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Nef-specific CD45RA+ CD8+ T cells secreting MIP-1β but not IFN-γ are associated with nonprogressive HIV-1 infection

Claudia J Dembek1 email, Sarah Kutscher1 email, Silvia Heltai4,5 email, Simone Allgayer2,9 email, Priscilla Biswas7 email, Silvia Ghezzi6 email, Elisa Vicenzi6 email, Dieter Hoffmann9 email, Peter Reitmeir3 email, Giuseppe Tambussi8 email, Johannes R Bogner10 email, Paolo Lusso4 email, Hans-J Stellbrink11 email, Elena Santagostino12 email, Thomas Vollbrecht10 email, Frank D Goebel10 email, Ulrike Protzer1,2,9 email, Rika Draenert10 email, Marco Tinelli13 email, Guido Poli5,14 email, Volker Erfle1,2 email, Mauro Malnati4* email and Antonio Cosma1,2* email

Institute of Virology, Helmholtz Zentrum München - German Research Center for Environmental Health, 85764 Neuherberg, Germany

Clinical Cooperation Group "Immune Monitoring", Helmholtz Zentrum München - German Research Center for Environmental Health, 85764 Neuherberg, Germany

Institute of Health Economics and Health Care Management, Helmholtz Zentrum München - German Research Center for Environmental Health, 85764 Neuherberg, Germany

Human Virology Unit, San Raffaele Scientific Institute, 20132 Milan, Italy

AIDS Immunopathogenesis Unit, San Raffaele Scientific Institute, 20132 Milan, Italy

Viral Pathogens and Biosafety Unit, San Raffaele Scientific Institute, 20132 Milan, Italy

Laboratory of Clinical Immunology, San Raffaele Scientific Institute, 20132 Milan, Italy

Department of Infectious Diseases, San Raffaele Scientific Institute, 20132 Milan, Italy

Institute of Virology, Technische Universität München, 81675 Munich, Germany

10  Department of Infectious Diseases, Medizinische Poliklinik, Ludwig Maximilians Universität, 80336 Munich, Germany

11  Infektionsmedizinisches Centrum Hamburg ICH, 20146 Hamburg, Germany

12  "A. Bianchi Bonomi" Haemophilia and Thrombosis Center, University of Milan, 20122 Milan, Italy

13  Division of Infectious and Tropical Diseases, Hospital of Lodi, 26866 Lodi, Italy

14  Vita-Salute San Raffaele University, School of Medicine, 20132, Milano, Italy

author email corresponding author email* Contributed equally

AIDS Research and Therapy 2010, 7:20doi:10.1186/1742-6405-7-20

Published: 2 July 2010

Abstract

Background

Long-term survival of HIV-1 infected individuals is usually achieved by continuous administration of combination antiretroviral therapy (ART). An exception to this scenario is represented by HIV-1 infected nonprogressors (NP) which maintain relatively high circulating CD4+ T cells without clinical symptoms for several years in the absence of ART. Several lines of evidence indicate an important role of the T-cell response in the modulation of HIV-1 infection during the acute and chronic phase of the disease.

Results

We analyzed the functional and the differentiation phenotype of Nef- and Tat-specific CD8+ T cells in a cohort of HIV-1 infected NP in comparison to progressors, ART-treated seropositive individuals and individuals undergoing a single cycle of ART interruption. We observed that a distinctive feature of NP is the presence of Nef-specific CD45RA+ CD8+ T cells secreting MIP-1beta but not IFN-gamma. This population was present in 7 out of 11 NP. CD45RA+ IFN-gammaneg MIP-1beta+ CD8+ T cells were not detected in HIV-1 infected individuals under ART or withdrawing from ART and experiencing a rebounding viral replication. In addition, we detected Nef-specific CD45RA+ IFN-gammaneg MIP-1beta+ CD8+ T cells in only 1 out of 10 HIV-1 infected individuals with untreated progressive disease.

Conclusion

The novel antigen-specific CD45RA+ IFN-gammaneg MIP-1beta+ CD8+ T cell population represents a new candidate marker of long-term natural control of HIV-1 disease progression and a relevant functional T-cell subset in the evaluation of the immune responses induced by candidate HIV-1 vaccines.


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