Programmed death-1 expression on CD4+ and CD8+ T cells in treated and untreated HIV disease

BACKGROUND:There is intense interest in the role of programmed death 1 (PD-1) in causing persistent T-cell dysfunction in HIV infection. However, the impact of HIV infection and antiretroviral treatment (ART) on the expression of PD-1 on T cells is still poorly defined. METHODS:PD-1 was measured lon...

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Veröffentlicht in:AIDS (London) 2014-07, Vol.28 (12), p.1749-1758
Hauptverfasser: Cockerham, Leslie R, Jain, Vivek, Sinclair, Elizabeth, Glidden, David V, Hartogenesis, Wendy, Hatano, Hiroyu, Hunt, Peter W, Martin, Jeffrey N, Pilcher, Christopher D, Sekaly, Rafick, McCune, Joseph M, Hecht, Frederick M, Deeks, Steven G
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container_end_page 1758
container_issue 12
container_start_page 1749
container_title AIDS (London)
container_volume 28
creator Cockerham, Leslie R
Jain, Vivek
Sinclair, Elizabeth
Glidden, David V
Hartogenesis, Wendy
Hatano, Hiroyu
Hunt, Peter W
Martin, Jeffrey N
Pilcher, Christopher D
Sekaly, Rafick
McCune, Joseph M
Hecht, Frederick M
Deeks, Steven G
description BACKGROUND:There is intense interest in the role of programmed death 1 (PD-1) in causing persistent T-cell dysfunction in HIV infection. However, the impact of HIV infection and antiretroviral treatment (ART) on the expression of PD-1 on T cells is still poorly defined. METHODS:PD-1 was measured longitudinally in a cohort of recently HIV-infected individuals (n = 121) who started ART early (
doi_str_mv 10.1097/QAD.0000000000000314
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However, the impact of HIV infection and antiretroviral treatment (ART) on the expression of PD-1 on T cells is still poorly defined. METHODS:PD-1 was measured longitudinally in a cohort of recently HIV-infected individuals (n = 121) who started ART early (&lt;6 months after infection) vs. later (≥2 years after infection). PD-1 was also measured cross-sectionally in a diverse cohort of chronically HIV-infected adults (n = 206). RESULTS:PD-1 expression levels were high on CD8 T cells during early HIV infection. PD-1 levels increased on both CD4 and CD8 T cells populations in those who delayed therapy (11 and 10%/year, respectively). PD-1 levels declined and were similar in those treated early vs. late after 1 year of ART. In both cohorts, PD-1 expression on CD4 T cells was associated with CD4 T-cell activation (CD38HLA-DR) and inversely with CD4 cell count. In contrast, PD-1 expression on CD8 T cells was most strongly associated with CD8 T-cell activation and with plasma viral load in viremic individuals. CONCLUSION:Across two large cohorts of untreated and treated individuals, we found consistent associations between HIV RNA levels, CD8 T-cell activation and PD-1 expression on CD8 T cells. In contrast, CD4 T-cell counts and CD4 T-cell activation were more consistent correlates of PD-1 expression on CD4 T cells. PD-1 expression appears to be driven by both direct antigen and homeostatic pathways.</description><identifier>ISSN: 0269-9370</identifier><identifier>EISSN: 1473-5571</identifier><identifier>DOI: 10.1097/QAD.0000000000000314</identifier><identifier>PMID: 24871455</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Adult ; AIDS/HIV ; Anti-Retroviral Agents - therapeutic use ; Antibiotics. Antiinfectious agents. Antiparasitic agents ; Antiviral agents ; Biological and medical sciences ; CD4-Positive T-Lymphocytes - chemistry ; CD8-Positive T-Lymphocytes - chemistry ; CD8-Positive T-Lymphocytes - immunology ; Cohort Studies ; Female ; HIV Infections - drug therapy ; HIV Infections - pathology ; Human viral diseases ; Humans ; Immunodeficiencies ; Immunodeficiencies. Immunoglobulinopathies ; Immunopathology ; Infectious diseases ; Longitudinal Studies ; Lymphocyte Activation ; Male ; Medical sciences ; Middle Aged ; Pharmacology. Drug treatments ; Programmed Cell Death 1 Receptor - analysis ; Prospective Studies ; RNA, Viral - blood ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. 