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Blood, Vol. 93 No. 3 (February 1), 1999: pp. 1011-1019

Normal T-Cell Telomerase Activity and Upregulation in Human Immunodeficiency Virus-1 Infection

Katja C. Wolthers, Sigrid A. Otto, G. Bea A. Wisman, Sylvain Fleury, Peter Reiss, Reinier W. ten Kate, Ate G.J. van der Zee, and Frank Miedema

From the Department of Clinical Viro-Immunology, CLB, Sanquin Blood Supply Foundation, Amsterdam; the Laboratory for Experimental and Clinical Immunology and the Department of Human Retrovirology, Academic Medical Centre, University of Amsterdam, Amsterdam; the Department of Gynaecology and Obstetrics, Academic Hospital Groningen, University of Groningen, Groningen; the National AIDS Therapy Evaluation Centre, Academic Medical Centre, University of Amsterdam, Amsterdam; the Department of Internal Medicine, Kennemer Gasthuis, Haarlem, The Netherlands; and the Laboratorie d'Immunopathologie du SIDA, Division des maladies infectieuses, Department de medecine interne, Hopital de Beaumont, Lausanne, Switzerland.

In human immunodeficiency virus (HIV)-1 infection, decrease of telomere length is mainly found in CD8+ T cells and not in CD4+ T cells. Telomerase, a ribonucleoprotein enzyme that can synthesize telomeric sequence onto chromosomal ends, can compensate for telomere loss. Here, we investigated if telomerase activity could explain differential telomere loss of CD4+ and CD8+ T cells in HIV-1 infection. Telomerase activity was higher in CD8+ than in CD4+ T cells from HIV-infected patients, but still in the same range as in healthy controls, and upregulation after stimulation was comparable to normal. Telomerase activity in lymph node CD4+ and CD8+ T cells from HIV-infected patients was in the same range as that in CD4+ and CD8+ T cells from peripheral blood (PB) and was normal in unseparated bone marrow cells. Thus, our study did not provide evidence for compartmentalized elongation of telomeres in HIV infection. In patients treated with reverse transcriptase inhibitors, telomerase activity was inhibited, but this did not lead to accelerated loss of telomere length in vivo. Thus, differential telomere loss in CD4+ and CD8+ T cells in HIV-1 infection cannot be explained by telomerase activity.


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