Center for AIDS Research, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Center for AIDS Research, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
J Virol. 2019 Jan 17;93(3). doi: 10.1128/JVI.01541-18. Print 2019 Feb 1.
Current shock-and-kill strategies for the eradication of the HIV-1 reservoir have resulted in blips of viremia but not in a decrease in the size of the latent reservoir in patients on suppressive antiretroviral therapy (ART). This discrepancy could potentially be explained by an inability of the immune system to kill HIV-1-infected cells following the reversal of latency. Furthermore, some studies have suggested that certain latency-reversing agents (LRAs) may inhibit CD8 T cell and natural killer (NK) cell responses. In this study, we tested the hypothesis that alpha interferon (IFN-α) could improve the function of NK cells from chronic progressors (CP) on ART. We show here that IFN-α treatment enhanced cytokine secretion, polyfunctionality, degranulation, and the cytotoxic potential of NK cells from healthy donors (HD) and CP. We also show that this cytokine enhanced the viral suppressive capacity of NK cells from HD and elite controllers or suppressors. Furthermore, IFN-α enhanced global CP CD8 T cell cytokine responses and the suppressive capacity of ES CD8 T cells. Our data suggest that IFN-α treatment may potentially be used as an immunomodulatory agent in HIV-1 cure strategies. Data suggest that HIV individuals unable to control infection fail to do so due to impaired cytokine production and/cytotoxic effector cell function. Consequently, the success of cure agendas such as the shock-and-kill strategy will probably depend on enhancing patient effector cell function. In this regard, NK cells are of particular interest since they complement the function of CD8 T cells. Here, we demonstrate the ability of short-course alpha interferon (IFN-α) treatments to effectively enhance such effector functions in chronic progressor NK cells without inhibiting their general CD8 T cell function. These results point to the possibility of exploring such short-course IFN-α treatments for the enhancement of effector cell function in HIV patients in future cure strategies.
目前,消除 HIV-1 储存库的冲击-杀伤策略导致病毒血症短暂反弹,但在接受抑制性抗逆转录病毒疗法 (ART) 的患者中,潜伏储存库的大小并未减少。这种差异可能是由于免疫系统在潜伏期逆转后无法杀死 HIV-1 感染细胞所致。此外,一些研究表明,某些潜伏逆转剂 (LRA) 可能会抑制 CD8 T 细胞和自然杀伤 (NK) 细胞的反应。在这项研究中,我们检验了这样一个假设,即α干扰素 (IFN-α) 可以改善接受 ART 的慢性进展者 (CP) 的 NK 细胞功能。我们在此表明,IFN-α 治疗增强了来自健康供体 (HD) 和 CP 的 NK 细胞的细胞因子分泌、多功能性、脱颗粒和细胞毒性潜力。我们还表明,这种细胞因子增强了来自 HD 和精英控制者或抑制者的 NK 细胞的病毒抑制能力。此外,IFN-α 增强了 CP 全局 CD8 T 细胞细胞因子反应和 ES CD8 T 细胞的抑制能力。我们的数据表明,IFN-α 治疗可能潜在地用作 HIV-1 治愈策略中的免疫调节剂。数据表明,无法控制感染的 HIV 个体未能做到这一点,原因是细胞因子产生和/或细胞毒性效应细胞功能受损。因此,治愈方案(如冲击-杀伤策略)的成功可能取决于增强患者效应细胞功能。在这方面,NK 细胞尤其令人感兴趣,因为它们补充了 CD8 T 细胞的功能。在这里,我们证明了短期 α 干扰素 (IFN-α) 治疗能够有效地增强慢性进展者 NK 细胞的这种效应功能,而不会抑制其一般 CD8 T 细胞功能。这些结果表明,在未来的治愈策略中,有可能探索这种短期 IFN-α 治疗来增强 HIV 患者的效应细胞功能。
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