title: Inability of plasmacytoid dendritic cells to directly lyse HIV-infected autologous CD4+ T cells despite induction of tumor necrosis factor-related apoptosis-inducing ligand.
abstract: The function of plasmacytoid dendritic cells (PDC) in chronic human immunodeficiency virus type 1 (HIV-1) infection remains controversial with regard to its potential for sustained alpha interferon (IFN-alpha) production and induction of PDC-dependent tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL)-mediated cytotoxicity of HIV-infected cells. We address these areas by a study of chronically HIV-1-infected subjects followed through antiretroviral therapy (ART) interruption and by testing PDC cytolytic function against autologous HIV-infected CD4(+) T cells. Rebound in viremia induced by therapy interruption showed a positive association between TRAIL and viral load or T-cell activation, but comparable levels of plasma IFN-alpha/beta were found in viremic ART-treated and control subjects. While PDC from HIV-infected subjects expressed less interferon regulator factor 7 (IRF-7) and produced significantly less IFN-alpha upon Toll-like receptor 7/9 (TLR7/9) engagement than controls, membrane TRAIL expression in PDC from HIV(+) subjects was increased. Moreover, no significant increase in death receptor 5 (DR5) expression was seen in CD4(+) T cells from viremic HIV(+) subjects compared to controls or following in vitro infection/exposure to infectious and noninfectious virus or exogenous IFN-alpha, respectively. Although activated PDC killed the DR5-expressing HIV-infected Sup-T1 cell line, PDC did not lyse primary autologous HIV(+) CD4(+) T cells yet could provide accessory help for NK cells in killing HIV-infected autologous CD4(+) T cells. Taken together, our data show a lack of sustained high levels of soluble IFN-alpha in chronic HIV-1 infection in vivo and document a lack of direct PDC cytolytic activity against autologous infected or uninfected CD4(+) T cells.
authors.affiliation: The Wistar Institute, Philadelphia, Pennsylvania 19104, USA.
authors.forename: Jihed
authors.initials: J
authors.lastname: Chehimi
authors.forename: Emmanouil
authors.initials: E
authors.lastname: Papasavvas
authors.forename: Costin
authors.initials: C
authors.lastname: Tomescu
authors.forename: Bethsebah
authors.initials: B
authors.lastname: Gekonge
authors.forename: Shaheed
authors.initials: S
authors.lastname: Abdulhaqq
authors.forename: Andrea
authors.initials: A
authors.lastname: Raymond
authors.forename: Aidan
authors.initials: A
authors.lastname: Hancock
authors.forename: Kavita
authors.initials: K
authors.lastname: Vinekar
authors.forename: Craig
authors.initials: C
authors.lastname: Carty
authors.forename: Griffin
authors.initials: G
authors.lastname: Reynolds
authors.forename: Maxwell
authors.initials: M
authors.lastname: Pistilli
authors.forename: Karam
authors.initials: K
authors.lastname: Mounzer
authors.forename: Jay
authors.initials: J
authors.lastname: Kostman
authors.forename: Luis J
authors.initials: LJ
authors.lastname: Montaner
mesh_terms: D000818:Animals; D015496:CD4-Positive T-Lymphocytes / Q000166:cytology / Q000378:metabolism* / Q000821:virology*; D002460:Cell Line; D003713:Dendritic Cells / Q000166:cytology / Q000378:metabolism*; D005260:Female; D015658:HIV Infections / Q000276:immunology*; D015497:HIV-1 / Q000276:immunology; D006801:Humans; D050839:Interferon Regulatory Factor-7 / Q000235:genetics / Q000378:metabolism; D016898:Interferon-alpha / Q000276:immunology; D007694:Killer Cells, Natural / Q000276:immunology; D008297:Male; D053220:Receptors, TNF-Related Apoptosis-Inducing Ligand / Q000235:genetics / Q000378:metabolism; D053221:TNF-Related Apoptosis-Inducing Ligand / Q000235:genetics / Q000276:immunology*; D019562:Viral Load; D014766:Viremia / Q000276:immunology / Q000821:virology
chemical_list: D050839:Interferon Regulatory Factor-7; D016898:Interferon-alpha; D053220:Receptors, TNF-Related Apoptosis-Inducing Ligand; D053221:TNF-Related Apoptosis-Inducing Ligand; C505653:TNFSF10 protein, human