title: Th2-like CD8+ T cells showing B cell helper function and reduced cytolytic activity in human immunodeficiency virus type 1 infection.
abstract: We analyzed at clonal level the functional profile of circulating or skin-infiltrating T lymphocytes from two individuals infected with the human immunodeficiency virus type 1 (HIV-1), suffering from a Job's-like syndrome (eczematous dermatitis, recurrent skin and sinopulmonary infections, and hypergammaglobulinemia E) and showing virtually no circulating CD4+ T cells. Most of the CD3+ T cell clones generated from both patients were CD4- CD8+ TCR alpha beta +. The others were CD4- CD8- TCR alpha beta + which exhibited reduced mRNA expression for the CD8 molecule or no mRNA expression for either CD4 or CD8 molecules. The great majority of both CD4- CD8+ and CD4- CD8- did not produce interferon (IFN) gamma and exhibited reduced cytolytic activity. Rather, most of them produced large amounts of both interleukin (IL) 4 and IL-5 and provided B cell helper function for IgE synthesis. These data suggest that a switch of cytolytic CD8+ T cells showing a Th1-like cytokine secretion profile to cells that make Th2-type cytokines, exhibit reduced cytolytic potential, and provide B cell helper function can occur in the course of HIV-1 infection. These cells may contribute to the reduced defense against viral infections and intracellular parasites and account for the elevated IgE serum levels, eosinophilia, and the allergic-like clinical manifestations seen in a proportion of HIV-1-infected individuals.
authors.affiliation: Division of Clinical Immunology and Allergy, University of Florence, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Maggi
authors.forename: M G
authors.initials: MG
authors.lastname: Giudizi
authors.forename: R
authors.initials: R
authors.lastname: Biagiotti
authors.forename: F
authors.initials: F
authors.lastname: Annunziato
authors.forename: R
authors.initials: R
authors.lastname: Manetti
authors.forename: M P
authors.initials: MP
authors.lastname: Piccinni
authors.forename: P
authors.initials: P
authors.lastname: Parronchi
authors.forename: S
authors.initials: S
authors.lastname: Sampognaro
authors.forename: L
authors.initials: L
authors.lastname: Giannarini
authors.forename: G
authors.initials: G
authors.lastname: Zuccati
authors.forename: S
authors.initials: S
authors.lastname: Romagnani
mesh_terms: D001402:B-Lymphocytes / Q000276:immunology*; D015704:CD4 Antigens / Q000235:genetics / Q000276:immunology; D016827:CD8 Antigens / Q000235:genetics / Q000276:immunology; D002999:Clone Cells; D016207:Cytokines / Q000096:biosynthesis; D003602:Cytotoxicity, Immunologic; D015658:HIV Infections / Q000150:complications / Q000276:immunology*; D015497:HIV-1 / Q000276:immunology*; D006801:Humans; D015847:Interleukin-4 / Q000276:immunology; D007589:Job Syndrome / Q000150:complications / Q000276:immunology; D010641:Phenotype; D006377:T-Lymphocytes, Helper-Inducer / Q000276:immunology*
chemical_list: D015704:CD4 Antigens; D016827:CD8 Antigens; D016207:Cytokines; D015847:Interleukin-4