HIV rebound after discontinuation of antiretroviral therapy increases and expands HIV-specific CD8+ responses but has no impact on its functionality

AIDS Res Hum Retroviruses. 2008 Sep;24(9):1197-201. doi: 10.1089/aid.2008.0088.

Abstract

A higher functionality of CD8(+) T cells might contribute to low-level HIV replication in long-term nonprogressors (LTNPs). However, the contrary could also be true, being the function of CD8(+) T cells modulated by HIV replication. We tested whether enhanced HIV replication following antiretroviral therapy interruption could modify the functional profile of HIV-specific CD8(+) responses. Production of MIP-1beta, IL-2, TNF-alpha, and CD107 expression by CD8(+) T cells in response to Gag and Nef optimal peptide pools was analyzed using polychromatic flow cytometry in nine HIV-infected individuals followed for 12 months after discontinuation of antiretroviral therapy. At baseline, CD8(+) T cell subsets with the greatest contribution to response were MIP-beta(+)TNF-alpha(-)IL-2(-)CD107(+) and MIP-beta(+)TNF-alpha(-)IL-2(-)CD107. Most responses were mediated by subsets expressing only one or two molecules. After 12 months of discontinuing antiretroviral therapy, no significant differences were observed in the functional profile of Gag- and Nef-specific CD8(+) responses. However, viral rebound induced a significant increase in the heterogeneity of Gag-specific CD8(+) responses. In summary, viral replication following discontinuation of antiretroviral therapy has no significant impact on qualitative aspects of HIV-specific CD8(+) responses. Thus, a higher functionality of CD8(+) responses does not seem to be the consequence of low-level virus replication.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antiretroviral Therapy, Highly Active*
  • CD8-Positive T-Lymphocytes / immunology*
  • Chemokine CCL4 / biosynthesis
  • Flow Cytometry
  • HIV Infections / drug therapy*
  • HIV Infections / immunology*
  • Humans
  • Interleukin-2 / biosynthesis
  • Longitudinal Studies
  • Lysosomal-Associated Membrane Protein 1 / biosynthesis
  • Lysosomal-Associated Membrane Protein 2 / biosynthesis
  • Tumor Necrosis Factor-alpha / biosynthesis
  • Viral Load
  • gag Gene Products, Human Immunodeficiency Virus / immunology
  • nef Gene Products, Human Immunodeficiency Virus / immunology

Substances

  • CCL4 protein, human
  • Chemokine CCL4
  • Interleukin-2
  • Lysosomal-Associated Membrane Protein 1
  • Lysosomal-Associated Membrane Protein 2
  • Tumor Necrosis Factor-alpha
  • gag Gene Products, Human Immunodeficiency Virus
  • nef Gene Products, Human Immunodeficiency Virus