Changes in gastrointestinal microbial communities influence HIV-specific CD8+ T-cell responsiveness to immune checkpoint blockade

OBJECTIVES: The aim of this study was to examine the relationship between gut microbial communities in HIV-infected individuals on suppressive antiretroviral therapy (cART), and the peripheral HIV-Gag-specific CD8 T-cell responses before and after ex-vivo immune checkpoint blockade (ICB).

DESIGN: Thirty-four HIV-seropositive, 10 HIV-seronegative and 12 HIV-seropositive receiving faecal microbiota transplant (FMT) participants were included. Gut microbial communities, peripheral and gut associated negative checkpoint receptors (NCRs) and peripheral effector functions were assessed.

METHODS: Bacterial 16s rRNA sequencing for gut microbiome study and flow-based assays for peripheral and gut NCR and their cognate ligand expression, including peripheral HIV-Gag-specific CD8 T-cell responses before and after ex-vivo anti-PD-L1 and anti-TIGIT ICB were performed.

RESULTS: Fusobacteria abundance was significantly higher in HIV-infected donors compared to uninfected controls. In HIV-infected participants receiving Fusobacteria-free FMT, Fusobacteria persisted up to 24 weeks in stool post FMT. PD-1 TIGIT and their ligands were expanded in mucosal vs. peripheral T cells and dendritic cells, respectively. PD-L1 and TIGIT blockade significantly increased the magnitude of peripheral anti-HIV-Gag-specific CD8 T-cell responses. Higher gut Fusobacteria abundance was associated with lower magnitude of peripheral IFN-γ+ HIV-Gag-specific CD8 T-cell responses following ICB.

CONCLUSION: The gut colonization of Fusobacteria in HIV infection is persistent and may influence anti-HIV T-cell immunity to PD-1 or TIGIT blockade. Strategies modulating Fusobacteria colonization may elicit a favourable mucosal immune landscape to enhance the efficacy of ICB for HIV cure.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:34

Enthalten in:

AIDS (London, England) - 34(2020), 10 vom: 01. Aug., Seite 1451-1460

Sprache:

Englisch

Beteiligte Personen:

SahBandar, Ivo N [VerfasserIn]
Chew, Glen M [VerfasserIn]
Corley, Michael J [VerfasserIn]
Pang, Alina P S [VerfasserIn]
Tsai, Naoky [VerfasserIn]
Hanks, Nancy [VerfasserIn]
Khadka, Vedbar S [VerfasserIn]
Klatt, Nichole R [VerfasserIn]
Hensley-McBain, Tiffany [VerfasserIn]
Somsouk, Ma [VerfasserIn]
Vujkovic-Cvijin, Ivan [VerfasserIn]
Chow, Dominic C [VerfasserIn]
Shikuma, Cecilia M [VerfasserIn]
Ndhlovu, Lishomwa C [VerfasserIn]

Links:

Volltext

Themen:

Anti-HIV Agents
Immune Checkpoint Inhibitors
Journal Article
RNA, Ribosomal, 16S
Research Support, N.I.H., Extramural

Anmerkungen:

Date Completed 18.02.2021

Date Revised 29.03.2024

published: Print

Citation Status MEDLINE

doi:

10.1097/QAD.0000000000002557

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM312519516