HIV disease progression correlates with the generation of dysfunctional naive CD8(low) T cells

Blood. 2011 Feb 17;117(7):2189-99. doi: 10.1182/blood-2010-06-288035. Epub 2011 Jan 3.

Abstract

HIV infection can result in depletion of total CD4(+) T cells and naive CD8(+) T cells, and in the generation of dysfunctional effector CD8(+) T cells. In this study, we show that naive CD8(+) T cells in subjects with progressive HIV disease express low levels of CD8α and CD8β chains. Such naive CD8(low) T cells display broad signaling defects across the T-cell receptor complex, and their appearance correlates with generalized up-regulation of major histocompatibility complex class I (MHC-I) antigens on peripheral blood mononuclear cells (PBMCs). To explore a causal link between increased MHC-I up-regulation and the generation of naive CD8(low) T cells, we used the humanized SCID-hu Thy/Liv mouse model to show that HIV infection of the thymus and interferon α (IFNα) treatment alone result in MHC-I up-regulation and in the generation of dysfunctional CD3(high)CD8(+)CD4(-) single-positive 8 (SP8) thymocytes with low expression of CD8. We suggest that dysfunctional naive CD8(low) T cells are generated as a result of IFNα-mediated up-regulation of MHC-I on stromal cells in the thymus and antigen-presenting cells in the periphery, and that dysfunction in this naive compartment contributes to the immunodeficiency of HIV disease. This study is registered at www.clinicaltrials.gov as NCT00187512.

Publication types

  • Clinical Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Animals
  • CD8-Positive T-Lymphocytes / immunology*
  • CD8-Positive T-Lymphocytes / metabolism
  • Calcium Signaling / immunology
  • Disease Progression
  • HIV Infections / genetics
  • HIV Infections / immunology*
  • HIV Infections / virology
  • Humans
  • In Vitro Techniques
  • Interferon alpha-2
  • Interferon-alpha / pharmacology
  • Interleukin-2 / biosynthesis
  • MART-1 Antigen / immunology
  • Major Histocompatibility Complex
  • Mice
  • Mice, SCID
  • Mice, Transgenic
  • Middle Aged
  • Phosphorylation
  • Receptors, Antigen, T-Cell / metabolism
  • Recombinant Proteins
  • Signal Transduction / immunology
  • Thymus Gland / immunology
  • Up-Regulation
  • Viral Load
  • p38 Mitogen-Activated Protein Kinases / metabolism

Substances

  • Interferon alpha-2
  • Interferon-alpha
  • Interleukin-2
  • MART-1 Antigen
  • Mlana protein, mouse
  • Receptors, Antigen, T-Cell
  • Recombinant Proteins
  • p38 Mitogen-Activated Protein Kinases

Associated data

  • ClinicalTrials.gov/NCT00187512