In Vitro Human Immunodeficiency Virus Eradication by Autologous CD8+ T Cells Expanded with Inactivated-Virus-Pulsed Dendritic Cells

W Lu, JM Andrieu - Journal of virology, 2001 - Am Soc Microbiol
W Lu, JM Andrieu
Journal of virology, 2001Am Soc Microbiol
Despite significant immune recovery with potent highly active antiretroviral therapy (HAART),
eradication of human immunodeficiency virus (HIV) from the bodies of infected individuals
represents a challenge. We hypothesized that an inadequate or inappropriate signal in virus-
specific antigen presentation might contribute to the persistent failure to mount efficient anti-
HIV immunity in most HIV-infected individuals. Here, we conducted an in vitro study with
untreated (n= 10) and HAART-treated (n= 20) HIV type 1 (HIV-1) patients which showed that …
Abstract
Despite significant immune recovery with potent highly active antiretroviral therapy (HAART), eradication of human immunodeficiency virus (HIV) from the bodies of infected individuals represents a challenge. We hypothesized that an inadequate or inappropriate signal in virus-specific antigen presentation might contribute to the persistent failure to mount efficient anti-HIV immunity in most HIV-infected individuals. Here, we conducted an in vitro study with untreated (n = 10) and HAART-treated (n = 20) HIV type 1 (HIV-1) patients which showed that pulsing of monocyte-derived dendritic cells (DC) with aldrithiol-2-inactivated autologous virus resulted in the expansion of virus-specific CD8+ T cells which were capable of killing HIV-1-infected cells and eradicating the virus from cultured patient peripheral blood mononuclear cells independently of the disease stages and HAART response statuses of the patients. This in vitro anti-HIV effect was further enhanced by the HIV protease inhibitor indinavir (at a nonantiviral concentration), which has been shown previously to be able to up-regulate directly patient T-cell proliferation following immune stimulation. However, following a 2-day treatment with culture supernatant derived from immune-activated T cells (which mimics an in vivo environment of HIV-disseminated and immune-activated lymphoid tissues), DC lost their capacity to present de novo inactivated-virus-derived antigens. These findings provide important information for understanding the establishment of chronic HIV infection and indicate a perspective for clinical use of DC-based therapeutic vaccines against HIV.
American Society for Microbiology