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Prepublished online as a Blood First Edition Paper on December 5, 2002; DOI 10.1182/blood-2002-10-3065.
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Blood, 1 April 2003, Vol. 101, No. 7, pp. 2514-2520
CLINICAL OBSERVATIONS, INTERVENTIONS, AND THERAPEUTIC TRIALS
B7-H1 is up-regulated in HIV infection and is a novel surrogate
marker of disease progression
Daria Trabattoni,
Marina Saresella,
Mara Biasin,
Adriano Boasso,
Luca Piacentini,
Pasquale Ferrante,
Haidong Dong,
Renato Maserati,
Gene M. Shearer,
Lieping Chen, and
Mario Clerici
From the Chairs of Immunology and Virology,
Dipartimento Scienze Precliniche Laboratorio Integrato Tecnologie
Avanzate (DISP LITA) Vialba, University of Milano, Milano,
Italy; Department of Biology, Don C. Gnocchi Foundation, Istituto di
Ricerca e Cura a Carattere Scientifico (IRCCS), Milano, Italy;
Experimental Immunology Branch (EIB), National Cancer Institute,
National Institutes of Health, Bethesda, MD; Department of Immunology,
Mayo Clinic, Rochester, MN; and Infectious Diseases Clinic, IRCCS San
Matteo, Pavia, Italy.
The ligation of programmed death-ligand 1 (B7-H1) to T cells
results in the preferential production of interleukin 10 (IL-10). We investigated if B7-H1 would be up-regulated in HIV
infection, a disease characterized by increased IL-10 production, by
measuring B7-H1, B7-1 (CD80), and B7-2 (CD86) expression and mRNA in 36 HIV-infected patients and in 22 healthy controls (HCs). Results showed
that (1) B7-H1 expression and mRNA are augmented in cells of HIV
patients; (2) increased IL-10 production in these patients is
largely induced by B7-H1-expressing CD14+ cells; (3) an
inverse correlation is detected between B7-H1 expression and CD4
counts, whereas the up-regulation of B7-H1 is directly associated with
HIV plasma viremia; (4) antiviral therapy results in the parallel down
modulation of IL-10 production and B7-H1 expression/synthesis; and (5)
B7-H1/CD80 and B7-H1/CD86 mRNA ratios are increased in peripheral blood
mononuclear cells (PBMCs) of HIV patients compared with HCs. B7-H1
synthesis and expression are up-regulated in HIV infection, and the
degree of dysregulation correlates with the severity of disease.
Aberrant antigen presentation by antigen-presenting cells (APCs) that
exhibit increased B7-H1 expression and IL-10 production in HIV
infection could be responsible for T-lymphocyte unresponsiveness and
loss of protective immunity. B7-H1 is a surrogate marker potentially
involved in AIDS disease progression.

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