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Blood, 15 November 2001, Vol. 98, No. 10, pp. 3169-3171
BRIEF REPORT
Preferential and persistent depletion of CCR5+
T-helper lymphocytes with nonlymphoid homing potential despite early
treatment of primary HIV infection
Roman Krzysiek,
Annick Rudent,
Laurence Bouchet-Delbos,
Arnaud Foussat,
Claudie Boutillon,
Alain Portier,
Didier Ingrand,
Daniel Sereni,
Pierre Galanaud,
Liliane Grangeot-Keros,
Dominique Emilie, and
the ANRS O86 PRIMOFERON A Study
Group
From the INSERM U131 and Service de Médecine
Interne et d'Immunologie Clinique, Service de
Microbiologie-Immunologie, Hôpital Antoine Béclère,
Institut Paris-Sud sur les Cytokines, Clamart, France, and the Service
de Médecine Interne, Hôpital Saint-Louis, Paris, France.
Strains of human immunodeficiency virus (HIV) transmitted
between individuals use the CCR5 coreceptor, but no preferential depletion of particular Th-lymphocyte subpopulations has been reported
during primary HIV infection (PHI). In contrast, gut-associated Th
lymphocytes are preferentially depleted in macaques recently infected
by simian immunodeficiency virus. The expression of CCR5 and the
intestinal homing receptor integrin 4 7 on
subpopulations of Th lymphocytes was studied in 12 patients with PHI.
There was a profound decrease of circulating
4 7+ Th lymphocytes and
CCR5+ memory Th lymphocytes with nonlymphoid homing
potential (CD62L CD45RO+). Unlike other Th
lymphocytes, this cell population remained depleted despite early
control of viral replication under antiretroviral treatment. Therefore,
HIV preferentially targets a specific CCR5+ subpopulation
of Th lymphocytes early during infection, inducing its persistent
depletion despite treatment. Protective immunity in vivo depends on Th
lymphocytes carrying homing capacity to nonlymphoid tissue, and
therefore these data may explain the persistent abnormalities of immune
functions in patients infected with HIV.

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