Desensitization to type I interferon in HIV-1 infection correlates with markers of immune activation and disease progression

Type I interferon (IFNα/β) plays a complex role in HIV-1 infection and has been proposed alternately to have roles in either disease protection or progression. Although IFNα/β plays crucial roles in regulating monocytes and dendritic cells, responsiveness of these cells to IFNα/β in HIV-1 infection...

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Veröffentlicht in:Blood 2009-05, Vol.113 (22), p.5497-5505
Hauptverfasser: Hardy, Gareth A.D., Sieg, Scott F., Rodriguez, Benigno, Jiang, Wei, Asaad, Robert, Lederman, Michael M., Harding, Clifford V.
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container_end_page 5505
container_issue 22
container_start_page 5497
container_title Blood
container_volume 113
creator Hardy, Gareth A.D.
Sieg, Scott F.
Rodriguez, Benigno
Jiang, Wei
Asaad, Robert
Lederman, Michael M.
Harding, Clifford V.
description Type I interferon (IFNα/β) plays a complex role in HIV-1 infection and has been proposed alternately to have roles in either disease protection or progression. Although IFNα/β plays crucial roles in regulating monocytes and dendritic cells, responsiveness of these cells to IFNα/β in HIV-1 infection is poorly understood. We report significant defects in IFNα/β receptor (IFNα/βR) expression, IFNα signaling, and IFNα-induced gene expression in monocytes from HIV-1–infected subjects. IFNα/βR expression correlated directly with CD4+ T-cell count and inversely with HIV-1 RNA level and expression of CD38 by memory (CD45RO+) CD8+ T cells, a measure of pathologic immune activation in HIV-1 infection associated with disease progression. In addition, monocytes from HIV-1–infected persons showed diminished responses to IFNα, including decreased induction of phosphorylated STAT1 and the classical interferon-stimulated gene produces MxA and OAS. These IFNα responses were decreased regardless of IFNα/βR expression, suggesting that regulation of intracellular signaling may contribute to unresponsiveness to IFNα/β in HIV-1 disease. Defective monocyte responses to IFNα/β may play an important role in the pathogenesis of HIV-1 infection, and decreased IFNα/βR expression may serve as a novel marker of disease progression.
doi_str_mv 10.1182/blood-2008-11-190231
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Although IFNα/β plays crucial roles in regulating monocytes and dendritic cells, responsiveness of these cells to IFNα/β in HIV-1 infection is poorly understood. We report significant defects in IFNα/β receptor (IFNα/βR) expression, IFNα signaling, and IFNα-induced gene expression in monocytes from HIV-1–infected subjects. IFNα/βR expression correlated directly with CD4+ T-cell count and inversely with HIV-1 RNA level and expression of CD38 by memory (CD45RO+) CD8+ T cells, a measure of pathologic immune activation in HIV-1 infection associated with disease progression. In addition, monocytes from HIV-1–infected persons showed diminished responses to IFNα, including decreased induction of phosphorylated STAT1 and the classical interferon-stimulated gene produces MxA and OAS. These IFNα responses were decreased regardless of IFNα/βR expression, suggesting that regulation of intracellular signaling may contribute to unresponsiveness to IFNα/β in HIV-1 disease. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adult
Antiviral Agents - therapeutic use
Biological and medical sciences
Biomarkers - blood
Case-Control Studies
Cross-Sectional Studies
Disease Progression
Drug Resistance, Viral - immunology
Female
Hematologic and hematopoietic diseases
HIV Infections - blood
HIV Infections - drug therapy
HIV Infections - immunology
HIV-1 - immunology
Human viral diseases
Humans
Immunity, Active - drug effects
Immunobiology
Infectious diseases
Interferon Type I - therapeutic use
Male
Medical sciences
Middle Aged
Monocytes - metabolism
Monocytes - pathology
Receptors, Interferon - metabolism
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
title Desensitization to type I interferon in HIV-1 infection correlates with markers of immune activation and disease progression
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