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Altered Memory Circulating T Follicular Helper-B Cell Interaction in Early Acute HIV Infection
Journal article   Open access

Altered Memory Circulating T Follicular Helper-B Cell Interaction in Early Acute HIV Infection

Roshell Muir, Talibah Metcalf, Virginie Tardif, Hiroshi Takata, Nittaya Phanuphak, Eugene Kroon, Donn J Colby, Rapee Trichavaroj, Victor Valcour, Merlin L Robb, …
PLoS pathogens, v 12(7), pp e1005777-e1005777
Jul 2016
PMID: 27463374
url
https://doi.org/10.1371/journal.ppat.1005777View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

Adult Anti-HIV Agents - therapeutic use B-Lymphocytes - immunology Coculture Techniques Cohort Studies Enzyme-Linked Immunosorbent Assay Female Flow Cytometry HIV Infections - immunology HIV-1 - immunology Humans Immunologic Memory - immunology Lymphocyte Activation - immunology Male T-Lymphocytes, Helper-Inducer - immunology Viral Load
The RV254 cohort of HIV-infected very early acute (4thG stage 1 and 2) (stage 1/2) and late acute (4thG stage 3) (stage 3) individuals was used to study T helper- B cell responses in acute HIV infection and the impact of early antiretroviral treatment (ART) on T and B cell function. To investigate this, the function of circulating T follicular helper cells (cTfh) from this cohort was examined, and cTfh and memory B cell populations were phenotyped. Impaired cTfh cell function was observed in individuals treated in stage 3 when compared to stage 1/2. The cTfh/B cell cocultures showed lower B cell survival and IgG secretion at stage 3 compared to stage 1/2. This coincided with lower IL-10 and increased RANTES and TNF-α suggesting a role for inflammation in altering cTfh and B cell responses. Elevated plasma viral load in stage 3 was found to correlate with decreased cTfh-mediated B cell IgG production indicating a role for increased viremia in cTfh impairment and dysfunctional humoral response. Phenotypic perturbations were also evident in the mature B cell compartment, most notably a decrease in resting memory B cells in stage 3 compared to stage 1/2, coinciding with higher viremia. Our coculture assay also suggested that intrinsic memory B cell defects could contribute to the impaired response despite at a lower level. Overall, cTfh-mediated B cell responses are significantly altered in stage 3 compared to stage 1/2, coinciding with increased inflammation and a reduction in memory B cells. These data suggest that early ART for acutely HIV infected individuals could prevent immune dysregulation while preserving cTfh function and B cell memory.

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Collaboration types
Industry collaboration
Domestic collaboration
International collaboration
Web of Science research areas
Microbiology
Parasitology
Virology
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