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Blood, 1 June 2007, Vol. 109, No. 11, pp. 4671-4678.
Prepublished online as a Blood First Edition Paper on February 1, 2007; DOI 10.1182/blood-2006-09-044826.
Previous Article | Next Article 
Submitted September 1, 2006
Accepted January 29, 2007
PD-1 upregulation is correlated with HIV-specific memory CD8+ T-cell exhaustion in typical progressors, but not in long-term non-progressors
Ji-Yuan Zhang, Zheng Zhang, Xicheng Wang, Jun-Liang Fu, Jinxia Yao, Yanmei Jiao, Liangen Chen, Hui Zhang, Jianan Wei, Lei Jin, Ming Shi, George Fu Gao, Hao Wu, and Fu-Sheng Wang*
Institute of Microbiology, Chinese Academy of Sciences (CAS), Beijing, China
Research Center of Biological Therapy, Beijing, China
Department of Infectious Diseases, Beijing You-An Hospital Affiliated to Capital University of Medical Science, Beijing, China
HIV/AIDS Research Center, Beijing Guang-An-Men Hospital, Beijing, China
* Corresponding author; email: fswang{at}public.bta.net.cn.
The immunoreceptor PD-1 is significantly upregulated on exhausted CD8+ T cells during chronic viral infections like HIV-1. However, it remains unknown whether PD-1 expression on CD8+ T cells differs between typical progressors (TP) and long-term non-progressors (LTNP). In this report, we examined PD-1 expression on HIV-specific CD8+ T cells from 63 adults with chronic HIV infection. We found that LTNP exhibited functional HIV-specific memory CD8+ T cells with markedly lower PD-1 expression. TP, in contrast, showed significantly up-regulated PD-1 expression that was closely correlated with a reduction in CD4 T-cell number and an elevation in plasma viral load. Importantly, PD-1 upregulation was also associated with reduced perforin and IFN- production, as well as decreased HIV-specific effector memory CD8+ T-cell proliferation in TP but not LTNP individuals. Blocking PD-1/PD-L1 interactions efficiently restored HIV-specific CD8+ T-cell effector function and proliferation. Taken together, these findings confirm the hypothesis that high PD-1 upregulation mediates HIV-specific CD8+ T-cell exhaustion. Blocking PD-1/PD-L1 pathway may represent a new therapeutic option for this disease, and provide more insight into immune pathogenesis in LTNP individuals.

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