T-cell subsets that harbor human immunodeficiency virus (HIV) in vivo: implications for HIV pathogenesis

J Virol. 2004 Feb;78(3):1160-8. doi: 10.1128/jvi.78.3.1160-1168.2004.

Abstract

Identification of T-cell subsets that are infected in vivo is essential to understanding the pathogenesis of human immunodeficiency virus (HIV) disease; however, this goal has been beset with technical challenges. Here, we used polychromatic flow cytometry to sort multiple T-cell subsets to 99.8% purity, followed by quantitative PCR to quantify HIV gag DNA directly ex vivo. We show that resting memory CD4(+) T cells are the predominantly infected cells but that terminally differentiated memory CD4(+) T cells contain 10-fold fewer copies of HIV DNA. Memory CD8(+) T cells can also be infected upon upregulation of CD4; however, this is infrequent and HIV-specific CD8(+) T cells are not infected preferentially. Naïve CD4(+) T-cell infection is rare and principally confined to those peripheral T cells that have proliferated. Furthermore, the virus is essentially absent from naïve CD8(+) T cells, suggesting that the thymus is not a major source of HIV-infected T cells in the periphery. These data illuminate the underlying mechanisms that distort T-cell homeostasis in HIV infection.

MeSH terms

  • Adult
  • CD4-Positive T-Lymphocytes / immunology
  • CD4-Positive T-Lymphocytes / virology
  • CD8-Positive T-Lymphocytes / immunology
  • CD8-Positive T-Lymphocytes / virology
  • DNA, Viral / analysis
  • Female
  • Flow Cytometry / methods
  • Gene Products, gag / genetics
  • HIV Infections / immunology
  • HIV Infections / physiopathology*
  • HIV Infections / virology*
  • HIV-1 / genetics
  • HIV-1 / isolation & purification
  • HIV-1 / pathogenicity*
  • Humans
  • Immunologic Memory
  • Lymphocyte Activation
  • Male
  • Middle Aged
  • T-Lymphocyte Subsets / virology*

Substances

  • DNA, Viral
  • Gene Products, gag