Functional impairment of central memory CD4 T cells is a potential early prognostic marker for changing viral load in SHIV-infected rhesus macaques

PLoS One. 2011;6(5):e19607. doi: 10.1371/journal.pone.0019607. Epub 2011 May 13.

Abstract

In HIV infection there is a paucity of literature about the degree of immune dysfunction to potentially correlate and/or predict disease progression relative to CD4(+) T cells count or viral load. We assessed functional characteristics of memory T cells subsets as potential prognostic markers for changing viral loads and/or disease progression using the SHIV-infected rhesus macaque model. Relative to long-term non-progressors with low/undetectable viral loads, those with chronic plasma viremia, but clinically healthy, exhibited significantly lower numbers and functional impairment of CD4(+) T cells, but not CD8(+) T cells, in terms of IL-2 production by central memory subset in response to PMA and ionomycine (PMA+I) stimulation. Highly viremic animals showed impaired cytokine-production by all T cells subsets. These results suggest that functional impairment of CD4(+) T cells in general, and of central memory subset in particular, may be a potential indicator/predictor of chronic infection with immune dysfunction, which could be assayed relatively easily using non-specific PMA+I stimulation.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Biomarkers
  • CD4-Positive T-Lymphocytes / immunology
  • CD4-Positive T-Lymphocytes / pathology*
  • Chronic Disease
  • Cytokines / biosynthesis
  • Disease Progression
  • Humans
  • Immunologic Memory / immunology*
  • Ionomycin
  • Macaca mulatta
  • Prognosis
  • Simian Acquired Immunodeficiency Syndrome / diagnosis*
  • Tetradecanoylphorbol Acetate / analogs & derivatives
  • Viral Load*
  • Viremia / diagnosis*

Substances

  • Biomarkers
  • Cytokines
  • Ionomycin
  • phorbolol myristate acetate
  • Tetradecanoylphorbol Acetate