2015
DOI: 10.1016/j.immuni.2015.08.012
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Magnitude and Kinetics of CD8+ T Cell Activation during Hyperacute HIV Infection Impact Viral Set Point

Abstract: Summary CD8+ T cells contribute to the control of HIV, but it is not clear whether initial immune responses modulate the viral set point. We screened high-risk uninfected women twice a week for plasma HIV RNA and identified twelve hyperacute infections. Onset of viremia elicited a massive HIV-specific CD8+ T cell response, with limited bystander activation of non-HIV memory CD8+ T cells. HIV-specific CD8+ T cells secreted little interferon-γ, underwent rapid apoptosis and failed to upregulate the interleukin 7… Show more

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Cited by 241 publications
(287 citation statements)
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“…Studies also showed a direct relationship between higher frequency and function of HIV-specific CD8 T cells and enhanced viral control (4)(5)(6). In particular, early induction of HIV-specific CD8 T cells resulted in a concomitant decline in plasma viremia (7,8), suggesting that antiviral CD8 T-cell responses elicited early after HIV/SIV infection can significantly modulate viral control outcome. Consistent with this, contemporary vaccine strategies designed to elicit high frequencies of antiviral CD8 T cells have contained pathogenic SHIV (9, 10) and SIV challenges (11,12) in macaques.…”
mentioning
confidence: 99%
“…Studies also showed a direct relationship between higher frequency and function of HIV-specific CD8 T cells and enhanced viral control (4)(5)(6). In particular, early induction of HIV-specific CD8 T cells resulted in a concomitant decline in plasma viremia (7,8), suggesting that antiviral CD8 T-cell responses elicited early after HIV/SIV infection can significantly modulate viral control outcome. Consistent with this, contemporary vaccine strategies designed to elicit high frequencies of antiviral CD8 T cells have contained pathogenic SHIV (9, 10) and SIV challenges (11,12) in macaques.…”
mentioning
confidence: 99%
“…Plasma viral load kinetics in acute and early chronic phases of infection (Fig. 5) were nearly indistinguishable from human infection by HIV-1 (72,73). All CD4 T-cell subsets, not just CD4 naïve cells, underwent gradual decline; GALT was selectively depleted of CD4 T cells early in infection and did not recover; and R5 tropism of SHIVs did not change to X4 tropism, even in animals that died of accelerated AIDS within the first 3 mo of infection (Fig.…”
Section: Discussionmentioning
confidence: 86%
“…In each case, we were successful in constructing SHIVs that replicated well in RMs with plasma viral load kinetics (Fig. 5) remarkably similar to acute and early chronic HIV-1 infection in humans (72,73). In other recent studies, we created a seventh SHIV, this one from a T/F HIV-1 subtype C virus Ce1176 (74), that is part of a widely used 12-member global neutralization panel developed by Montefiori, Seaman, and coworkers (71).…”
Section: Discussionmentioning
confidence: 91%
“…These two studies suggest that timely ART initiation may pave the way for a better viral control after ART cessation but the mechanism of viral control in post-treatment controller still needs to be identified (67). Early in infection, HIV-specific CD8 T cells can contribute to control viremia (68–71) but become rapidly dysfunctional after peak viremia due to sustained hyperactivation and change in their metabolism (72). Therefore, initiating ART in the earliest stage of acute infection before peak viremia is reached might be necessary to achieve HIV remission due to initiating ART early in infection.…”
Section: Strategies To Boost Hiv-specific Cd8 T Cell Responses In Artmentioning
confidence: 99%