Identification of CD8+ T cell subsets that normalize in early-treated people living with HIV receiving antiretroviral therapy

© 2022. The Author(s)..

BACKGROUND: Although combined antiretroviral therapy (cART) has decreased the mortality associated with HIV infection, complete immune reconstitution is not achieved despite viral suppression. Alterations of CD8+ T cells and some of their subpopulations, such as interleukin (IL)-17-producing cells, are evidenced in treated individuals and are associated with systemic inflammation and adverse disease outcomes. We sought to evaluate if different CD8+ T cell subsets are differentially normalized during a clinical follow-up of people living with HIV (PLWH) receiving suppressive cART.

METHODS: We explored the changes in the frequencies, activation/exhaustion phenotypes (HLA-DR, CD38, PD-1, and TIM-3), and function (total and HIV-specific cells expressing CD107a, perforin, granzyme B, interferon [IFN]-γ and IL-17) of CD8+ T cells from early-treated PLWH receiving cART in a 1-year follow-up, using a multidimensional flow cytometry approach.

RESULTS: Despite continuous cART-induced viral suppression and recovery of CD4+ T cells, after a 1-year follow-up, the CD8+ T cell counts, CD4:CD8 ratio, PD-1 expression, and IL-17 production by CD8+ T cells exhibited incomplete normalization compared with seronegative controls. However, the proportion of CD8+ T cells with an exhausted phenotype (co-expressing PD-1 andTIM-3), and cells co-expressing cytotoxic molecules (Perforin and Granzyme B), reached normalization.

CONCLUSIONS: Although suppressive cART achieves normalization of CD4+ T cell counts, only particular subsets of CD8+ T cells are more rapidly normalized in PLWH receiving cART, which could be routinely used as biomarkers for therapy efficiency in these patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

AIDS research and therapy - 19(2022), 1 vom: 14. Sept., Seite 42

Sprache:

Englisch

Beteiligte Personen:

Perdomo-Celis, Federico [VerfasserIn]
Arcia-Anaya, David [VerfasserIn]
Alzate, Juan Carlos [VerfasserIn]
Velilla, Paula A [VerfasserIn]
Díaz, Francisco J [VerfasserIn]
Posada, Maria Paulina [VerfasserIn]
Rugeles, María T [VerfasserIn]
Taborda, Natalia A [VerfasserIn]

Links:

Volltext

Themen:

126465-35-8
Antiretroviral therapy
CD8-positive T-lymphocytes
EC 3.4.21.-
Granzymes
HIV
Immune reconstitution
Interleukin-17
Journal Article
Perforin
Programmed Cell Death 1 Receptor
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 16.09.2022

Date Revised 10.12.2022

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12981-022-00465-0

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM346215145