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Blood, Vol. 95 No. 5 (March 1), 2000: pp. 1875-1876

CORRESPONDENCE


    Letter

To the editor:

Alloantigen-induced anti-HIV activity occurs prior to reverse transcription and can be generated by leukocytes from HIV-infected individuals

Immunization against alloantigens has been proposed as a possible prophylactic strategy against HIV.1,2 We have previously reported in Blood that alloantigen-stimulated cell lines derived from HIV-seronegative donors and their supernatants inhibit HIV-1 replication of a wide spectrum of isolates by a mechanism that is independent of IFN-gamma and of the beta -chemokines MIP-1alpha , MIP-1beta , and RANTES.3 Here we provide further information on the characterization of allogeneic leukocyte-stimulated anti-HIV activity that could be relevant for the development of successful complementary immune-based strategies against HIV infection. We have found that alloantigen-stimulated anti-HIV activity (1) occurs prior to reverse transcription, (2) is generated by leukocytes from HIV-infected individuals, independently of CD4+ T-cell counts, and (3) circumvents the need for an intact CD28/B7 costimulatory pathway.

To define the molecular mechanism of inhibition of viral replication, we investigated the effect of anti-HIV supernatants derived from an alloantigen-stimulated cell line3 on HIV-1 reverse transcript levels in T-cell blasts infected with HIV-1BZ167. Levels of long terminal repeat-gag (LTR-gag) and LTR U3/R reverse transcripts were measured by quantitative, real-time DNA polymerase chain reaction (PCR) using primers and probe sequences previously described.4,5 Both late (LTR-gag) (Figure, panel A) and early (LTR U3/R) (Figure, panel B) reverse transcripts were significantly decreased following incubation with the alloantigen-stimulated supernatant (86% and 97% inhibition, respectively), demonstrating that alloantigen-stimulated anti-HIV activity occurs prior to reverse transcription. Figure panel C shows that the alloantigen-stimulated supernatant used in these experiments had a strong inhibitory effect on HIV-1 replication (93% inhibition), measured by p24 antigen production. These data suggest that the antiviral activity mediated by alloantigen-stimulated supernatants is distinct from the antiviral activity produced by CD8 antiviral factors (CAF), since CAF does not affect the levels of early or late reverse transcripts.5


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Alloantigen-stimulated anti-HIV activity occurs prior to reverse transcription (panels A, B, and C) and is generated in the absence of an intact CD28/B7 costimulatory pathway (panels D, E, and F). PHA blasts were infected with HIV-1BZ167 (172 TCID50/105 cells) and cultured in the absence (control) or presence of an HIV-suppressive supernatant derived from an alloantigen-stimulated cell line (Allo).3 Levels of LTR-gag (A) and LTR U3/R HIV-1 reverse transcripts (B) in HIV-1BZ167-infected PHA blasts were determined by quantitative, real-time DNA PCR.7,8 Results in panels A and B represent means (number of copies/50 000 ± 10 000 cells) ± standard deviation of 2 independent experiments. HIV-1 p24 antigen production by HIV-1BZ167-infected PHA blasts (C) was determined by ELISA. Alloantigen-stimulated supernatants from cultures performed in the absence (-) or presence of CTLA4Ig fusion protein (5 µg/mL) added at the beginning of 7-day cultures7 were assayed for effect on HIV-1BZ167 replication in T-cell blasts (D) and IL-2 production (E) measured by ELISA. Alloantigen-specific proliferation (F) was measured 7 days after primary stimulation. Results are expressed as mean ± SEM of 3 (D), 5 (E), and 6 (F) independent experiments.

beta -Chemokines, CAF, and other unidentified soluble factors, released either by alloantigen-stimulated cell lines or by primary alloantigenic-stimulated peripheral blood mononuclear cells (PBMC) from healthy HIV-uninfected individuals immunized in vivo with allogeneic PBMC have been reported to inhibit HIV-1 infection.2,3,6 To determine whether leukocytes from HIV-infected individuals have the potential to generate anti-HIV activity after primary alloantigenic stimulation, we analyzed the effect of supernatants obtained from alloantigen-stimulated PBMC of HIV-infected patients on HIV-1 replication. The supernatants from the patients' alloantigen-stimulated cultures inhibited HIV-1BZ167 and HIV-1Ba-L replication in T-cell blasts to an extent similar to that by supernatants of alloantigen-stimulated PBMC from healthy individuals (Table). Furthermore, the fraction of individuals whose culture supernatants inhibited viral replication greater than 50% was similar in patient and control cultures. Alloantigen-stimulated supernatants from an HIV-infected individual and healthy control also inhibited HIV-1Ba-L infection in monocyte-derived macrophages (94% and 64% inhibition of HIV-1 replication). These results demonstrate that alloantigen-mediated anti-HIV activity acts both in infected T cells and macrophages. Patient and control alloantigen-stimulated cultures generated similar amounts of RANTES but undetectable amounts of IFN-alpha . Although these control cultures produced more IL-2, IFN-gamma , and IL-10 than the patient cultures, the differences in cytokine production were not statistically significant (p > .05, Student's t test). Furthermore, there was no correlation between the levels of these cytokines and the inhibitory effect on viral replication (r < 0.5). No significant correlation was observed between patients' CD4 T-cell counts (range 195-787 cells/µL) and ability of the patients' leukocytes to generate alloantigen-stimulated HIV-suppressive activity.

