Longitudinal Analysis of Distribution and Function of Plasmacytoid Dendritic Cells in Peripheral Blood and Gut Mucosa of HIV Infected Patients

Aberrant activation of plasmacytoid dendritic cells (pDCs) with excessive production of interferon alpha (IFNα) represents one of the hallmarks of immune activation during chronic phase of human immunodeficiency virus (HIV) infection. A number of studies have shown that disruption of mucosal integri...

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Veröffentlicht in:The Journal of infectious diseases 2014-03, Vol.209 (6), p.940-949
Hauptverfasser: Lehmann, Clara, Jung, Norma, Förster, Katja, Koch, Nora, Leifeld, Ludger, Fischer, Julia, Mauss, Stefan, Drebber, Uta, Steffen, Hans Michael, Romerio, Fabio, Fätkenheuer, Gerd, Hartmann, Pia
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container_issue 6
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container_title The Journal of infectious diseases
container_volume 209
creator Lehmann, Clara
Jung, Norma
Förster, Katja
Koch, Nora
Leifeld, Ludger
Fischer, Julia
Mauss, Stefan
Drebber, Uta
Steffen, Hans Michael
Romerio, Fabio
Fätkenheuer, Gerd
Hartmann, Pia
description Aberrant activation of plasmacytoid dendritic cells (pDCs) with excessive production of interferon alpha (IFNα) represents one of the hallmarks of immune activation during chronic phase of human immunodeficiency virus (HIV) infection. A number of studies have shown that disruption of mucosal integrity in the gut is a cause of persistent immune activation. However, little is known about the role that pDCs play in this process, and our current understanding comes from the simian immunodeficiency virus macaque model. Thus, in the present study we sought to investigate the frequency and function of pDCs in peripheral blood and gut samples from HIV-infected individuals before and 6 months after initiation of antiretroviral therapy (ART). We show that circulating pDCs were depleted in ART-naive HIV+ patients, and upregulated the gut-homing receptor CD103 compared with uninfected controls. By converse, pDCs accumulated in the terminal ileum of ART-naive HIV individuals compared with controls. Baseline levels of IFNα production and markers of immune activation in gut samples of ART-naive HIV subjects were elevated. All these parameters declined after 6 months of ART. Our results suggest that in chronic HIV infection, pDCs migrate from peripheral blood to the gut-associated lymphatic tissue, where they may contribute to immune activation.
doi_str_mv 10.1093/infdis/jit612
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subjects Adult
Aged
Anti-Retroviral Agents - therapeutic use
Biological and medical sciences
Biopsies
Blood
Blood plasma
CD4-Positive T-Lymphocytes - immunology
CD4-Positive T-Lymphocytes - pathology
CD8-Positive T-Lymphocytes - immunology
CD8-Positive T-Lymphocytes - pathology
Cytometry
Dendritic cells
Dendritic Cells - immunology
Dendritic Cells - pathology
Female
Fundamental and applied biological sciences. Psychology
HIV
HIV 1
HIV infections
HIV Infections - blood
HIV Infections - drug therapy
HIV Infections - immunology
HIV Infections - pathology
HIV/AIDS
Human immunodeficiency virus
Human viral diseases
Humans
Ileum - immunology
Ileum - pathology
Infectious diseases
Interferon-alpha - biosynthesis
Interferon-alpha - immunology
Intestinal Mucosa - immunology
Intestinal Mucosa - pathology
Macaca
Male
Medical sciences
Microbiology
Middle Aged
Mucosa
Prospective Studies
Simian immunodeficiency virus
T lymphocytes
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
title Longitudinal Analysis of Distribution and Function of Plasmacytoid Dendritic Cells in Peripheral Blood and Gut Mucosa of HIV Infected Patients
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