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1 Biomedical Primate Research Centre;
2 GlaxoSmithKline Biologicals;
3 Karolinska Institutet;
4 Biomedical Primate Research Centre/University of Cambridge
5 E-mail: koopman{at}bprc.nl
HIV infection in humans as well as SIV infection in macaques is accompanied by a combined early loss of CCR5 (CD195) expressing CD4 memory T-cells, loss of T-helper function and T-cell hyper-activation, which all have been associated with development of high virus load and disease progression. Here a cohort of vaccinated 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 hyper-activation as an independent factor in 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 as well as 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 inversely correlated with acute phase, but not chronic phase, HIV/SIV specific IFN
responses. The data highlight a central role for acute but transient, CD4 decrease as well as CD4 T-cell activation as independent factors for prediction of set point levels of virus replication.
Received 1 August 2008;
accepted 4 December 2008.
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