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Blood, 15 June 2004, Vol. 103, No. 12, pp. 4581-4587. Prepublished online as a Blood First Edition Paper on February 5, 2004; DOI 10.1182/blood-2003-12-4172.
Submitted December 8, 2003
Immunology/Microbiology, Rush University Medical Center, Chicago, IL, USA * Corresponding author; email: lalharth{at}rush.edu.
Using intracellular p24 staining to discriminate between bystander and HIV productively infected cells, we evaluated the properties of HIV productively infected cells in terms of cytokine expression, activation status, apoptosis, and cell proliferation. We demonstrate that HIV productively infected primary CD4+ T cells express 12-47-fold higher type 1 cytokines than bystander or mock infected cells. The frequency of HIV productive replication occurred predominately within Th1, followed by TH0, then by TH2 cells. These productively infected cells expressed elevated levels of CD95, CD25, CXCR4, and CCR5. While productively infected cells were only 1.8-fold higher in apoptosis frequency, they up-regulated the anti-apoptotic protein Bcl-2 by 10-fold. Up-regulation of IL-2 and Bcl-2 were dependant on phosphatidylinositol-3-kinase signal transduction, given that it was down-regulated by Worthmanin treatment. Additionally, 60% of productively infected cells entered the cell cycle, as evaluated by Ki67 staining, but none divided, as was evaluated by CFSE staining. Evaluation of cell cycle progression by co-staining for DNA and RNA indicated that the cells were arrested in G2/M. Collectively, this data indicate that HIV replication occurs predominately in Th1 cells, is associated with immune activation and up-regulation of Bcl-2, conferring a considerable degree of protection against apoptosis within the productively infected subpopulation.
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