T-cell-mediated immunopathology versus direct cytolysis by virus: implications for HIV and AIDS

Immunol Today. 1994 Jun;15(6):262-8. doi: 10.1016/0167-5699(94)90005-1.

Abstract

It has been much debated as to whether CD4+ T-cell depletion and the pathogenesis of AIDS is the result of direct cytolytic effects of human immunodeficiency virus (HIV), T-cell apoptosis by nonspecific activation, dysregulation of cytokine production, or autoimmunity. In this context, Rolf Zinkernagel and Hans Hengartner discuss data from model infections with non-cytopathic viruses. They suggest that HIV may cause immunosuppression, not by direct cytolytic effects, but rather by a conventional virus-specific cytotoxic T-cell-mediated immunopathology.

Publication types

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

MeSH terms

  • Acquired Immunodeficiency Syndrome / immunology*
  • Apoptosis / immunology
  • Autoimmunity
  • CD4-Positive T-Lymphocytes / immunology*
  • CD4-Positive T-Lymphocytes / pathology
  • HIV / immunology*
  • HIV Infections / immunology*
  • Humans
  • Lymphocyte Depletion
  • T-Lymphocytes, Cytotoxic / immunology
  • T-Lymphocytes, Regulatory / immunology