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Blood, 1 October 2008, Vol. 112, No. 7, pp. 2858-2868.
Prepublished online as a Blood First Edition Paper on June 10, 2008; DOI 10.1182/blood-2008-03-145946.
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IMMUNOBIOLOGY
FoxP3+CD4+ regulatory T cells play an important role in acute HIV-1 infection in humanized Rag2–/– C–/– mice in vivo
Qi Jiang1,2,*,
Liguo Zhang1,2,*,
Rui Wang3,
Jerry Jeffrey1,4,
Michael L. Washburn1,4,
Dedeke Brouwer1,
Selena Barbour1,
Grigoriy I. Kovalev1,
Derya Unutmaz3, and
Lishan Su1,2,4
1 Lineberger Comprehensive Cancer Center and
2 Department of Microbiology and Immunology, University of North Carolina at Chapel Hill;
3 Department of Microbiology, New York University School of Medicine, New York; and
4 Curriculum in Genetics and Molecular Biology, School of Medicine, University of North Carolina at Chapel Hill
The role of FoxP3+CD4+ regulatory T (Treg) cells in HIV-1 disease in vivo is poorly understood due to the lack of a robust model. We report here that CD4+FoxP3+ T cells are developed in all lymphoid organs in humanized Rag2–/– C–/– (DKO-hu HSC) mice and they display both Treg phenotype and Treg function. These FoxP3+ Treg cells are preferentially infected and depleted by a pathogenic HIV-1 isolate in HIV-infected DKO-hu HSC mice; and depletion of Treg cells is correlated with induction of their apoptosis in vivo. When CD4+CD25+/hi Treg cells are depleted with the IL-2–toxin fusion protein (denileukin diftitox), HIV-1 infection is significantly impaired. This is demonstrated by reduced levels of productively infected cells in lymphoid organs and lower plasma viremia. Therefore, FoxP3+ Treg cells are productively infected and play an important role in acute HIV-1 infection in vivo. The DKO-hu HSC mouse will be a valuable model to study human Treg functions and their role in HIV-1 pathogenesis in vivo.

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