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IL-15 delays suppression and fails to promote immune reconstitution in virally suppressed chronically SIV-infected macaques
Journal article   Open access   Peer reviewed

IL-15 delays suppression and fails to promote immune reconstitution in virally suppressed chronically SIV-infected macaques

Enrico Lugli, Yvonne M. Mueller, Mark G. Lewis, Francois Villinger, Peter D. Katsikis and Mario Roederer
Blood, v 118(9), pp 2520-2529
01 Sep 2011
PMID: 21757617
url
https://doi.org/10.1182/blood-2011-05-351155View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Immunobiology
Human immunodeficiency virus (HIV) infection is characterized by a progressive loss of memory CD4 + T cells in multiple tissues, especially at mucosal surfaces where most of these cells reside. Although antiretroviral therapy (ART) suppresses viral replication and promotes the recovery of peripheral CD4 + T cells, HIV-infected patients fail to fully reconstitute the CD4 + T-cell pool at mucosal sites. IL-15 has been shown to preferentially expand memory-phenotype T cells and promote their migration to nonlymphoid tissues. Here we examined IL-15 treatment in combination with highly active ART in chronically SIV-infected rhesus macaques and found that IL-15 delayed viral suppression and failed to enhance ART-induced total and antigen-specific CD4 + T-cell reconstitution at mucosal and lymphoid sites. IL-15 was able to induce the transient proliferation of SIV-specific, CMV-specific, and total memory CD8 + T cells, but not of SIV-specific or total CD4 + T cells. Moreover, upon treatment interruption, macaques receiving combined IL-15+ART lost CD4 + T cells faster than those receiving ART alone. These results suggest that the combination of IL-15 with highly active ART is not more efficient than ART alone in promoting CD4 + T-cell recovery in HIV-infected individuals and may accelerate CD4+ T-cell loss after treatment interruption.

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Hematology
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