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Blood, 15 November 2005, Vol. 106, No. 10, pp. 3524-3531.
Prepublished online as a Blood First Edition Paper on July 26, 2005; DOI 10.1182/blood-2005-03-1243.
Previous Article | Next Article 
Submitted March 28, 2005
Accepted July 18, 2005
CD4+ T cell death induced by infectious and noninfectious HIV-1: role of type I interferon-dependent, TRAIL/DR5-mediated apoptosis
Jean-Philippe Herbeuval, Jean-Charles Grivel, Adriano Boasso, Andrew W Hardy, Claire Chougnet, Matthew J Dolan, Hideo Yagita, Jeffrey D Lifson, and Gene M Shearer*
Experimental Immunology Branch, NCI, NIH, Bethesda, MD, USA
Laboratory of Cellular and Molecular Biophysics, NICHHD, NIH, Bethesda, MD, USA
Division of Molecular Immunology, Children's Hospital Research Foundation, Cincinnati, OH, USA
Infectious Diseases Service, Wilford Hall Medical Center, Lackland, TX, USA
Department of Immunology, Juntendo University School of Medicine, Tokyo, Japan
AIDS Vaccine Program, SAIC Frederick, Inc., NCI-Frederick, Frederick, MD, USA
* Corresponding author; email: shearerg{at}mail.nih.gov.
Both direct and indirect mechanisms have been proposed to contribute to the unresolved issue of CD4+ T cell depletion that results from HIV-1 infection. We recently reported that plasma levels of TNF-Related Apoptosis-Inducing Ligand (TRAIL) are elevated in HIV-1-infected patients, and correlate with viral load. The present study investigates the expression of TRAIL death receptor 5 (DR5) in PBMC from HIV-1-infected patients and its role in CD4+ T cell death. DR5 expression was elevated and associated with the apoptotic marker Annexin V. Apoptosis was reduced in patients' CD4+ T cells when cultured with anti-DR5 antibody. CD4+ but not CD8+ T cells from uninfected donors expressed TRAIL, DR5 and activated caspase-3 when cultured with infectious or noninfectious HIV-1, resulting in preferential apoptosis of CD4+ T cells. TRAIL, caspase-3 expression and apoptosis were type I interferon-dependent. Induction of apoptosis and DR5 expression required gp120-CD4 interaction. Finally, we analyzed DR5 expression by CD4+ T cells in HAART treated patients. The decreased viral loads and increased CD4 counts of HAART-responsive patients were associated with a decrease in DR5 mRNA expression by CD4+ T lymphocytes. We propose a novel model in which a type I interferon-regulated TRAIL/DR5 mechanism induces apoptosis of HIV-1-exposed CD4+ T cells.

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