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白细胞介素-2治疗对HIV阳性患者中CD4/CD25阳性及CD4/CD25阴性细胞增殖和分化的影响。

Effects of interleukin-2 therapy on the proliferation and differentiation of CD4/CD25 positive and CD4/CD25 negative cells in HIV+ patients.

作者信息

Caggiari L, Zanussi S, D'Andrea M, Bortolin M T, Crepaldi C, Caffau C, Paoli P D

机构信息

Microbiology, Immunology and Virology, Centro di Riferimento Oncologico, Aviano, Italy.

出版信息

Eur Cytokine Netw. 2001 Jul-Sep;12(3):430-6.

PMID:11566623
Abstract

Interleukin-2 has been widely used in HIV-1+ subjects as an immunoactivating agent. In this study, we investigated cytokine production, Ki67 antigen expression and the modulation of the surface phenotype of the CD4/CD25+ subset as compared to the reciprocal CD4/CD25- subset in IL-2-treated HIV+ patients. Our findings suggest that CD4 T cells are heterogeneous in responding to IL-2, because CD4/CD25+ cells sharply increased their "memory" phenotype, their Ki67 antigen expression and were the main in vivo targets for IL-2-dependent proliferation during therapy, while the percentages of IFN-gamma+ (terminally differentiated) cells remained unchanged at the end of therapy. Conversely, the CD4+/CD25- subpopulation showed an expansion of differentiated cells and a slight increase in the proliferation rate. The use of anti-retroviral therapy alone (HAART) reduced the proliferation and increased the differentiation of both CD4 subsets. Our data suggest that IL-2 has a moderate capacity to activate resting T cells in vivo and is probably unable to boost HIV-1 from latency to the replicative state.

摘要

白细胞介素-2作为一种免疫激活剂已被广泛应用于HIV-1阳性个体。在本研究中,我们调查了在接受白细胞介素-2治疗的HIV阳性患者中,与相应的CD4/CD25-亚群相比,细胞因子的产生、Ki67抗原的表达以及CD4/CD25+亚群表面表型的调节情况。我们的研究结果表明,CD4 T细胞对白细胞介素-2的反应具有异质性,因为CD4/CD25+细胞显著增加了其“记忆”表型、Ki67抗原的表达,并且是治疗期间白细胞介素-2依赖性增殖的主要体内靶点,而在治疗结束时,IFN-γ+(终末分化)细胞的百分比保持不变。相反,CD4+/CD25-亚群显示分化细胞增多,增殖率略有增加。单独使用抗逆转录病毒疗法(HAART)可降低两个CD4亚群的增殖并增加其分化。我们的数据表明,白细胞介素-2在体内激活静息T细胞的能力适中,可能无法将HIV-1从潜伏状态激活至复制状态。

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