TY - JOUR
T1 - Innate Lymphoid Cells Are Depleted Irreversibly during Acute HIV-Infection in the Absence of Viral Suppression
AU - Kløverpris, Henrik N.
AU - Kazer, Samuel W.
AU - Mjösberg, Jenny
AU - Mabuka, Jenniffer M.
AU - Wellmann, Amanda
AU - Ndhlovu, Zaza
AU - Yadon, Marisa C.
AU - Nhamoyebonde, Shepherd
AU - Muenchhoff, Maximilian
AU - Simoni, Yannick
AU - Andersson, Frank
AU - Kuhn, Warren
AU - Garrett, Nigel
AU - Burgers, Wendy A.
AU - Kamya, Philomena
AU - Pretorius, Karyn
AU - Dong, Krista
AU - Moodley, Amber
AU - Newell, Evan W.
AU - Kasprowicz, Victoria
AU - Abdool Karim, Salim S.
AU - Goulder, Philip
AU - Shalek, Alex K.
AU - Walker, Bruce D.
AU - Ndung'u, Thumbi
AU - Leslie, Alasdair
PY - 2016/2/16
Y1 - 2016/2/16
N2 - Innate lymphoid cells (ILCs) play a central role in the response to infection by secreting cytokines crucial for immune regulation, tissue homeostasis, and repair. Although dysregulation of these systems is central to pathology, the impact of HIV-on ILCs remains unknown. We found that human blood ILCs were severely depleted during acute viremic HIV-infection and that ILC numbers did not recover after resolution of peak viremia. ILC numbers were preserved by antiretroviral therapy (ART), but only if initiated during acute infection. Transcriptional profiling during the acute phase revealed upregulation of genes associated with cell death, temporally linked with a strong IFN acute-phase response and evidence of gut barrier breakdown. We found no evidence of tissue redistribution in chronic disease and remaining circulating ILCs were activated but not apoptotic. These data provide a potential mechanistic link between acute HIV-infection, lymphoid tissue breakdown, and persistent immune dysfunction.
AB - Innate lymphoid cells (ILCs) play a central role in the response to infection by secreting cytokines crucial for immune regulation, tissue homeostasis, and repair. Although dysregulation of these systems is central to pathology, the impact of HIV-on ILCs remains unknown. We found that human blood ILCs were severely depleted during acute viremic HIV-infection and that ILC numbers did not recover after resolution of peak viremia. ILC numbers were preserved by antiretroviral therapy (ART), but only if initiated during acute infection. Transcriptional profiling during the acute phase revealed upregulation of genes associated with cell death, temporally linked with a strong IFN acute-phase response and evidence of gut barrier breakdown. We found no evidence of tissue redistribution in chronic disease and remaining circulating ILCs were activated but not apoptotic. These data provide a potential mechanistic link between acute HIV-infection, lymphoid tissue breakdown, and persistent immune dysfunction.
KW - HIV-infection
KW - Innate lymphoid cells
U2 - 10.1016/j.immuni.2016.01.006
DO - 10.1016/j.immuni.2016.01.006
M3 - Journal article
C2 - 26850658
AN - SCOPUS:84958108976
SN - 1074-7613
VL - 44
SP - 391
EP - 405
JO - Immunity
JF - Immunity
IS - 2
ER -