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Blood, 1 October 2004, Vol. 104, No. 7, pp. 2087-2094.
Prepublished online as a Blood First Edition Paper on April 29, 2004; DOI 10.1182/blood-2004-02-0696.
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Submitted February 24, 2004
Accepted April 20, 2004
Killing of human immunodeficiency virus-infected primary T-cell blasts by autologous natural killer cells is dependent on the ability of the virus to alter the expression of major histocompatibility complex class I molecules
Matthew I Bonaparte and Edward Barker*
Microbiology/Immunology, SUNY, Upstate Medical University, Syracuse, NY, USA
* Corresponding author; email: barkere{at}upstate.edu.
In the present study, we evaluated whether the capacity of HIV to modulate MHC class I molecules has an impact on the capability of autologous NK cells to kill the HIV-infected cells. Analysis of HIV-infected T-cell blasts revealed that the decrease of MHC class I molecules on the infected cell surface was selective. HLA-A and -B were decreased on cells infected with HIV strains that could decrease MHC class I molecules while HLA-C and -E remained on the surface. Blocking the interaction between HLA-C and -E and their corresponding inhibitory receptors increased NK cell killing of T-cell blasts infected with HIV strains that reduced MHC class I molecules. Moreover, we demonstrate that NK cells lacking HLA-C and -E inhibitory receptors kill T-cell blasts infected with HIV-strains that decreased MHC class I molecules. In contrast, NK cells are incapable of destroying T-cell blasts infected with strains that were unable to reduce MHC class I molecules. These findings suggest that NK cells lacking inhibitory receptors to HLA-C and -E kill HIV-infected CD4+ T-cells and indicate that the capacity of NK cells to destroy HIV-infected cells depends on the ability of the virus to modulate the MHC class I molecules.

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