Does HIV cause depletion of CD4+ T cells in vivo by the induction of
apoptosis?
Jaworowski A, Crowe SM.
AIDS Pathogenesis Research Unit, Macfarlane Burnet Centre for Medical
Research, National Centre for HIV Virology Research, Fairfield, Victoria,
Australia. anthonyj@burnet.edu.au
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:
* Review
* Review, Academic
PMID: 10101690 [PubMed - indexed for MEDLINE]
Yes here is a recent abstract on the subject;
AIDS Res Hum Retroviruses. 2004 Feb;20(2):175-82.
HIV type 1-infected dendritic cells induce apoptotic death in infected and
uninfected primary CD4 T lymphocytes.
Lichtner M, Maranon C, Vidalain PO, Azocar O, Hanau D, Lebon P, Burgard M,
Rouzioux C, Vullo V, Yagita H, Rabourdin-Combe C, Servet C, Hosmalin A.
Antigen Presentation by Dendritic Cell Group, Departement d'Immunologie,
Institut Cochin, INSERM U567, UMR CNRS 8104, IFR 116 Paris V University,
Paris, France.
In addition to their essential role in adaptive immunity, dendritic cells
(DCs) participate in innate immunity. In the context of measles virus (MV)
or cytomegalovirus infections, they develop cytotoxic functions that may
contribute in vivo to the elimination of virus-infected cells, but that also
kill infected and noninfected T lymphocytes. Because the human
immunodeficiency virus (HIV) induces T cell depletion through mechanisms
that are still obscure, we investigated its ability to trigger DC
cytotoxicity. When incubated with HIV, monocyte-derived DCs induced
apoptosis in MDA-231 cells, which are sensitive to MV-induced DC
cytotoxicity, and in uninfected as well as HIV-infected H9 CD4+ T cell
lines. This apoptosis was inhibited by a mixture of FasL, TRAIL, TNF-alpha,
and TWEAK inhibitors. Indeed, HIV infection induced or enhanced sensitivity
to TRAIL, TNF-alpha, and TWEAK in H9 cells. Moreover, dendritic cells
incubated with HIV-1 BAL or a wildtype HIV-1 isolate induced apoptosis in
autologous primary CD4+ T lymphocytes, infected or not with a wild-type
HIV-1 isolate. Therefore, induction of DC cytotoxicity by HIV may be
relevant to in vivo HIV infection. Induction of cytotoxicity in DCs by HIV
might contribute to HIV-associated T cell depletion through induction of
apoptosis, especially in the early stages of infection. It may also
contribute to elimination of infected cells in vivo, thereby enhancing
cross-presentation of HIV by DCs. Therefore this new cytotoxic function of
DCs may play an important role in innate and adaptive immunity during HIV
infection.
PMID: 15018705 [PubMed - in process]
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