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Blood, 1 December 2008, Vol. 112, No. 12, pp. 4401-4410. Prepublished online as a Blood First Edition Paper on September 9, 2008; DOI 10.1182/blood-2008-02-140426.
CHEMOKINES, CYTOKINES, AND INTERLEUKINS Altered expression of the receptor-ligand pair CXCR5/CXCL13 in B cells during chronic HIV-1 infection1 Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, Sweden; 2 Department of Pathology and the Körber Laboratory for AIDS Research, Berhard-Nocht Institute for Tropical Diseases, Hamburg, Germany; 3 Department of Medicine Solna, Infectious Diseases Unit, Karolinska University Hospital, Stockholm, Sweden; 4 Gay Men's Health Clinic, Soder Hospital, Stockholm, Sweden; and 5 Department of Women and Child Health, Karolinska Institutet, Stockholm, Sweden
HIV-1 infection is associated with B-cell abnormalities, such as hypergammaglobulinemia, poor immunization responses, and loss of serologic memory. To determine whether altered expression of chemokine receptors and their ligands may play a role in B-cell dysfunctions during HIV-1 infection, the expression of CXC chemokine receptor 4 (CXCR4), CXCR5, and CC chemokine receptor 7 (CCR7) and their respective ligands on CD19+ B cells were examined in HIV-1–infected patients and controls. We report a decreased CXCR5 expression on B cells from patients (P < .05), a phenomenon associated with a low CD4 T-cell count (< 350 cells/µL). Interestingly, an increased expression of CXC chemokine ligand 13 (CXCL13), the ligand for CXCR5, was found in peripheral B cells from HIV-1–infected patients. Moreover, on B-cell activation in vitro, CXCL13 was secreted in culture. CXCL13+ B cells were also found in the lymph nodes of HIV-1–infected patients, but not in control tissue. B-cell migration toward CXCL13, CXCL12, and CC chemokine ligand 21 (CCL21), ligands for CXCR5, CXCR4, and CCR7 was also evaluated. In patients with a low CD4 T-cell count, migration toward all ligands was increased. Our findings indicate that altered expression of the chemokine receptor-ligand pair, CXCR5/CXCL13, may participate in the establishment of B-cell dysfunctions during HIV-1 infection.
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