B- and T-lymphocyte number and function in HIV+/HIV- lymphoma patients treated with high-dose chemotherapy and autologous bone marrow transplantation

Sci Rep. 2016 Dec 1:6:37995. doi: 10.1038/srep37995.

Abstract

Combination of anti-retroviral therapy, high-dose chemotherapy (HCT) and autologous stem cell transplantation (ASCT) has led to an improved survival of HIV+ non-Hodgkin lymphoma (NHL) patients. We compared T- and B-cell subset recovery and related capability to respond to in-vitro stimulation, as well as T-cell repertoire modifications of HIV+ and HIV- NHL patients undergoing HCT and ASCT as first-line consolidation or salvage treatment, using sequential blood samples obtained before and at 3, 6, 12 and 24 months after ASCT. B lymphocyte recovery occurred earlier, reaching higher levels in HIV+ patients as compared to HIV- patients and healthy controls; in particular, immature and naïve B cells were significantly higher in HIV+ patients who had received rituximab in the pre-ASCT period. These lymphocytes equally responded to in-vitro stimulation. Newly produced T cells similarly increased in HIV+ and HIV- NHL patients, but their levels remained constantly lower than in healthy controls. T lymphocytes showed a reduced proliferative capacity, but their repertoire was reassorted by the treatment. The functional and numeric B-cell recovery and the qualitative modifications of T-cell receptor repertoire may explain, at least in part, the success of this aggressive therapeutic approach in HIV+ patients.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Anti-Retroviral Agents / administration & dosage*
  • Anti-Retroviral Agents / pharmacology
  • Antineoplastic Agents / administration & dosage*
  • Antineoplastic Agents / pharmacology
  • B-Lymphocytes / drug effects
  • B-Lymphocytes / physiology*
  • Bone Marrow Transplantation / methods*
  • Cell Proliferation / drug effects
  • Combined Modality Therapy
  • Consolidation Chemotherapy
  • Female
  • HIV Infections / immunology
  • HIV Infections / therapy*
  • HIV Infections / virology
  • Humans
  • Lymphoma, Non-Hodgkin / immunology
  • Lymphoma, Non-Hodgkin / therapy*
  • Lymphoma, Non-Hodgkin / virology
  • Male
  • Middle Aged
  • Salvage Therapy
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / physiology*
  • Transplantation, Autologous

Substances

  • Anti-Retroviral Agents
  • Antineoplastic Agents