Preferential infection and depletion of Mycobacterium tuberculosis-specific CD4 T cells after HIV-1 infection

J Exp Med. 2010 Dec 20;207(13):2869-81. doi: 10.1084/jem.20100090. Epub 2010 Nov 29.

Abstract

HIV-1 infection results in the progressive loss of CD4 T cells. In this study, we address how different pathogen-specific CD4 T cells are affected by HIV infection and the cellular parameters involved. We found striking differences in the depletion rates between CD4 T cells to two common opportunistic pathogens, cytomegalovirus (CMV) and Mycobacterium tuberculosis (MTB). CMV-specific CD4 T cells persisted after HIV infection, whereas MTB-specific CD4 T cells were depleted rapidly. CMV-specific CD4 T cells expressed a mature phenotype and produced very little IL-2, but large amounts of MIP-1β. In contrast, MTB-specific CD4 T cells were less mature, and most produced IL-2 but not MIP-1β. Staphylococcal enterotoxin B-stimulated IL-2-producing cells were more susceptible to HIV infection in vitro than MIP-1β-producing cells. Moreover, IL-2 production was associated with expression of CD25, and neutralization of IL-2 completely abrogated productive HIV infection in vitro. HIV DNA was found to be most abundant in IL-2-producing cells, and least abundant in MIP-1β-producing MTB-specific CD4 T cells from HIV-infected subjects with active tuberculosis. These data support the hypothesis that differences in function affect the susceptibility of pathogen-specific CD4 T cells to HIV infection and depletion in vivo, providing a potential mechanism to explain the rapid loss of MTB-specific CD4 T cells after HIV infection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • CD4 Lymphocyte Count
  • CD4-Positive T-Lymphocytes / immunology*
  • CD4-Positive T-Lymphocytes / metabolism
  • Chemokine CCL4 / metabolism
  • Cytomegalovirus / immunology
  • Cytomegalovirus / isolation & purification
  • Cytomegalovirus Infections / complications
  • Cytomegalovirus Infections / immunology
  • Flow Cytometry
  • Gene Dosage
  • HIV Infections / complications
  • HIV Infections / immunology*
  • HIV-1 / genetics
  • HIV-1 / immunology*
  • HIV-1 / isolation & purification
  • Humans
  • Immunophenotyping
  • Interferon-gamma / metabolism
  • Interleukin-2 / metabolism
  • Leukocyte Common Antigens / metabolism
  • Mycobacterium tuberculosis / immunology*
  • Mycobacterium tuberculosis / isolation & purification
  • Opportunistic Infections / complications
  • Opportunistic Infections / immunology
  • Tuberculosis / complications
  • Tuberculosis / immunology*
  • Tumor Necrosis Factor Receptor Superfamily, Member 7 / metabolism
  • gag Gene Products, Human Immunodeficiency Virus / genetics

Substances

  • Chemokine CCL4
  • Interleukin-2
  • Tumor Necrosis Factor Receptor Superfamily, Member 7
  • gag Gene Products, Human Immunodeficiency Virus
  • Interferon-gamma
  • Leukocyte Common Antigens