title: Identification of a T cell chemotactic factor in the cerebrospinal fluid of HIV-1-infected individuals as interferon-gamma inducible protein 10.
abstract: Central nervous system (CNS) involvement is a prominent feature of human immunodeficiency virus (HIV-1) infection. Monocytes and CD4+ T cells traverse the blood brain barrier (BBB), and serve as vehicles for the virus and perpetrators for brain pathology by their production of neurotoxins. In the present study cerebrospinal fluid (CSF) samples from HIV-1-infected patients were analyzed for the presence of chemotactic factors. All 36 CSF samples from the patients were positive for the CXC chemokine interferon-gamma inducible protein (IP-10), which was not detected in CSF samples of 14 controls. The IP-10 concentrations were higher in HIV-1-infected patients with HIV-1 associated neurologic disorders than in those without neurological deficits. In contrast to IP-10, other chemotactic factors including the CC chemokines MCP-1, MIP-1alpha, MIP-1beta and RANTES and the cytokines IL-15 and IL-16 were either not detected or increased in only less than 30% of the patients. Unlike the CSF samples of controls, all CSF samples from HIV-1-infected patients induced chemotaxis of T cells activated with IL-2. The significance of IP-10 as a T cell chemotactic cytokine in HIV-1-infected CSF is shown by (1) the correlation of the IP-10 levels with the extent of T cell chemotaxis, (2) the neutralization of T cell chemotaxis by anti-IP-10 antibodies and (3) the correlation of the chemotactic response of CSF samples on activated T cells and the CSF white cell count in the patients. Our data provide evidence that IP-10 contributes to the accumulation of activated T cells in the CSF compartment in HIV-1-infected individuals.
authors.affiliation: Department of Internal Medicine, University Hospital, Zurich, Switzerland.
authors.forename: S A
authors.initials: SA
authors.lastname: Kolb
authors.forename: B
authors.initials: B
authors.lastname: Sporer
authors.forename: F
authors.initials: F
authors.lastname: Lahrtz
authors.forename: U
authors.initials: U
authors.lastname: Koedel
authors.forename: H W
authors.initials: HW
authors.lastname: Pfister
authors.forename: A
authors.initials: A
authors.lastname: Fontana
mesh_terms: D015526:AIDS Dementia Complex / Q000134:cerebrospinal fluid / Q000276:immunology*; D000328:Adult; D001921:Brain / Q000166:cytology / Q000276:immunology; D002555:Cerebrospinal Fluid / Q000166:cytology / Q000276:immunology / Q000821:virology; D054405:Chemokine CCL3; D054407:Chemokine CCL4; D018946:Chemokine CCL5 / Q000134:cerebrospinal fluid; D054410:Chemokine CCL7; D054357:Chemokine CXCL10; D019743:Chemokines, CXC / Q000138:chemical synthesis*; D002630:Chemotactic Factors / Q000134:cerebrospinal fluid*; D002633:Chemotaxis / Q000276:immunology; D016207:Cytokines; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D015497:HIV-1 / Q000276:immunology*; D006801:Humans; D007371:Interferon-gamma / Q000276:immunology*; D007958:Leukocyte Count; D019402:Macrophage Inflammatory Proteins / Q000134:cerebrospinal fluid; D008297:Male; D008875:Middle Aged; D018945:Monocyte Chemoattractant Proteins / Q000134:cerebrospinal fluid; D013601:T-Lymphocytes / Q000166:cytology / Q000276:immunology / Q000821:virology
chemical_list: C515450:CCL7 protein, human; D054405:Chemokine CCL3; D054407:Chemokine CCL4; D018946:Chemokine CCL5; D054410:Chemokine CCL7; D054357:Chemokine CXCL10; D019743:Chemokines, CXC; D002630:Chemotactic Factors; D016207:Cytokines; D019402:Macrophage Inflammatory Proteins; D018945:Monocyte Chemoattractant Proteins; D007371:Interferon-gamma