Mohan Teena, Bhatnagar Santwana, Gupta Dablu L, Rao D N
Department of Biochemistry, All India Institute of Medical Sciences (A.I.I.M.S.), Ansari Nagar, New Delhi 110029, India.
Department of Biochemistry, All India Institute of Medical Sciences (A.I.I.M.S.), Ansari Nagar, New Delhi 110029, India.
Microb Pathog. 2014 Aug;73:60-9. doi: 10.1016/j.micpath.2014.06.003. Epub 2014 Jun 12.
The cellular immune response to human immunodeficiency virus (HIV) has different components originating from both the adaptive and innate immune systems. HIV cleverly utilizes the host machinery to survive by its intricate nature of interaction with the host immune system. HIV evades the host immune system at innate ad adaptive, allows the pathogen to replicate and transmit from one host to another. Researchers have shown that HIV has multipronged effects especially on the adaptive immunity, with CD4(+) cells being the worst effect T-cell populations. Various analyses have revealed that, the exposure to HIV results in clonal expansion and excessive activation of the immune system. Also, an abnormal process of differentiation has been observed suggestive of an alteration and blocks in the maturation of various T-cell subsets. Additionally, HIV has shown to accelerate immunosenescence and exhaustion of the overtly activated T-cells. Apart from causing phenotypic changes, HIV has adverse effects on the functional aspect of the immune system, with evidences implicating it in the loss of the capacity of T-cells to secrete various antiviral cytokines and chemokines. However, there continues to be many aspects of the immune- pathogenesis of HIV that are still unknown and thus required further research in order to convert the malaise of HIV into a manageable epidemic.
对人类免疫缺陷病毒(HIV)的细胞免疫反应具有源自适应性和先天性免疫系统的不同组成部分。HIV凭借其与宿主免疫系统复杂的相互作用性质,巧妙地利用宿主机制来生存。HIV在先天性和适应性层面逃避宿主免疫系统,使病原体得以复制并从一个宿主传播到另一个宿主。研究人员表明,HIV具有多方面的影响,尤其是对适应性免疫,其中CD4(+)细胞是受影响最严重的T细胞群体。各种分析显示,接触HIV会导致免疫系统的克隆性扩增和过度激活。此外,还观察到异常的分化过程,提示各种T细胞亚群的成熟发生改变和受阻。此外,HIV已显示出加速免疫衰老和过度激活的T细胞耗竭。除了引起表型变化外,HIV对免疫系统的功能方面也有不利影响,有证据表明它与T细胞分泌各种抗病毒细胞因子和趋化因子的能力丧失有关。然而,HIV免疫发病机制的许多方面仍然未知,因此需要进一步研究,以便将HIV的危害转化为可控的流行病。