Méndez-Lagares Gema, Lu Ding, Merriam David, Baker Christopher A, Villinger François, Van Rompay Koen K A, McCune Joseph M, Hartigan-O'Connor Dennis J
1 California National Primate Research Center, University of California , Davis, California.
2 Department of Medical Microbiology and Immunology, University of California , Davis, California.
AIDS Res Hum Retroviruses. 2017 Nov;33(S1):S81-S92. doi: 10.1089/aid.2017.0160.
Human immunodeficiency virus (HIV) and simian immunodeficiency virus (SIV) replicate during acute infection in lymphocytes of the gastrointestinal tract, before disseminating systemically. Localized replication and associated loss of gut-resident CD4 T cells occur regardless of the portal of entry of the virus (e.g., intravenous vs. rectal). Thus, HIV and SIV are tropic for gut tissue, and their pathogenesis requires the special environment of the intestine. T helper 17 (Th17) cells are important contributors to microbial defense in the gut that are vulnerable to HIV infection and whose loss is associated with translocation of microbial products to the systemic circulation, leading to chronic immune activation and disease progression. Interleukin (IL)-21 promotes differentiation and survival of Th17 cells and stimulates CD8 T cell function. By promoting Th17 cell survival, IL-21 could limit bacterial translocation and immune activation in the setting of acute or rebounding HIV/SIV disease. In this study, we tested the effect of recombinant IL-21-IgFc treatment, given at the time of infection, on SIV infection. We found that rIL-21-IgFc decreases immune activation and maintains effective antiviral responses by CD8 T cells in blood, but this maintenance is not associated with lower viral loads. rIL-21-IgFc treatment also did not generally support Th17 cell populations, but Th17 cells remained strongly and independently associated with control of plasma viremia. For example, the single animal exhibiting greatest control over viremia in our study also manifested the highest levels of IL-21 in plasma, Th17 cell maintenance in blood, and Th17 cells in intestinal tissue. These findings provide rationale for further exploration of IL-21 treatment as a support for host CD8 T cell responses in HIV cure strategies.
人类免疫缺陷病毒(HIV)和猴免疫缺陷病毒(SIV)在急性感染期间于胃肠道淋巴细胞中复制,然后才进行全身播散。无论病毒的进入途径如何(例如静脉注射与直肠感染),都会发生局部复制以及肠道驻留CD4 T细胞的相关损失。因此,HIV和SIV对肠道组织具有嗜性,其发病机制需要肠道的特殊环境。辅助性T细胞17(Th17)细胞是肠道微生物防御的重要贡献者,它们易受HIV感染,其损失与微生物产物向体循环的易位有关,从而导致慢性免疫激活和疾病进展。白细胞介素(IL)-21促进Th17细胞的分化和存活,并刺激CD8 T细胞功能。通过促进Th17细胞存活,IL-21可以在急性或反弹的HIV/SIV疾病中限制细菌易位和免疫激活。在本研究中,我们测试了感染时给予重组IL-21-IgFc治疗对SIV感染的影响。我们发现rIL-21-IgFc可降低免疫激活,并维持血液中CD8 T细胞的有效抗病毒反应,但这种维持与较低的病毒载量无关。rIL-21-IgFc治疗通常也不支持Th17细胞群体,但Th17细胞仍然与血浆病毒血症的控制密切且独立相关。例如,在我们的研究中,对病毒血症控制最佳的单一动物其血浆中的IL-21水平、血液中Th17细胞的维持以及肠道组织中的Th17细胞水平也最高。这些发现为进一步探索IL-21治疗作为HIV治愈策略中支持宿主CD8 T细胞反应提供了理论依据。