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Delayed differentiation of potent effector CD8 + T cells reducing viremia and reservoir seeding in acute HIV infection
Journal article   Open access   Peer reviewed

Delayed differentiation of potent effector CD8 + T cells reducing viremia and reservoir seeding in acute HIV infection

Hiroshi Takata, Supranee Buranapraditkun, Cari Kessing, James L K Fletcher, Roshell Muir, Virginie Tardif, Pearline Cartwright, Claire Vandergeeten, Wendy Bakeman, Carmen N Nichols, …
Science translational medicine, v 9(377)
15 Feb 2017
PMID: 28202771
url
https://doi.org/10.1126/scitranslmed.aag1809View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Acute Disease Adult Antiretroviral Therapy, Highly Active CD8-Positive T-Lymphocytes - immunology Cell Differentiation Cell Proliferation Cytokines - metabolism Disease Reservoirs - virology Female HIV Infections - drug therapy HIV Infections - immunology HIV Infections - pathology HIV Infections - virology Humans Male Survival Analysis Viral Load Viremia - immunology Viremia - virology
CD8 T cells play a critical role in controlling HIV viremia and could be important in reducing HIV-infected cells in approaches to eradicate HIV. The simian immunodeficiency virus model provided the proof of concept for a CD8 T cell-mediated reservoir clearance but showed conflicting evidence on the role of these cells to eliminate HIV-infected cells. In humans, HIV-specific CD8 T cell responses have not been associated with a reduction of the HIV-infected cell pool in vivo. We studied HIV-specific CD8 T cells in the RV254 cohort of individuals initiating ART in the earliest stages of acute HIV infection (AHI). We showed that the HIV-specific CD8 T cells generated as early as AHI stages 1 and 2 before peak viremia are delayed in expanding and acquiring effector functions but are endowed with higher memory potential. In contrast, the fully differentiated HIV-specific CD8 T cells at peak viremia in AHI stage 3 were more prone to apoptosis but were associated with a steeper viral load decrease after ART initiation. Their capacity to persist in vivo after ART initiation correlated with a lower HIV DNA reservoir. These findings demonstrate that HIV-specific CD8 T cell magnitude and differentiation are delayed in the earliest stages of infection. These results also demonstrate that potent HIV-specific CD8 T cells contribute to the reduction of the pool of HIV-producing cells and the HIV reservoir seeding in vivo and provide the rationale to design interventions aiming at inducing these potent responses to cure HIV infection.

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Industry collaboration
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Web of Science research areas
Cell Biology
Medicine, Research & Experimental
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