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

C Geldmacher, N Ngwenyama, A Schuetz… - Journal of Experimental …, 2010 - rupress.org
C Geldmacher, N Ngwenyama, A Schuetz, C Petrovas, K Reither, EJ Heeregrave…
Journal of Experimental Medicine, 2010rupress.org
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 …
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.
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