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Blood, 9 July 2009, Vol. 114, No. 2, pp. 346-356.
Prepublished online as a Blood First Edition Paper on April 13, 2009; DOI 10.1182/blood-2008-12-191296.


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IMMUNOBIOLOGY

IL-10 is up-regulated in multiple cell types during viremic HIV infection and reversibly inhibits virus-specific T cells

Mark A. Brockman1,2,*, Douglas S. Kwon13,*, Daniel P. Tighe1, David F. Pavlik1, Pamela C. Rosato1, Jennifer Sela1, Filippos Porichis1,2, Sylvie Le Gall1,2, Michael T. Waring1,3, Kristin Moss1, Heiko Jessen4, Florencia Pereyra1,2,5, Daniel G. Kavanagh1,2, Bruce D. Walker13, and Daniel E. Kaufmann1,2

1 Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard, Massachusetts General Hospital, Charlestown; 2 Harvard Medical School, Boston, MA; 3 Howard Hughes Medical Institute, Chevy Chase, MD; 4 Jessen Praxis, Berlin, Germany; and 5 Brigham and Women's Hospital, Boston, MA

Murine models indicate that interleukin-10 (IL-10) can suppress viral clearance, and interventional blockade of IL-10 activity has been proposed to enhance immunity in chronic viral infections. Increased IL-10 levels have been observed during HIV infection and IL-10 blockade has been shown to enhance T-cell function in some HIV-infected subjects. However, the categories of individuals in whom the IL-10 pathway is up-regulated are poorly defined, and the cellular sources of IL-10 in these subjects remain to be determined. Here we report that blockade of the IL-10 pathway augmented in vitro proliferative capacity of HIV-specific CD4 and CD8 T cells in individuals with ongoing viral replication. IL-10 blockade also increased cytokine secretion by HIV-specific CD4 T cells. Spontaneous IL-10 expression, measured as either plasma IL-10 protein or IL-10 mRNA in peripheral blood mononuclear cells (PBMCs), correlated positively with viral load and diminished after successful antiretroviral therapy. IL-10 mRNA levels were up-regulated in multiple PBMC subsets in HIV-infected subjects compared with HIV-negative controls, particularly in T, B, and natural killer (NK) cells, whereas monocytes were a major source of IL-10 mRNA in HIV-infected and -uninfected individuals. These data indicate that multiple cell types contribute to IL-10–mediated immune suppression in the presence of uncontrolled HIV viremia.


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