Effect of low-dose IL-2 immunotherapy on frequency and phenotype of regulatory T cells and NK cells in HIV/HCV-coinfected patients

AIDS Res Hum Retroviruses. 2008 Jan;24(1):52-61. doi: 10.1089/aid.2007.0180.

Abstract

We evaluated the effect of low-dose IL-2 therapy (daily 1.2 MIU/m(2), subcutaneously) on the number and phenotype of regulatory T cells (T(regs)) and natural killer (NK) cells in HIV/HCV-coinfected patients taking antiretroviral therapy. The frequency and phenotype of circulating T(regs) (defined as CD3(+) CD4(+) CD25(high) or CD3(+) CD4(+) FOXP3(+)) and NK cells (CD3(-) CD16(+)/CD56(+)) were evaluated at baseline and after 12 weeks of treatment. The expression of CD25, CTLA-4, and granzymes A and B by CD4(+) FOXP3(+) cells, as well as the expression of KIR receptors (NKB1, CD158a, and NKAT2) on NK cells, was evaluated. Low doses of IL-2 resulted in the augmented frequency and absolute number of T(regs) in coinfected individuals. FOXP3 levels per cell as well as augmented CD25 and CTLA-4 expression by T(regs) suggested that IL-2 may lead to both expansion and activation of T(regs), although changes in the proportion of CD4(+) FOXP3(+) cells were not associated with changes in HCV viral load and CD4(+) cells between baseline and week 12. NK cell frequency also increased after IL-2 therapy. Interestingly, the pattern of expression of KIR receptors was changed by IL-2 treatment, since the frequency of NK cells expressing NKB1 augmented whereas the frequency of NK expressing CD158a and NKAT2 decreased.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antiretroviral Therapy, Highly Active
  • Antiviral Agents / administration & dosage*
  • Antiviral Agents / therapeutic use
  • Drug Therapy, Combination
  • Female
  • HIV Infections* / complications
  • HIV Infections* / immunology
  • HIV Infections* / therapy
  • HIV-1
  • Hepacivirus
  • Hepatitis C* / complications
  • Hepatitis C* / immunology
  • Hepatitis C* / therapy
  • Humans
  • Immunophenotyping
  • Immunotherapy*
  • Interferons / administration & dosage
  • Interferons / therapeutic use
  • Interleukin-2 / administration & dosage*
  • Interleukin-2 / immunology
  • Interleukin-2 / therapeutic use
  • Killer Cells, Natural / immunology*
  • Male
  • Middle Aged
  • Polyethylene Glycols / administration & dosage
  • Polyethylene Glycols / therapeutic use
  • Ribavirin / administration & dosage
  • Ribavirin / therapeutic use
  • T-Lymphocytes, Regulatory / classification
  • T-Lymphocytes, Regulatory / immunology*
  • Treatment Outcome

Substances

  • Antiviral Agents
  • Interleukin-2
  • Polyethylene Glycols
  • Ribavirin
  • Interferons