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Blood, 15 April 2007, Vol. 109, No. 8, pp. 3351-3359.
Prepublished online as a Blood First Edition Paper on December 7, 2006; DOI 10.1182/blood-2006-07-034785.
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Submitted July 18, 2006
Accepted December 1, 2006
HIV-1 inhibits CD4+ T cell proliferation by inducing indoleamine 2,3-dioxygenase in plasmacytoid dendritic cells
Adriano Boasso*, Jean-Philippe Herbeuval, Andrew W Hardy, Stephanie A Anderson, Matthew J Dolan, Dietmar Fuchs, and Gene M Shearer
Experimental Immunology Branch, National Cancer Institute (NCI), National Institutes of Health (NIH), Bethesda, MD
Hopital Necker, Universite Paris V, Paris, France
Henry M. Jackson Foundation and Infectious Diseases Service, Wilford Hall Medical Center, Lackland Air Force Base, TX
Defense Institute for Medical Operations, Brooks City-Base, TX
Division of Biological Chemistry, Biocentre, Innsbruck Medical University and Ludwig Boltzmann Institute of AIDS-Research, Innsbruck, Austria
* Corresponding author; email: boassoa{at}mail.nih.gov.
Infection with the human immunodeficiency virus (HIV)-1 results in acute and progressive numerical loss of CD4+ T helper cells and functional impairment of T cell responses. The mechanistic basis of the functional impairment of the surviving cells is not clear. Indoleamine 2,3-dioxygenase (IDO) is an immunosuppressive enzyme that inhibits T cell proliferation by catabolizing the essential amino acid tryptophan (trp) into the kynurenine (kyn) pathway. Here we show that IDO mRNA expression is elevated in PBMC from HIV+ patients compared to uninfected healthy controls (HC), and that in vitro inhibition of IDO with the competitive blocker 1-methyl tryptophan (1-mT) results in increased CD4+ T cells proliferative response in PBMC from HIV-infected patients. We developed an in vitro model in which exposure of PBMC from HC to either infectious or noninfectious, R5- or X4-tropic HIV-1 induced IDO in plasmacytoid dendritic cells (pDC). HIV-1-induced IDO was not inhibited by blocking antibodies against interferon type I or type II which, however, induced IDO in pDC when added to PBMC cultures. Blockade of gp120/CD4 interactions with anti-CD4-Ab inhibited HIV-1-mediated IDO induction. Thus, induction of IDO in pDC by HIV-1 may contribute to the T cell functional impairment observed in HIV/AIDS by a non-interferon-dependent mechanism.

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