% Tween 20 and resuspended in FACS buffer before acquisition on a dual-laser FACSCalibur flow cytometer (BD Immunocytometry Systems). From 10,000 to 600,000 events were acquired on each sample. Multiparameter data acquisition and analysis was performed with CellQuest software (BD Immunocytometry Systems).
Statistics
The unpaired two-tailed Students t test with unequal variance was used to compare differences in CD4 expression between fetal and postnatal CD161+CD3+ thymocytes and p < 0.05 was considered significant.
| Results |
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+ cells in the thymus express CD4 and
coreceptors for HIV-1
To determine whether TCR
cells in the thymus are targets for
HIV-1 infection with X4 and R5 virus, we investigated the expression
levels of the appropriate receptors for entry on TCR
cells from
postnatal and fetal thymus specimens. We found that in contrast to
peripheral TCR
cells that lack CD4, 3085% (mean, 45 ±
14%) of the TCR
cells in the thymus expressed CD4 in 25
different fetal and postnatal thymus specimens. A representative
example is shown in Fig. 1
. CXCR4
expression was found on 70100% (mean 85 ± 12%) of TCR
cells from 10 different fetal and postnatal thymus specimens (Fig. 1
).
Thus, as with the total thymocyte population, CXCR4 is expressed on
almost all cells, yet there are relatively fewer X4 HIV-1 target cells
due to the lower percentage of CD4-expressing cells in the TCR
population than in the total thymocyte population. In contrast, there
are more R5 HIV target cells in the TCR
population than the total
population due to greater CCR5 expression (17% of TCR
thymocytes; Fig. 1
) vs <1% in the total population as previously
reported (8). These data indicate that fetal as well as
postnatal TCR
+ cells are potential targets
for HIV-1 infection. Therefore, experiments were designed to answer the
question whether TCR
+ cells are infected by
HIV-1 in vivo, in the SCID-hu mouse, and in vitro by X4 and R5
viruses.
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+ cells are productively infected by X4 and R5
HIV-1
To investigate productive infection of
TCR
+ cells by HIV-1 in vivo, we used the
SCID-hu mouse model that supports human thymopoiesis in the thy/liv
graft. Seven grafted mice were infected with the X4 molecular clone
(NL4-3) and seven were mock infected with control supernatant. Five
weeks postinfection with NL4-3, combined multiparameter cell surface
immunophenotyping and intracellular staining for HIV-1 Gag protein
expression was performed on thymocyte cell suspensions. At 5 wk
postinfection with X4 virus, severe depletion, as defined by <25%
CD4+CD8+ double-positive
cells, had occurred in three of the seven mice and intermediate levels
of depletion (3060% double positive) in the remaining four mice. As
viral replication continued, loss of CD4+ cells
in the total population accompanied the loss of
CD4+ TCR
cells (Fig. 2
). The percentage of
TCR
+ cells expressing X4 virus ranged from
1.8 to 4.9% (mean, 3.0 ± 1.2%; Fig. 3
). Although these levels appear quite
low in proportion, particularly in the small TCR
thymocyte
population, they are consistent in the seven mice tested and are of
comparable frequency to the HIV-1 expression in the total thymocyte
population, 0.48% (mean, 3.4 ± 3.0%).
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+ thymocytes are productively infected
in vivo via CCR5. Thirteen mice were infected with JR-CSF and six were
mock infected with control supernatant in three separate transplant
series. In the first two series, tissue was collected at 7 and 9 wk
after infection when little depletion of CD4-bearing cells was
observed. Back gating on TCR
+ thymocytes
for HIV-1 Gag expression in these series revealed that 2.19.6%
(mean, 4.9 ± 2.5%) of TCR
+
thymocytes expressed virus (Fig. 3
+ cells (4.9 ±
2.5%) exceeded the frequency of virus expression in the total
population (0.99 ± 0.36%), consistent with the greater
proportion of CCR5+ cells in the
TCR
+ compartment than the total thymocyte
population. In contrast to the first two JR-CSF-infected series, in the
third transplant series infected with JR-CSF, collected at 8 wk after
infection, there were moderate to severe levels of depletion of
CD4+CD8+ thymocytes in the
total population. As with X4 virus infection, a depletion of
CD4+ TCR
cells was observed coincident with
CD4 cell depletion in the total population by R5 HIV-1 in this series
(Fig. 2
Despite the higher frequency of
CXCR4+TCR
+ cells than
CCR5+TCR
+ cells in
the thymus, a greater percentage of TCR
+
cells expressed virus after infection with R5 than X4 virus. However,
the high frequency of R5 HIV-1 expression in the
TCR
+ population only occurred in the first
two transplant series infected with R5 HIV-1 when little or no CD4 cell
depletion occurred in either the TCR
+ or
total population. In the case of R5 HIV-1-mediated CD4 cell depletion
(third transplant series), the proportion of virus expression in the
TCR
+ population (0.72.4%) was markedly
lower than that of the first two series (4.9 ± 2.5%). Therefore,
the extent of HIV-1 infection in the TCR
+
population is likely due to not only the number of target cells within
the population but the cytopathic effects of the virus as well. Fig. 3
also shows an apparent enrichment of TCR
thymocytes in
HIV-1-infected samples compared with the mock-infected tissues;
however, these values fall within the normal range of frequencies of
TCR
cells (0.22 ± 0.16%) in 17 mock-infected tissues
tested.
