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Prepublished online as a Blood First Edition Paper on October 31, 2002; DOI 10.1182/blood-2002-07-2297.
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Blood, 15 March 2003, Vol. 101, No. 6, pp. 2294-2299
IMMUNOBIOLOGY
IL-7 therapy dramatically alters peripheral T-cell homeostasis in
normal and SIV-infected nonhuman primates
Terry J. Fry,
Marcin Moniuszko,
Stephen Creekmore,
Susan J. Donohue,
Daniel C. Douek,
Steven Giardina,
Toby T. Hecht,
Brenna J. Hill,
Kristen Komschlies,
Joseph Tomaszewski,
Genoveffa Franchini, and
Crystal L. Mackall
From the Pediatric Oncology Branch, Center for
Cancer Research, National Cancer Institute, National Institutes of
Health, Bethesda, MD; Animal Model and Retrovirus Vaccine Section,
Basic Research Laboratory, Center for Cancer Research, National Cancer
Institute, National Institutes of Health, Bethesda, MD; Developmental
Therapeutics Program, Biological Therapy, Division of Cancer
Therapy & Diagnosis, National Cancer Institute; Toxicology and
Pharmacology Branch, Division of Cancer Therapy & Diagnostics, National
Cancer Institute, Bethesda, MD; Vaccine Research Program, National
Institute of Allergy and Infectious Diseases, National Institutes of
Health, Bethesda, MD; and Biopharmaceutical Development Program, SAIC,
Frederick, MD.
Interleukin-7 (IL-7) is important for thymopoiesis in mice and
humans because IL-7 receptor (IL-7R ) mutations result in a
severe combined immunodeficiency phenotype with severe thymic hypoplasia. Recent evidence has indicated that IL-7 also plays an
important role as a regulator of T-cell homeostasis. Here we report the
immunologic effects of recombinant human IL-7 (rhIL-7) therapy in
normal and simian immunodeficiency virus (SIV)-infected nonhuman
primates. Cynomolgus monkeys receiving 10 days of rhIL-7 showed
substantial, reversible increases in T-cell numbers involving a
dramatic expansion of both naive and nonnaive phenotype
CD4+ and CD8+ subsets. Although IL-7 is known
to have thymopoietic effects in mice, we observed marked declines in
the frequency and absolute number of T-cell receptor excision
circle-positive (TREC+) cells in the peripheral blood and
dramatic increases in the percentage of cycling T cells in the
peripheral blood as measured by Ki-67 expression (baseline less than
5% to approximately 50% after 6 days of therapy) and ex vivo
bromodeoxyuridine (BrdU) incorporation. Similarly, moderately
CD4- depleted SIV-infected macaques treated with rhIL-7 also had
significant increases in peripheral blood CD4+ and
CD8+ T cells following rhIL-7 therapy. Thus, rhIL-7 induces
dramatic alterations in peripheral T-cell homeostasis in both
T-cell-replete and T-cell-depleted nonhuman primates. These results
further implicate IL-7 as a promising immunorestorative agent but
illustrate that a major component of its immunorestorative
capacity reflects effects on mature cells. These results also raise the
possibility that IL-7 therapy could be used to temporarily modulate
T-cell cycling in vivo in the context of immunotherapies such as vaccination.

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