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However, the impact of HIV infection and antiretroviral treatment (ART) on the expression of PD-1 on T cells is still poorly defined. METHODS:PD-1 was measured longitudinally in a cohort of recently HIV-infected individuals (n = 121) who started ART early (&lt;6 months after infection) vs. later (≥2 years after infection). PD-1 was also measured cross-sectionally in a diverse cohort of chronically HIV-infected adults (n = 206). RESULTS:PD-1 expression levels were high on CD8 T cells during early HIV infection. PD-1 levels increased on both CD4 and CD8 T cells populations in those who delayed therapy (11 and 10%/year, respectively). PD-1 levels declined and were similar in those treated early vs. late after 1 year of ART. In both cohorts, PD-1 expression on CD4 T cells was associated with CD4 T-cell activation (CD38HLA-DR) and inversely with CD4 cell count. In contrast, PD-1 expression on CD8 T cells was most strongly associated with CD8 T-cell activation and with plasma viral load in viremic individuals. CONCLUSION:Across two large cohorts of untreated and treated individuals, we found consistent associations between HIV RNA levels, CD8 T-cell activation and PD-1 expression on CD8 T cells. In contrast, CD4 T-cell counts and CD4 T-cell activation were more consistent correlates of PD-1 expression on CD4 T cells. PD-1 expression appears to be driven by both direct antigen and homeostatic pathways.</description><subject>Adult</subject><subject>AIDS/HIV</subject><subject>Anti-Retroviral Agents - therapeutic use</subject><subject>Antibiotics. Antiinfectious agents. Antiparasitic agents</subject><subject>Antiviral agents</subject><subject>Biological and medical sciences</subject><subject>CD4-Positive T-Lymphocytes - chemistry</subject><subject>CD8-Positive T-Lymphocytes - chemistry</subject><subject>CD8-Positive T-Lymphocytes - immunology</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - pathology</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Immunodeficiencies</subject><subject>Immunodeficiencies. Immunoglobulinopathies</subject><subject>Immunopathology</subject><subject>Infectious diseases</subject><subject>Longitudinal Studies</subject><subject>Lymphocyte Activation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pharmacology. Drug treatments</subject><subject>Programmed Cell Death 1 Receptor - analysis</subject><subject>Prospective Studies</subject><subject>RNA, Viral - blood</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>Viral Load</subject><issn>0269-9370</issn><issn>1473-5571</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kd9P2zAQxy0Ego7tP5gmv0xCQmG-2Imdl0lVuwESEpsEvOzBcpwzDaRJsRN-_Pdz1Ra6PWBZ8ln3ufP3_CXkM7ATYIX89ns8PWHbi4PYISMQkidZJmGXjFiaF0nBJTsgH0K4i0zGlNonB6lQEkSWjcifX7679WY-x4pWaPpZAhSfFx5DqLuWxj2ZimNq2ioG6pheUYtNE2jd0t5HPpYtc0O7uZ2d39CqDmgCfiR7zjQBP63PQ3L988fV5Cy5uDw9n4wvEpszJaJYzlwqlcRSgHQmZ0VROJ45JqxzUIJVokzzkpc8h8LaChhwFeVjhio1gh-S76u-i6GMc1iMYkyjF76eG_-iO1PrfzNtPdO33aMWKcsFpLHB0bqB7x4GDL2e12E5p2mxG4KGTMRfVUUuIypWqPVdCB7d6zPA9NIXHX3R__sSy75sS3wt2hgRga9rwARrGudNa-vwximZglIscmrFPXVNjz7cN8MTej1D0_Sz9zX8Bf4mpI0</recordid><startdate>20140731</startdate><enddate>20140731</enddate><creator>Cockerham, Leslie R</creator><creator>Jain, Vivek</creator><creator>Sinclair, Elizabeth</creator><creator>Glidden, David V</creator><creator>Hartogenesis, Wendy</creator><creator>Hatano, Hiroyu</creator><creator>Hunt, Peter W</creator><creator>Martin, Jeffrey N</creator><creator>Pilcher, Christopher D</creator><creator>Sekaly, Rafick</creator><creator>McCune, Joseph M</creator><creator>Hecht, Frederick M</creator><creator>Deeks, Steven G</creator><general>Lippincott Williams &amp; Wilkins, Inc</general><general>Lippincott Williams &amp; Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140731</creationdate><title>Programmed death-1 expression on CD4+ and CD8+ T cells in treated and untreated HIV disease</title><author>Cockerham, Leslie R ; Jain, Vivek ; Sinclair, Elizabeth ; Glidden, David V ; Hartogenesis, Wendy ; Hatano, Hiroyu ; Hunt, Peter W ; Martin, Jeffrey N ; Pilcher, Christopher D ; Sekaly, Rafick ; McCune, Joseph M ; Hecht, Frederick M ; Deeks, Steven G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6084-5530f2787eb417fa60999f35f04cff1b1c84b26b3b3619ccd10138145e5e82a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>AIDS/HIV</topic><topic>Anti-Retroviral Agents - therapeutic use</topic><topic>Antibiotics. Antiinfectious agents. Antiparasitic agents</topic><topic>Antiviral agents</topic><topic>Biological and medical sciences</topic><topic>CD4-Positive T-Lymphocytes - chemistry</topic><topic>CD8-Positive T-Lymphocytes - chemistry</topic><topic>CD8-Positive T-Lymphocytes - immunology</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>HIV Infections - drug therapy</topic><topic>HIV Infections - pathology</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Immunodeficiencies</topic><topic>Immunodeficiencies. Immunoglobulinopathies</topic><topic>Immunopathology</topic><topic>Infectious