TCR
+ thymocytes can be productively infected in
vitro
To further verify HIV-1 infection of the rare
TCR
+ thymocyte population, we exposed the
TCR
thymocytes to X4 HIV-1 NL4-3 in vitro. TCR
thymocytes
from uninfected pediatric patients were magnetically purified, infected
in vitro, and cultured in serum-free medium supplemented with IL-4 to
increase the levels of TCR
thymocytes as we previously reported
(50). We found that TCR
+
thymocytes proliferated 3-fold in the presence of IL-4, from 2 x
105 cells at the start of culture to 6 x
105 cells after 7 days, and produced increasing
amounts of viral p24 in the culture supernatant (Fig. 4
). Viral replication in the TCR
population was further verified by intracellular Gag staining by flow
cytometry (data not shown). In contrast to the TCR
populations,
the unfractionated thymocyte population and the TCR
-depleted
population did not expand in culture with IL-4 and failed to produce
detectable levels of viral p24 (Fig. 4
).
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NKRP1A (or CD161) serves a costimulatory role on the canonical
immunoregulatory NK T cells with the invariant TCR (V
24/J
Q)
(35). Although murine data show the presence of the
invariant TCR-possessing NK T counterpart in the murine thymus
(51) and that development occurs by selection on CD1d
stromal cells (52), we were unable to identify the
V
24/CD161+ T cells in the human thymus by
multiparameter flow cytometric analysis. Furthermore, using a mAb,
6B11, raised to the CDR3 junctional region of the V
24/J
Q, we
consistently found 6B11+ cells in the peripheral
blood expressing the appropriate markers of V
24 and CD161 (Fig. 5
). However, in the thymus, the small
proportion of apparent 6B11+ cells did not
express the identifying NK T markers of V
24 and CD161. In addition,
using CD1d tetramers loaded with the artificial ligand for canonical NK
T cells,
-galactosylceramide molecule derived from a marine sponge,
we were able to identify these CD1d tetramer-reactive invariant NK T
cells in the periphery but not in the thymus (data not shown).
|
24+6B11+
canonical NK T cells in the stimulated population. Thus, by several
methods we were unable to identify canonical NK T cells in the thymus,
despite consistent detection in the peripheral blood.
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In lieu of the canonical NK T cells, we studied the
CD161-expressing CD3+ thymocytes. As reported by
others, we found the type II C-type lectin-binding protein NKRP1 (or
CD161) expressed on NK cells and a small proportion of T cells in the
peripheral blood (32). In the thymus, CD161 is expressed
on 0.10.7% of the CD3+ thymocytes (Fig. 6
).
Backgating on the
CD161+CD3+ thymocytes
expanded with the IL-2 and IL-15 revealed an overlap with
CD56-expressing CD3+ thymocytes, suggesting the
existence of different types of thymocytes bearing NK markers that may
represent functionally distinct subpopulations (Fig. 6
). Furthermore,
the proportion of CD4 expression on CD161+ T
cells in the thymus showed a statistically significant difference
(p = 0.000018) between fetal and postnatal
thymocytes, 2055% and 5080%, respectively (Fig. 7
), suggesting the potential for
age-related variations in the development of the
CD161+CD3+ thymocytes
as well.
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50% of CD4+CD161+ T
cells in the periphery and 20% of
CD4+CD161+ T cells in the
thymus (Fig. 8
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As with conventional thymocytes, HIV-1 infection leads to the loss
of CD4-bearing CD161+ thymocytes and enrichment
of the CD4-CD161+
thymocytes reached as much as 100-fold over mock-infected thymic
implants (Fig. 9
). Furthermore, the
CD56-CD161+CD3+
thymocytes were selectively increased over the
CD56+CD161+CD3+
thymocytes as described in the in vitro culture with IL-2 and IL-15.
