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Blood, 1 April 2002, Vol. 99, No. 7, pp. 2505-2511
IMMUNOBIOLOGY
Persistent numbers of tetramer+ CD8+ T
cells, but loss of interferon- + HIV-specific T cells
during progression to AIDS
Stefan Kostense,
Kristin Vandenberghe,
Jeanine Joling,
Debbie Van
Baarle,
Nening Nanlohy,
Erik Manting, and
Frank Miedema
From the Department of Clinical Viro-Immunology,
CLB/Sanquin and Landsteiner Laboratory of the Academic Medical Center,
and the Department of Human Retrovirology, Academic Medical Center,
University of Amsterdam, Amsterdam, The Netherlands.
Although CD8+ T cells initially suppress human
immunodeficiency virus (HIV) replication, cytotoxic T-cell precursor
frequencies eventually decline and fail to prevent disease progression.
In a longitudinal study including 16 individuals infected with HIV-1, we studied both the number and function of HIV-specific
CD8+ T cells by comparing HLA-peptide tetramer staining and
peptide-induced interferon- (IFN- ) production. Numbers of
IFN- -producing T cells declined during progression to acquired
immunodeficiency syndrome (AIDS), whereas the number of
tetramer+ T cells in many individuals persisted at high
frequencies. Loss of IFN- -producing T cells correlated with
declining CD4+ T-cell counts, consistent with the need of
CD4+ T-cell help in maintaining adequate CD8+
T-cell function. These data indicate that the loss of HIV-specific CD8+ T-cell activity is not due to physical depletion, but
is mainly due to progressively impaired function of HIV-specific
CD8+ T cells.

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