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Prepublished online as a Blood First Edition Paper on October 31, 2002; DOI 10.1182/blood-2002-07-2297.

Submitted July 31, 2002
Accepted October 20, 2002
IL-7 therapy dramatically alters peripheral T-cell homeostasis in normal and SIV-infected non-human primates
Terry J Fry*, Marcin Moniuszko, Stephen Creekmore, Susan J Donohue, Daniel C Douek, Steven Giardina, Toby T Hecht, Brenna J Hill, Kristen Komschlies, Joseph Tomaszewski, Genoveffa Franchini, and Crystal L Mackall
Pediatric Oncology Branch, Center for Cancer Research, Bethesda, MD, USA
Animal Model and Retrovirus Vaccine Section, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
Biological Resources Branch, National Cancer Institute, National Institutes of Health, Frederick, MD, USA
Toxicology and Pharmacology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
Vaccine Research Program, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA
Biopharmaceutical Development Program, Science Applications International Corp. Frederick, National Cancer Institute, National Institutes of Health, Frederick, MD, USA
Intramural Research Support Program, National Cancer Institute, National Institutes of Health, Frederick, MD, USA
* Corresponding author; email: tf60y{at}nih.gov.
Interleukin 7 is important for thymopoiesis in mice and humans since IL-7R mutations result in a severe combined immunodeficiency phenotype with severe thymic hypoplasia. Recent evidence has indicated that IL-7 also plays an important role as a regulator of T cell homeostasis. Here we report the immunologic effects of rhIL-7 therapy in normal and SIV infected non-human primates. Cynomolgus monkeys receiving 10 days of rhIL-7 showed substantial, reversible increases in T cell numbers involving a dramatic expansion of both naive and non-naive phenotype CD4+ and CD8+ subsets. Although IL-7 is known to have thymopoietic effects in mice, we observed marked declines in the frequency and absolute number of TREC+ cells in the peripheral blood, and dramatic increases in the percentage of cycling T cells in the peripheral blood as measured by Ki-67 expression (baseline <5% to approximately 50% after 6 days of therapy) and ex vivo BrDU incorporation. Similarly, moderately CD4 depleted SIV infected macaques treated with rhIL-7 also had significant increases in peripheral blood CD4+ and CD8+ T cells following rhIL-7 therapy. Thus, rhIL7 induces dramatic alterations in peripheral T cell homeostasis in both T cell replete and T cell depleted non-human primates. These results further implicate IL-7 as a promising immunorestorative agent but illustrate that a major component of its immunorestorative capacity reflects effects on mature cells. These results also raise the possibility that IL-7 therapy could be used to temporarily modulate T cell cycling in vivo in the context of immunotherapies such as vaccination.

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