More than 80% of these
CD4-CD161+ thymocytes
were CD8 single positive (data not shown). We previously showed HIV-1
expression in mature
CD4-CD3+ conventional
thymocytes (CD8+ and
CD4-CD8-), which was due
to infection at a previous CD4+ stage (57, 58). However, the
CD4-CD161+ thymocytes were
conspicuously deficient in producing HIV-1 (Fig. 9
). In the implant
with the highest level of
CD3+CD161+ thymocyte
enrichment, CD4-CD161+ and
CD4- conventional thymocytes reached nearly
equal proportions at 44 and 47%, respectively. Yet, only 0.34% of the
CD4-CD161+ thymocytes
expressed virus as compared with 9.2% of the conventional
CD4- thymocytes, a 27-fold difference in the
frequency of virus-expressing cells (Fig. 9
). Thus,
CD8+ single-positive CD161+
thymocytes could potentially develop without prior CD4 expression.
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| Discussion |
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+ and
CD161+ T cells, can be disrupted directly or
indirectly by infection with HIV-1. To what extent these specialized T
cells in the periphery are derived from the thymus is not fully known.
Nevertheless, understanding how they respond to both X4 and R5 HIV-1 in
the thymus would not only provide a better insight to HIV-1
pathogenesis in the thymus but would also have implications for
HIV-1-induced perturbations of these cells in the periphery.
We describe for the first time that TCR
+
cells in the thymus are productively infected in vivo, in the SCID-hu
mouse, by both R5 and X4 HIV-1. Others have reported infection of
thymic TCR
clones in vitro (59, 60), suggesting the
potential for direct infection by HIV-1 in vivo. For the most part,
TCR
cells in the periphery do not express CD4, and thus the only
point at which TCR
+ cells are naturally
susceptible to HIV-1 infection is during development in the thymus when
CD4 is expressed (23). We showed that both thymic and
peripheral TCR
+ cells express CXCR4 and to
a lesser extent CCR5, suggesting that the limiting factor for HIV-1
infection of peripheral TCR
+ cells is the
expression of CD4.
As described with TCR
+ cells, CD4-bearing
TCR
+ cells decline coincident with the
total CD4 thymocyte loss after X4 HIV-1 (NL4-3) infection. Although it
appears in Fig. 3
that HIV infection leads to an enrichment of
TCR
cells by both R5 and X4 HIV, we were unable to
determine a significant level of enrichment. The frequencies of
TCR
cells in the HIV-infected implants (0.3 and 0.27%) are
within the range of the frequencies of TCR
thymocytes in 17
noninfected thy/liv implants (0.22 ± 0.16%).
As for functional responsiveness of TCR
+
cells after HIV-1 infection, in TCR
+ cell
clones, HIV-1 infection reportedly does not affect cytokine gene
expression or proliferative response to Daudi cells in vitro
(60). We also report here that
TCR
+ cells proliferate in response to IL-4
after in vitro HIV-1 infection. However, in ex vivo assays V
9/V
2
in HIV-1-infected individuals are anergic to phosphoantigen stimulation
from HIV-1-infected individuals as compared with normal healthy
individuals (61). Therefore, functional changes of
TCR
+ cells may be present in vivo and may
play an important role in immunodeficiency in HIV-1 infection.
HIV-1 infection of TCR
+ cells in the thymus
may contribute to viral spread as these
TCR
+ cells migrate to peripheral sites. The
predominant TCR
+ cell subset in the thymus
is the V
1+ T cell subset, which is also the
dominant in the spleen and the major T cell population in the
intestinal epithelia (15). Furthermore,
V
1+TCR
+ cells are
reported in other peripheral sites such as the nasal mucosa
(62), oral epithelia (63), lungs
(64), semen (65), and decidua of the placenta
during pregnancy (66). Localization of V
1
TCR
+ cells in some of these peripheral
sites is thought to be by a integrin-mediated extravasation capability
unique to V
1+ T cells (67).
Although it has been described that TCR
development takes place
in extrathymic sites during fetal development, such as the liver and
primitive gut as early as 6 wk of gestation preceding the formation of
the thymic rudiment (68, 69, 70), determination of extrathymic
development of human TCR
+ cells with a
functional thymus has proven enigmatic (71). Therefore,
HIV-1 infection of TCR
+ cells during
thymopoiesis has implications for HIV-1 pathogenesis in epithelial and
mucosal sites, particularly in highly active postnatal thymus of
pediatric patients.
