Maintenance of HIV-specific CD4+ T cell help distinguishes HIV-2 from HIV-1 infection

MG Duvall, A Jaye, T Dong, JM Brenchley… - The Journal of …, 2006 - journals.aai.org
The Journal of Immunology, 2006journals.aai.org
Abstract Unlike HIV-1-infected people, most HIV-2-infected subjects maintain a healthy
CD4+ T cell count and a strong HIV-specific CD4+ T cell response. To define the cellular
immunological correlates of good prognosis in HIV-2 infection, we conducted a cross-
sectional study of HIV Gag-specific T cell function in HIV-1-and HIV-2-infected Gambians.
Using cytokine flow cytometry and lymphoproliferation assays, we show that HIV-specific
CD4+ T cells from HIV-2-infected individuals maintained proliferative capacity, were not …
Abstract
Unlike HIV-1-infected people, most HIV-2-infected subjects maintain a healthy CD4+ T cell count and a strong HIV-specific CD4+ T cell response. To define the cellular immunological correlates of good prognosis in HIV-2 infection, we conducted a cross-sectional study of HIV Gag-specific T cell function in HIV-1-and HIV-2-infected Gambians. Using cytokine flow cytometry and lymphoproliferation assays, we show that HIV-specific CD4+ T cells from HIV-2-infected individuals maintained proliferative capacity, were not terminally differentiated (CD57−), and more frequently produced IFN-γ or IL-2 than CD4+ T cells from HIV-1-infected donors. Polyfunctional (IFN-γ+/IL-2+) HIV-specific CD4+ T cells were found exclusively in HIV-2+ donors. The disparity in CD4+ T cell responses between asymptomatic HIV-1-and HIV-2-infected subjects was not associated with differences in the proliferative capacity of HIV-specific CD8+ T cells. This study demonstrates that HIV-2-infected donors have a well-preserved and functionally heterogeneous HIV-specific memory CD4+ T cell response that is associated with delayed disease progression in the majority of infected people.
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