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Originally published as JGV in Press, 10.1099/vir.2008.006148-0 on February 17, 2009 J Gen Virol 90 (2009), 915-926; DOI 10.1099/vir.2008.006148-0

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Acute-phase CD4+ T-cell proliferation and CD152 upregulation predict set-point virus replication in vaccinated simian–human immunodeficiency virus strain 89.6p-infected macaques

Gerrit Koopman1, Daniella Mortier1, Sam Hofman1, Marguerite Koutsoukos2, Willy M. J. M. Bogers1, Britta Wahren3, Gerald Voss2 and Jonathan L. Heeney1,4

1 Department of Virology, Biomedical Primate Research Centre, Rijswijk, The Netherlands
2 GlaxoSmithKline Biologicals, Rixensart, Belgium
3 Swedish Institute for Infectious Disease Control, Karolinska Institutet, Stockholm, Sweden
4 Department of Veterinary Medicine, University of Cambridge, UK

Correspondence
Gerrit Koopman
koopman{at}bprc.nl

Human immunodeficiency virus (HIV) infection in humans and simian immunodeficiency virus (SIV) infection in macaques are accompanied by a combined early loss of CCR5 (CD195)-expressing CD4+ memory T cells, loss of T-helper function and T-cell hyperactivation, which have all been associated with development of high virus load and disease progression. Here, a cohort of vaccinated simian–human immunodeficiency virus strain 89.6p (SHIV89.6p)-infected rhesus macaques, where preferential depletion of these memory T-cell subsets does not take place and CD4+ T cells are relatively well maintained, was used to study the role of hyperactivation as an independent factor in the establishment of set-point virus load. In the acute phase of the infection, a transient loss of CD4+ T cells, as well as strong increases in expression of proliferation and activation markers on CD4+ and CD8+ T cells, together with CD152 expression on CD4+ T cells, were observed. Peak expression levels of these markers on CD4+ T cells, but not on CD8+ T cells, were correlated with high virus replication in the chronic phase of the infection. In addition, the peak expression level of these markers was correlated inversely with acute-phase, but not chronic-phase, HIV/SIV-specific gamma interferon responses. These data highlight a central role for an acute but transient CD4 decrease, as well as CD4+ T-cell activation, as independent factors for prediction of set-point levels of virus replication.







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