Does HIV cause depletion of CD4+ T cells in vivo by the induction of apoptosis?

Immunol Cell Biol. 1999 Feb;77(1):90-8. doi: 10.1046/j.1440-1711.1999.00798.x.

Abstract

The central pathogenic feature of AIDS is the dramatic loss of CD4+ lymphocytes. Despite more than a decade of intense research, the exact mechanism by which HIV causes this is still not understood. A major model for T cell depletion, proposed originally by Ameison and Capron in a report published in 1991, is that HIV sensitizes CD4+ T cells for activation-induced apoptosis. The apoptotic model of T cell depletion is discussed, and experiments that address the questions of whether apoptosis is restricted to infected cells or 'bystander' T cells, and whether T cell apoptosis requires participation of separate HIV-infected haematopoietic cell populations, are reviewed.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Apoptosis / immunology*
  • CD4 Lymphocyte Count
  • CD4-Positive T-Lymphocytes / immunology*
  • CD4-Positive T-Lymphocytes / pathology*
  • Cells, Cultured
  • Fas Ligand Protein
  • HIV / immunology
  • HIV / pathogenicity*
  • HIV Infections / immunology
  • HIV Infections / pathology
  • Humans
  • Lymphopenia / etiology
  • Lymphopenia / immunology
  • Lymphopenia / pathology
  • Macrophages / immunology
  • Membrane Glycoproteins / metabolism
  • Monocytes / immunology
  • fas Receptor / metabolism

Substances

  • FASLG protein, human
  • Fas Ligand Protein
  • Membrane Glycoproteins
  • fas Receptor