title: Monocyte accessory cell function in patients infected with the human immunodeficiency virus.
abstract: Previous studies suggested that peripheral blood monocytes (Mo) from HIV-infected patients were poor accessory cells (AC), although most of these studies were limited by using autologous T cells as responders. Using allogeneic T cells from uninfected volunteers as responders, the current studies demonstrate that Mo from infected individuals were comparable to Mo from uninfected volunteers as AC in Con A and pokeweed mitogen-stimulated lymphocyte proliferation assays, but were inferior to normal Mo in stimulating a mixed leukocyte reaction. This deficiency was not explained by HIV Mo-induced suppression of lymphoproliferation or by death of responding CD4 lymphocytes induced by HIV transmission from infected Mo in 6-day MLR cultures. Mo from HIV-infected patients retained the ability to stimulate mumps-specific T cell lines in response to antigen, demonstrating that Mo from these individuals could process and display antigen on their cell surface in association with a functional DR molecule. Taken together these results suggest that Mo from HIV-infected patients (i) retain the ability to act as AC in T cell responses to mitogenic signals or to stimulate already activated antigen-specific T cells, but (ii) fail to stimulate resting and/or unprimed T cells in response to alloantigen and perhaps de novo antigen exposure. It is possible this Mo defect may have an adverse effect on the immune responsiveness of HIV-infected individuals.
authors.affiliation: Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas 75235.
authors.forename: H L
authors.initials: HL
authors.lastname: Twigg
authors.forename: J C
authors.initials: JC
authors.lastname: Weissler
authors.forename: B
authors.initials: B
authors.lastname: Yoffe
authors.forename: E J
authors.initials: EJ
authors.lastname: Ball
authors.forename: M F
authors.initials: MF
authors.lastname: Lipscomb
mesh_terms: D000328:Adult; D000938:Antigen-Presenting Cells / Q000502:physiology*; D002460:Cell Line; D002478:Cells, Cultured; D005260:Female; D015658:HIV Infections / Q000276:immunology*; D006801:Humans; D008213:Lymphocyte Activation; D007959:Lymphocyte Culture Test, Mixed; D008297:Male; D009000:Monocytes / Q000502:physiology*; D013601:T-Lymphocytes / Q000276:immunology