We show here that based on flow cytometric analysis we were unable to
identify the invariant V
24/J
Q TCR and
CD161+ NK T cells in the human thymus despite
consistent detection in the peripheral blood. Data in the mouse show
both thymic and extrathymic development of the murine counterpart
(V
14/J
281 NK1.1+ T cells) based on
thymic grafts in athymic nude mice (51) and bone marrow
reconstitution studies in adult thymectomized and nude irradiated mice
(72), respectively. Whether the human canonical V
24
invariant NK T cells in the peripheral blood are extrathymic derived or
thymic derived remains to be determined.
T cells expressing the NKRP1A (CD161) with a diverse repertoire are
found in the thymus at
0.3% of the total thymocyte population. We
show that X4-HIV-1 infection of the thymus leads to an enrichment of
CD161+ T cells; however, the enrichment of these
cells is disproportionate between CD4+ and
CD4-CD161+ T cells. As
with HIV-1-mediated loss of CD4-bearing thymocytes either by direct or
indirect effects of HIV-1,
CD4+CD161+ thymocytes are
likewise decreased, presumably by direct infection since
virus-expressing cells are detected in the few
CD4+CD161+ T cells present.
However, unlike the CD4- T cells in the thymus
that express virus after depletion of
CD4+CD8+ thymocytes,
CD4-CD161+ thymocytes
contain as much as 27-fold less virus-expressing cells. It has been
previously shown that the mechanism of virus expression in
CD4+ thymocytes is due to infection at an earlier
CD4-bearing stage (58, 73).
CD4-CD161+ thymocytes may
therefore not pass through a CD4+ stage during
development, thereby limiting access of HIV-1 and explaining the
paucity of virus-expressing cells in this population.
It is known that CD161+ T cells are found in the liver. The SCID-hu fetal thy/liv implant comprises fetal liver components as a source of hemopoietic stem cells. Therefore, we investigated the proportions and phenotype of CD161+ thymocytes in fetal and postnatal thymus specimens as compared with cells derived from the SCID-hu thy/liv implant. There was no difference in the percentages of CD161+ or CD4+ and CD8+ thymocytes in fetal thymus and SCID-hu thy/liv thymocytes, thereby discounting any potential contribution of CD161+ T cells by liver components in the thymus graft. However, there was a statistically significant difference in the percentages of CD4+CD161+ cells between fetal and postnatal thymocytes. These differences could be due to waves of CD161+ T cell development at the time of birth as reported for the general thymocyte population (74) or due to the source of the hemopoietic precursors, liver (fetal life) vs the bone marrow (postnatal life).
Expression of a NK-associated marker, CD161, on T cells may exhibit
unique functional activity and/or regulatory control. CD161 has been
reported to function as a costimulatory molecule on the invariant
V
24 NK T cells for proliferation and cytokine secretion
(35) and as a negative regulator of cytotoxicity of NK
cells (32). However, the role of CD161 expression in
chronically activated CD8 T cytotoxic cells in the mouse
(75) and humans (36, 76, 77) has not been
elucidated. Nevertheless, given the expression on effector/senescent T
cells, which display decreased functional activity (37),
it likely functions to negatively influence cytotoxic activity.
The increased frequency of CD161+ T cells in the HIV-infected thymus is evident after HIV-induced depletion of the numerous CD4 target cells in the thymus. How they arise is another question. Endogenous CD161+CD3+ thymocytes could be merely enriched in number as the numerous CD4 target cells are depleted. Alternatively, HIV replication could result in chronic activation of a subset of CD8 T cells inducing CD161 upon reaching senescence. Further work is necessary for determining the function of this population in the thymus.
We have shown that minor, but important cell populations in the thymus
are targets for HIV infection and express HIV-1. Therefore, given the
significant roles TCR
and NK T cells play in both innate and
acquired immunity, HIV-1 infection and/or disruption of these cells may
contribute to the overall immune dysfunction seen in HIV-1 disease.
| Acknowledgments |
|---|
| Footnotes |
|---|
2 Address correspondence and reprint requests to Dr. Christel H. Uittenbogaart, Department of Microbiology, Immunology, and Molecular Genetics, University of California, Los Angeles, School of Medicine, 10833 Le Conte Avenue, Los Angeles, CA 90095-1747. E-mail address: uittenbo{at}ucla.edu ![]()
3 Abbreviations used in this paper: NKRP1, NK receptor protein 1; TC, Tricolor; thy/liv, thymus/liver; i.u., infectious units. ![]()
Received for publication May 23, 2002. Accepted for publication August 27, 2002.
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