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Blood, 1 December 2005, Vol. 106, No. 12, pp. 3839-3845.
Prepublished online as a Blood First Edition Paper on August 16, 2005; DOI 10.1182/blood-2005-01-0394.


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IMMUNOBIOLOGY

Timely triggering of homeostatic mechanisms involved in the regulation of T-cell levels in SIVsm-infected sooty mangabeys

Alagarraju Muthukumar, Dejiang Zhou, Mirko Paiardini, Ashley P. Barry, Kelly S. Cole, Harold M. McClure, Silvija I. Staprans, Guido Silvestri, and Donald L. Sodora

From the Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX; Emory Vaccine Center and Yerkes Primate Research Center, Emory University, Atlanta, GA; Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA; and Department of Biochemistry, University of Urbino, Urbino (PU), Italy.

Sooty mangabeys, the natural host of simian immunodeficiency virus (SIVsm), generally avoid progressive depletion of CD4+ T cells and opportunistic infections associated with infection of humans (HIV) and macaques (SIVmac). The means by which the SIVsm-infected mangabeys maintain CD4+ T-cell levels despite high rates of viral replication is unknown. One cytokine that has a key role in the regulation of T-cell levels is interleukin-7 (IL-7). Here, the longitudinal assessment of 6 SIVsm-infected mangabeys identified an early increase in plasma IL-7 levels at weeks 1 to 5 after infection. This IL-7 increase correlated with an early decline in CD4+ T-cell levels (decline of 492-1171 cells/µL) accompanying acute viremia. Elevated IL-7 levels were followed by increased T-cell proliferation (Ki67) and maintenance of lower but stable (more than 500 cells/µL) CD4+ T-cell levels in each mangabey through 37 weeks of infection. These data contrast with our earlier studies in SIVmac-infected macaques, in which the IL-7 increase was delayed until 20 to 40 weeks after infection, just before the onset of simian AIDS. Taken together, these data suggest that timely triggering of IL-7 is important for stabilizing healthy T-cell levels in mangabeys and that timely administration of exogenous IL-7 may show benefit during pathogenic SIVmac and HIV infection.


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