                              
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Inhibition of HIV-1 replication by alloantigen-stimulated supernatants derived from PBMC cultures of healthy blood bank donors and HIV-1- infected individuals

The role of costimulatory requirements in alloantigen-mediated anti-HIV activity has not been previously addressed. Here we demonstrate that generation of primary alloantigen-stimulated anti-HIV activity is not affected by inhibition of CD28/B7 interaction using the CTLA4Ig fusion protein (Figure, panel D), under conditions in which alloantigen-specific IL-2 production (Figure, panel E) and proliferation (Figure, panel F) are significantly inhibited (p < .05).7 These findings suggest that an intact CD28/B7 costimulatory pathway is not essential for the induction of alloantigen-stimulated HIV-suppressive activity and could explain the generation of this activity by alloantigen-stimulated cells from HIV-infected patients, which have been reported to exhibit immune costimulatory defects.8,9

These findings contribute to characterization of the molecular mechanisms and costimulatory requirements for alloantigen-stimulated anti-HIV activity that might be important for the development and application of immune-based strategies against HIV.

Ligia A. Pinto
Vesna Blazevic
Gene M. Shearer
Experimental Immunology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD

Bruce K. Patterson
Laboratory of Viral Pathogenesis, Children's Memorial Hospital, Northwestern University Medical School Chicago, IL

Matthew J. Dolan
Infectious Disease Service, Wilford Hall USAF Medical Center, Lackland AFB, TX
The views expressed herein are those of the authors and do not reflect the official policy of the Department of Defense or other departments of the US government.


    References

1. Shearer GM, Pinto LA, Clerici M. Alloimmunization for immune-based therapy and vaccine design against HIV/AIDS. Immunol Today. 1999;20:66-71[Medline] [Order article via Infotrieve].

2. Wang Y, Tao L, Mitchell E, et al. Allo-immunization elicits CD8+ T-cell-derived chemokines, HIV suppressor factors, and resistance to HIV infection in women. Nat Med. 1999;5:1004-1009[Medline] [Order article via Infotrieve].

3. Pinto LA, Sharpe S, Cohen DI, Shearer GM. Alloantigen-stimulated anti-HIV activity. Blood. 1998;92:3346-3354[Abstract/Free Full Text].

4. Tang S, Patterson B, Levy JA. Highly purified quiescent human peripheral blood CD4+ T cells are infectible by human immunodeficiency virus but do not release virus after activation. J VIrol. 1995;69:5659-5665[Abstract].

5. Barker E, Bossart KN, Locher CP, Patterson BK, Levy JA. CD8+ cells from asymptomatic human immunodeficiency virus-infected individuals suppress superinfection of their peripheral blood mononuclear cells. J Gen Virol. 1996;77:2953-2962[Abstract/Free Full Text].

6. Bruhl P, Kerschbaum A, Zimmermann K, Eibl MM, Mannhalter JW. Allostimulated lymphocytes inhibit replication of HIV type 1. AIDS Res Hum Retroviruses. 1996;12:31-37[Medline] [Order article via Infotrieve].

7. Tan P, Anasetti C, Hansen JA, et al. Induction of alloantigen-specific hyporesponsiveness in human T lymphocytes by blocking interaction of CD28 with its natural ligand B7/BB1. J Exp Med. 1993;177:165-173[Abstract/Free Full Text].

8. Borthwick NJ, Bofill M, Gombert WM, et al. Lymphocyte activation in HIV-1 infection. II. Functional defects of CD28-T cells. Aids. 1994;8:431-441[Medline] [Order article via Infotrieve].

9. Kumar A, Angel JB, Aucoin S, et al. Dysregulation of B7.2 (CD86) expression on monocytes of HIV-infected individuals is associated with altered production of IL-2. Clin Exp Immunol. 1999;117:84-91[Medline] [Order article via Infotrieve].
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