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Blood, 1 February 2004, Vol. 103, No. 3, pp. 973-979.
Prepublished online as a Blood First Edition Paper on October 2, 2003; DOI 10.1182/blood-2003-03-0874.

Submitted March 24, 2003
Accepted August 20, 2003
Elevated Interleukin-7 Levels are not Sufficient to Maintain T-cell Homeostasis During Simian Immunodeficiency Virus Induced Disease Progression
Alagarraju Muthukumar, Aneta Wozniakowski, Marie-Claire Gauduin, Mirko Paiardini, Harold M McClure, R Paul Johnson, Guido Silvestri, and Donald L Sodora*
Internal Medicine, The University of Texas Southwestern Medical Center, Dallas, TX, USA
New England National Primate Research Center, Harvard Medical Center, Southborough, MA, USA
Yerkes Primate Research Center, Emory University, Atlanta, GA, USA; Institute of Biochemistry, University of Urbino, Italy
Yerkes Primate Research Center, Emory University, Atlanta, GA, USA
* Corresponding author; email: Donald.Sodora{at}UTSouthwestern.edu.
Elevated levels of interleukin (IL)-7 have been correlated with various T-cell depletion conditions including HIV infection and suggested as an indicator of HIV disease progression (AIDS and death). Here, the assessment of pathogenic simian immunodeficiency virus (SIVmac239) infection in rhesus macaques demonstrated a clear association between a significant elevation in IL-7 levels and disease progression. In five macaques that progressed to simian AIDS and death, elevated IL-7 levels were unable to restore T-cell homeostasis. In-contrast, increased IL-7 levels were followed by relatively high and stable T-cell numbers in the SIV-infected macaques with a slow progressing phenotype. Further, studies in sooty mangabeys that do not progress to simian AIDS and maintain stable T-cell numbers despite high levels of viral replication support the importance of IL-7 and T-cell homeostasis in disease progression. These data suggest that during pathogenic SIV infection with high viral replication, elevated IL-7 levels are unable to recover T-cell homeostasis thereby leading to disease progression. The utility of IL-7 as a potential immunotherapeutic to improve HIV/SIV related T-cell depletion may therefore depend on controlling the pathogenic effects of viral replication prior to the IL-7 administration.

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