title: Overexpression of Fas antigen on T cells in advanced HIV-1 infection: differential ligation constantly induces apoptosis.
abstract: OBJECTIVE
  To investigate Fas in peripheral lymphocytes from HIV-1-positive patients at different disease stages with respect to the extent of apoptosis.
  
  
  METHODS
  The study included analysis of Fas involvement in T-cell apoptosis observed during HIV-1 infection. Because ligation of Fas can result in costimulation of proliferation or the induction of apoptosis in uninfected cells, we evaluated the effect on T cells of Fas activation by monoclonal antibodies (MAb) of different specificity from both UB2 and CH11 clones and activation by the Fas ligand (Fas-L).
  
  
  METHODS
  Fas was measured by FACS in peripheral blood and in phytohaemagglutinin (PHA)-driven cultures derived from 59 HIV-1-positive individuals with different Centers for Disease Control and Prevention stages. The percentage of apoptotic cells was detected by propidium iodide cell staining. The effect of Fas ligation was assessed in peripheral T cells from patients and healthy controls by a proliferative test measuring the 3H-thymidine uptake.
  
  
  RESULTS
  FACS analysis revealed that Fas was predominantly expressed in advanced disease, although it was promptly exposed in PHA cultures from asymptomatic individuals. In several instances, Fas overexpression was associated with substantial subdiploid DNA content in cells from severely lymphopenic patients. The proliferative assay showed a significant inhibition of 3H-thymidine uptake in T cells from all patients following Fas ligation by the immunoglobulin (Ig) G1 MAb from the UB2 clone. This was in contrast to the apparent cell activation detected in controls and the weak suppression observed in Fas-positive cell lines. In addition, the IgM anti-Fas and recombinant Fas-L concentrations inducing a moderate inhibition of fresh T cells from controls strongly depressed the proliferative rate of cells from patients.
  
  
  CONCLUSIONS
  Our data suggest that Fas overexpression parallels the progression of the disease and that the increased susceptibility of T cells from HIV-1-infected individuals to undergo apoptosis may include a Fas pathway. Functionally exhausted T cells in advanced HIV-1 infection are primed to apoptosis because of their high sensitivity to Fas stimulation even using the IgG1 MAb, which is unreactive to the death domain of Fas. This suggests that the increased sensitivity of Fas is apparently unrelated to its trimeric ligation and supports the hypothesis that Fas pathway plays a role in increasing the lymphocyte apoptosis during the disease.
authors.affiliation: Department of Biomedical Sciences and Human Oncology, University of Bari, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Silvestris
authors.forename: P
authors.initials: P
authors.lastname: Cafforio
authors.forename: M A
authors.initials: MA
authors.lastname: Frassanito
authors.forename: M
authors.initials: M
authors.lastname: Tucci
authors.forename: A
authors.initials: A
authors.lastname: Romito
authors.forename: S
authors.initials: S
authors.lastname: Nagata
authors.forename: F
authors.initials: F
authors.lastname: Dammacco
mesh_terms: D000328:Adult; D000911:Antibodies, Monoclonal; D017209:Apoptosis / Q000276:immunology*; D002478:Cells, Cultured; D004247:DNA / Q000097:blood; D053222:Fas Ligand Protein; D005260:Female; D015658:HIV Infections / Q000276:immunology*; D015497:HIV-1; D006801:Humans; D008024:Ligands; D008213:Lymphocyte Activation; D016131:Lymphocyte Subsets; D008297:Male; D008562:Membrane Glycoproteins / Q000494:pharmacology; D008934:Mitogens / Q000494:pharmacology; D010835:Phytohemagglutinins / Q000494:pharmacology; D011994:Recombinant Proteins / Q000494:pharmacology; D013601:T-Lymphocytes / Q000166:cytology / Q000276:immunology*; D019014:fas Receptor / Q000096:biosynthesis / Q000378:metabolism*
chemical_list: D000911:Antibodies, Monoclonal; C505661:FASLG protein, human; D053222:Fas Ligand Protein; D008024:Ligands; D008562:Membrane Glycoproteins; D008934:Mitogens; D010835:Phytohemagglutinins; D011994:Recombinant Proteins; D019014:fas Receptor; D004247:DNA