diseases</topic><topic>Longitudinal Studies</topic><topic>Lymphocyte Activation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pharmacology. Drug treatments</topic><topic>Programmed Cell Death 1 Receptor - analysis</topic><topic>Prospective Studies</topic><topic>RNA, Viral - blood</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>Viral Load</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cockerham, Leslie R</creatorcontrib><creatorcontrib>Jain, Vivek</creatorcontrib><creatorcontrib>Sinclair, Elizabeth</creatorcontrib><creatorcontrib>Glidden, David V</creatorcontrib><creatorcontrib>Hartogenesis, Wendy</creatorcontrib><creatorcontrib>Hatano, Hiroyu</creatorcontrib><creatorcontrib>Hunt, Peter W</creatorcontrib><creatorcontrib>Martin, Jeffrey N</creatorcontrib><creatorcontrib>Pilcher, Christopher D</creatorcontrib><creatorcontrib>Sekaly, Rafick</creatorcontrib><creatorcontrib>McCune, Joseph M</creatorcontrib><creatorcontrib>Hecht, Frederick M</creatorcontrib><creatorcontrib>Deeks, Steven G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AIDS (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cockerham, Leslie R</au><au>Jain, Vivek</au><au>Sinclair, Elizabeth</au><au>Glidden, David V</au><au>Hartogenesis, Wendy</au><au>Hatano, Hiroyu</au><au>Hunt, Peter W</au><au>Martin, Jeffrey N</au><au>Pilcher, Christopher D</au><au>Sekaly, Rafick</au><au>McCune, Joseph M</au><au>Hecht, Frederick M</au><au>Deeks, Steven G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Programmed death-1 expression on CD4+ and CD8+ T cells in treated and untreated HIV disease</atitle><jtitle>AIDS (London)</jtitle><addtitle>AIDS</addtitle><date>2014-07-31</date><risdate>2014</risdate><volume>28</volume><issue>12</issue><spage>1749</spage><epage>1758</epage><pages>1749-1758</pages><issn>0269-9370</issn><eissn>1473-5571</eissn><abstract>BACKGROUND:There is intense interest in the role of programmed death 1 (PD-1) in causing persistent T-cell dysfunction in HIV infection. However, the impact of HIV infection and antiretroviral treatment (ART) on the expression of PD-1 on T cells is still poorly defined. METHODS:PD-1 was measured longitudinally in a cohort of recently HIV-infected individuals (n = 121) who started ART early (&lt;6 months after infection) vs. later (≥2 years after infection). PD-1 was also measured cross-sectionally in a diverse cohort of chronically HIV-infected adults (n = 206). RESULTS:PD-1 expression levels were high on CD8 T cells during early HIV infection. PD-1 levels increased on both CD4 and CD8 T cells populations in those who delayed therapy (11 and 10%/year, respectively). PD-1 levels declined and were similar in those treated early vs. late after 1 year of ART. In both cohorts, PD-1 expression on CD4 T cells was associated with CD4 T-cell activation (CD38HLA-DR) and inversely with CD4 cell count. In contrast, PD-1 expression on CD8 T cells was most strongly associated with CD8 T-cell activation and with plasma viral load in viremic individuals. CONCLUSION:Across two large cohorts of untreated and treated individuals, we found consistent associations between HIV RNA levels, CD8 T-cell activation and PD-1 expression on CD8 T cells. In contrast, CD4 T-cell counts and CD4 T-cell activation were more consistent correlates of PD-1 expression on CD4 T cells. PD-1 expression appears to be driven by both direct antigen and homeostatic pathways.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>24871455</pmid><doi>10.1097/QAD.0000000000000314</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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ispartof AIDS (London), 2014-07, Vol.28 (12), p.1749-1758
issn 0269-9370
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete
subjects Adult
AIDS/HIV
Anti-Retroviral Agents - therapeutic use
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antiviral agents
Biological and medical sciences
CD4-Positive T-Lymphocytes - chemistry
CD8-Positive T-Lymphocytes - chemistry
CD8-Positive T-Lymphocytes - immunology
Cohort Studies
Female
HIV Infections - drug therapy
HIV Infections - pathology
Human viral diseases
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Infectious diseases
Longitudinal Studies
Lymphocyte Activation
Male
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Programmed Cell Death 1 Receptor - analysis
Prospective Studies
RNA, Viral - blood
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Viral Load
title Programmed death-1 expression on CD4+ and CD8+ T cells in treated and untreated HIV disease
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