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Blood, 1 November 2000, Vol. 96, No. 9, pp. 3094-3101
IMMUNOBIOLOGY
Impaired function of circulating HIV-specific
CD8+ T cells in chronic human
immunodeficiency virus infection
Premlata Shankar,
Melissa Russo,
Brooke Harnisch,
Mark Patterson,
Paul Skolnik, and
Judy Lieberman
From the Center for Blood Research, Harvard Medical
School, and the New England Medical Center, Tufts University School of
Medicine, Boston, MA.
The functional status of circulating human immunodeficiency
(HIV)-specific CD8 T cells in chronically infected subjects was evaluated. By flow cytometry, only 5 of 7 subjects had detectable CD8 T
cells that produced IFN- after stimulation with HIV-infected primary
CD4 T cells. In 2 subjects, the frequency of IFN- -producing cells
increased 4-fold when IL-2 was added to the culture medium; in another
subject, IFN- -producing cells could be detected only after IL-2 was
added. IFN- -producing cells ranged from 0.4% to 3% of CD8 T
cells. Major histocompatibility complex-peptide tetramer staining,
which identifies antigen-specific T cells irrespective of
function, was used to evaluate the proportion of HIV-specific CD8 T
cells that may be nonfunctional in vivo. CD8 T cells binding to
tetramers complexed to HIV gag epitope SLYNTVATL and reverse transcriptase epitope YTAFTIPSI were identified in 9 of 15 and 5 of 12 HLA-A2-expressing seropositive subjects at frequencies of 0.1% to
1.1% and 0.1 to 0.7%, respectively. Freshly isolated tetramer-positive cells expressed a mixed pattern of memory and effector markers. On average, IFN- was produced by less than 25% of
tetramer-positive CD8 T cells after stimulation with the relevant gag
or reverse transcriptase peptide. In all subjects tested,
freshly isolated CD8 T cells were not cytolytic against peptide-pulsed B lymphoblastoid cell line or primary HIV-infected CD4
T-cell targets. Exposure to IL-2 enhanced the cytotoxicity of CD8 T
cells against primary HIV-infected CD4 targets in 2 of 2 subjects
tested. These results suggest that a significant proportion of
HIV-specific CD8 T cells may be functionally compromised in vivo and
that some function can be restored by exposure to IL-2.

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May 1, 2001;
8(3):
628 - 631.
[Abstract]
[Full Text]
[PDF]
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