The Journal of Experimental Medicine
Rockland Immunochemicals for Research
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Published online 26 July 2004 doi:10.1084/jem.20032069
Rockefeller University Press, 0022-1007 $8.00
JEM, Volume 200, Number 3, 331-343
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CD25+CD4+ Regulatory T Cells from the Peripheral Blood of Asymptomatic HIV-infected Individuals Regulate CD4+ and CD8+ HIV-specific T Cell Immune Responses In Vitro and Are Associated with Favorable Clinical Markers of Disease Status

Audrey L. Kinter1, Margaret Hennessey1, Alicia Bell1, Sarah Kern1, Yin Lin1, Marybeth Daucher1, Maria Planta2, Mary McGlaughlin1, Robert Jackson1, Steven F. Ziegler3, and Anthony S. Fauci1

1 Laboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases and 2 Department of Clinical Center Medicine, National Institutes of Health, Bethesda, MD 20892
3 Benaroya Research Institute, Virginia Mason Medical Center, Seattle, WA 98111

Address correspondence to Audrey L. Kinter, Laboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases, 10 Center Dr., Bldg. 10, Rm. 6A33, MSC-1576, Bethesda, MD 20892. Phone: (301) 496-7590; Fax: (301) 402-4122; email: AKinter{at}niaid.nih.gov

Human immunodeficiency virus (HIV) disease is associated with loss of CD4+ T cells, chronic immune activation, and progressive immune dysfunction. HIV-specific responses, particularly those of CD4+ T cells, become impaired early after infection, before the loss of responses directed against other antigens; the basis for this diminution has not been elucidated fully. The potential role of CD25+CD4+ regulatory T cells (T reg cells), previously shown to inhibit immune responses directed against numerous pathogens, as suppressors of HIV-specific T cell responses was investigated. In the majority of healthy HIV-infected individuals, CD25+CD4+ T cells significantly suppressed cellular proliferation and cytokine production by CD4+ and CD8+ T cells in response to HIV antigens/peptides in vitro; these effects were cell contact dependent and IL-10 and TGF-ß independent. Individuals with strong HIV-specific CD25+ T reg cell function in vitro had significantly lower levels of plasma viremia and higher CD4+: CD8+ T cell ratios than did those individuals in whom this activity could not be detected. These in vitro data suggest that CD25+CD4+ T reg cells may contribute to the diminution of HIV-specific T cell immune responses in vivo in the early stages of HIV disease.

Key Words: cytokine • proliferation • human • suppression • FoxP3


Abbreviations used in this paper: CFSE, carboxyfluorscein diacetate succinimidyl ester; ICC, intracellular cytokine; LPA, lymphocyte proliferation assay; LTNP, long-term non progressor; SI, stimulation indexes; T reg cell, regulatory T cell.


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