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Blood, 1 April 2004, Vol. 103, No. 7, pp. 2699-2704.
Prepublished online as a Blood First Edition Paper on December 18, 2003; DOI 10.1182/blood-2003-06-1913.

Submitted June 18, 2003
Accepted November 21, 2003
Mature dendritic cells can enhance CD8+ cell noncytotoxic anti-HIV responses: the role of IL-15
JoAnn Castelli, Elaine K Thomas, Michel Gilliet, Yong-Jun Liu, and Jay A Levy*
Department of Medicine, University of California, San Francisco, San Francisco, CA, USA
DNAX Corp., Palo Alto, CA, USA
Immunex Corp., Seattle, WA, USA
* Corresponding author; email: jalevy{at}itsa.ucsf.edu.
The CD8+ cell noncytotoxic anti-HIV response (CNAR) is associated with a long-term healthy clinical state in HIV-infected individuals. Over time CNAR is reduced concomitant with progression to disease. In studies to evaluate whether the interaction between CD8+ cells and dendritic cells (DC) could increase CNAR, CD8+ cells from individuals who showed a decrease in this antiviral activity were co-cultured with monocyte-derived dendritic cells matured with CD40 ligand. After coculture with these mature DC, the CD8+ cells showed an increase in CNAR greater than that observed with CD8+ cells costimulated with CD3/CD28 antibodies. This antiviral response appeared to be mediated primarily by production of IL-15 by the mature DC. Purified IL-15 also enhanced CNAR, whereas IL-12 showed no substantial effect. These studies provide another potential approach by which the immune system in HIV infection could be restored by cytokine therapy, particularly IL-15 administration.

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