Abstract Background Loss of function mutations in the human immunodeficiency virus (HIV) negative factor ( nef ) gene are associated with reduced viremia, robust T cell immune responses, and delayed acquired immunodeficiency syndrome (AIDS) progression in humans. Importantly, Nef persists in antiretroviral therapy-treated chronic HIV-infected individuals. In vitro studies have shown that mutations in the Nef dimerization interface significantly attenuate viral replication and impair host defense. However, in vivo, mechanistic studies on the role of Nef dimerization in HIV infection are lacking. Humanized rodents with human immune cells are robust platforms for investigating the interactions between HIV and the human immune system. The bone marrow-liver-thymus-spleen (BLTS) humanized mouse model carries human immune cells and lymphoid tissues that facilitate anti-viral immune responses. Results Here, we demonstrate that nef deletion abrogates HIV viremia and HIV-induced immune dysregulation in the BLTS-humanized mouse model. Furthermore, we demonstrate that preventing Nef dimerization abrogates HIV viremia and HIV-induced immune dysregulation in the BLTS-humanized mouse model. We also demonstrate that viremic control of HIV carrying deletion or dimerization defects in nef is associated with robust antiviral innate immune signaling, T helper 1 (Th1) signaling, and reduced expression of Programmed cell death protein 1 (PD1) on T cells. Conclusions Our results suggest that Nef dimerization may be a therapeutic target for adjuvants in immune-mediated HIV cure strategies. Furthermore, Nef dimerization may be a therapeutic target for ameliorating the residual immune dysregulation in antiretroviral therapy-treated chronic HIV-infected individuals.
Abstract HIV-1 infection greatly alters the NK cell phenotypic and functional repertoire. This is highlighted by the expansion of a rare population of FcRγ– NK cells exhibiting characteristics of traditional immunologic memory in people with HIV (PWH). Although current antiretroviral therapy (ART) effectively controls HIV-1 viremia and disease progression, its impact on HIV-1–associated NK cell abnormalities remains unclear. To address this, we performed a longitudinal analysis detailing conventional and memory-like NK cell characteristics in n = 60 PWH during the first 4 y of ART. Throughout this regimen, a skewed repertoire of cytokine unresponsive FcRγ– memory-like NK cells persisted and accompanied an overall increase in NK surface expression of CD57 and KLRG1, suggestive of progression toward immune senescence. These traits were linked to elevated serum inflammatory biomarkers and increasing Ab titers to human CMV, with human CMV viremia detected in approximately one-third of PWH at years 1–4 of ART. Interestingly, 40% of PWH displayed atypical NK cell subsets, representing intermediate stages of NK-poiesis based on single-cell multiomic trajectory analysis. Our findings indicate that NK cell irregularities persist in PWH despite long-term ART, underscoring the need to better understand the causative mechanisms that prevent full restoration of immune health in PWH.
Abstract The ability of DC to mediate CD4+ T cell help for initiating cellular immunity greatly depends on instructive signals that they receive during maturation. Here we report that, in addition to producing high levels of IL-12p70, DC matured in the presence of type-1 associated inflammatory factors were also uniquely programmed to ‘reticulate’, or develop networks of tunneling nanotube-like structures in response to the CD4+ T helper cell derived signal, CD40L. Using high resolution live-cell imaging techniques, we demonstrated that tunneling nanotube networks are capable of facilitating the direct intercellular trafficking of endosome-associated vesicles, antigens, and HIV-1-like particles. Importantly, DC matured under non-type-1 polarizing conditions, such as those exposed to prostaglandin E2, failed to develop these membrane extensions. Moreover, we found that the T helper 1 associated cytokine IFN-γ plays a critical role in enhancing DC reticulation, while the T helper 2 cytokine IL-4 has a substantial inhibitory effect on this process. These data indicate that subsets of T helper cells have divergent abilities to modulate DC reticulation and subsequent intercellular communication. The induction of the reticulation process in DC represents a novel immunologic helper function of CD40L-expressing T cells, which can also be exploited by pathogens such as HIV-1 to promote direct cell-to-cell spread.
Background The ability of HIV-1 to rapidly accumulate mutations provides the virus with an effective means of escaping CD8+ cytotoxic T lymphocyte (CTL) responses. Here we describe how subtle alterations in CTL epitopes expressed by naturally occurring HIV-1 variants can result in an incomplete escape from pre-existing CTL recognition to create a pro-inflammatory environment, providing the virus with a selective advantage.
BackgroundDuring early HIV-1 infection, immunodominant T cell responses to highly variable epitopes lead to the establishment of immune escape virus variants. Here we assessed a type 1-polarized monocyte-derived dendritic cell (MDC1)-based approach to selectively elicit cytotoxic T lymphocyte (CTL) responses against highly conserved and topologically important HIV-1 epitopes in HIV-1-infected individuals from the Thailand RV254/SEARCH 010 cohort who initiated antiretroviral therapy (ART) during early infection (Fiebig stages I-IV).MethodsAutologous MDC1 were used as antigen presenting cells to induce in vitro CTL responses against HIV-1 Gag, Pol, Env, and Nef as determined by flow cytometry and ELISpot assay. Ultra-conserved or topologically important antigens were respectively identified using the Epigraph tool and a structure-based network analysis approach and compared to overlapping peptides spanning the Gag proteome.FindingsMDC1 presenting either the overlapping Gag, Epigraph, or Network 14–21mer peptide pools consistently activated and expanded HIV-1-specific T cells to epitopes identified at the 9–13mer peptide level. Interestingly, some CTL responses occurred outside known or expected HLA associations, providing evidence of new HLA-associated CTL epitopes. Comparative analyses demonstrated more sequence conservation among Epigraph antigens but a higher magnitude of CTL responses to Network and Gag peptide groups. Importantly, CTL responses against topologically constrained Gag epitopes contained in both the Network and Gag peptide pools were selectively enhanced in the Network pool-initiated cultures.InterpretationOur study supports the use of MDC1 as a therapeutic strategy to induce and focus CTL responses toward putative fitness-constrained regions of HIV-1 to prevent immune escape and control HIV-1 infection.FundingA full list of the funding sources is detailed in the Acknowledgment section of the manuscript.
Abstract Class II Transactivator (CIITA) induces transcription of MHC class II genes. This protein can potentially be used to improve genetic immunotherapies by converting non-immune cells into cells capable of presenting antigens to CD4+ T helper cells. However, CIITA expression is complex, tightly controlled and remains unclear whether distinct non-immune cells differ in the regulation of this transcription factor. In the present study, we describe a strategy to develop gene delivery systems capable of promoting the efficient expression of CIITA in non-immune cell lines and in primary human cells in an ex vivo skin explant model. A DNA plasmid and a lentiviral vector were produced, both carrying the human CIITA DNA sequence in silico designed to avoid cis-regulatory elements, and genetically optimized for expression efficacy in human cells. Different human cell types undergoing CIITA overexpression presented high-level de novo expression of MHC II molecules, validating the delivery systems as suitable tools for the evaluation of CIITA potential as a molecular adjuvant for genetic immunizations. Further, we directly compared different non-immune cells according to exogenous CIITA transcriptional activity, protein expression levels and proteasome degradation. Here we show for the first time that distinct types of non-immune cells differentially regulate the transcription factor, and ultimately the cell surface expression of MHC II, through a cell type-specific control of CIITA proteasomal degradation. Our findings contribute to the understanding of the CIITA post-translational regulation by non-immune cells, which can greatly influence the use of this regulator of MHC II genes as a vaccine adjuvant.