title: Protein kinase A type I antagonist restores immune responses of T cells from HIV-infected patients.
abstract: Cyclic AMP-dependent protein kinase A (PKA) type I has been established as an acute inhibitor of T cell activation. For this reason, we investigated the possible role of PKA type I in HIV-induced T cell dysfunction. T cells from HIV-infected patients have increased levels of cAMP and are more sensitive to inhibition by cAMP analog than are normal T cells. A PKA type I-selective antagonist increases the impaired proliferation of T cells from HIV-infected patients to normal or subnormal levels (up to 2.8-fold). Follow-up of patients after initiation of highly active antiretroviral treatment revealed that a majority of patients have a persistent T cell dysfunction that is normalized by incubation of T cells with Rp-8-Br-cAMPS. These observations imply that increased activation of PKA type I may contribute to the progressive T cell dysfunction in HIV infection and that PKA type I may be a potential target for immunomodulating therapy.
authors.affiliation: Institute of Medical Biochemistry, University of Oslo, Norway.
authors.forename: E M
authors.initials: EM
authors.lastname: Aandahl
authors.forename: P
authors.initials: P
authors.lastname: Aukrust
authors.forename: B S
authors.initials: BS
authors.lastname: Skålhegg
authors.forename: F
authors.initials: F
authors.lastname: Müller
authors.forename: S S
authors.initials: SS
authors.lastname: Frøland
authors.forename: V
authors.initials: V
authors.lastname: Hansson
authors.forename: K
authors.initials: K
authors.lastname: Taskén
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000494:pharmacology*; D002352:Carrier Proteins / Q000494:pharmacology*; D000242:Cyclic AMP / Q000378:metabolism; D017868:Cyclic AMP-Dependent Protein Kinases / Q000037:antagonists & inhibitors*; D005260:Female; D015658:HIV Infections / Q000276:immunology* / Q000378:metabolism; D006801:Humans; D047908:Intracellular Signaling Peptides and Proteins; D008297:Male; D008875:Middle Aged; D013601:T-Lymphocytes / Q000187:drug effects* / Q000276:immunology / Q000502:physiology
chemical_list: D019380:Anti-HIV Agents; D002352:Carrier Proteins; D047908:Intracellular Signaling Peptides and Proteins; C015482:protein kinase modulator; D000242:Cyclic AMP; D017868:Cyclic AMP-Dependent Protein Kinases