Abstract:HIV-1 viremic controllers (VC) spontaneously control infection without antiretroviral treatment. Several studies indicate that IgG Abs from VCs induce enhanced responses from immune effector cells. Since signaling through Fc-γ receptors (FCGRs) modulate these Ab-driven responses, here we examine if enhanced FCGR activation is a common feature of IgG from VCs. Using an infected cell-based system, we observed that VC IgG stimulated greater FCGR2A and FCGR3A activation as compared with noncontrollers, independent… Show more
“…Although the role of the Fc receptors in virus control remains to be thoroughly explored, one can speculate that the downregulation of these receptors could be associated with both lower activation/inflammation and the HIV reservoir observed in HIC compared to cART-treated individuals (40). It was also reported that the quality rather than the quantity of FCGR signaling could be responsible for the wider polyfunctional Fcmediated responses observed in HIC (36,41). In parallel, there is a downregulation in HIC of mitogen-activated protein kinase 1 (MAPK1) and PI3-kinase (PIK3CG and PIK3CB); both are critical regulatory factors of immune stimulation and suppression during inflammation (15,16,42).…”
HIV controllers (HIC) maintain control of HIV replication without combined antiretroviral treatment (cART). The mechanisms leading to virus control are not fully known. We used gene expression and cellular analyses to compare HIC and HIV-1-infected individuals under cART. In the blood, HIC are characterized by a low inflammation, a downmodulation of natural killer inhibitory cell signaling, and an upregulation of T cell activation gene expression. This balance that persists after stimulation of cells with HIV antigens was consistent with functional analyses showing a bias toward a Th1 and cytotoxic T cell response and a lower production of inflammatory cytokines. Taking advantage of the characterization of HIC based upon their CD8+ T lymphocyte capacity to suppress HIV-infection, we show here that unsupervised analysis of differentially expressed genes fits clearly with this cytotoxic activity, allowing the characterization of a specific signature of HIC. These results reveal significant features of HIC making the bridge between cellular function, gene signatures, and the regulation of inflammation and killing capacity of HIV-specific CD8+ T cells. Moreover, these genetic profiles are consistent through analyses performed from blood to peripheral blood mononuclear cells and T cells. HIC maintain strong HIV-specific immune responses with low levels of inflammation. Our findings may pave the way for new immunotherapeutic approaches leading to strong HIV-1-specific immune responses while minimizing inflammation.
IMPORTANCE A small minority of HIV-infected patients, called HIV controllers (HIC), maintains spontaneous control of HIV replication. It is therefore important to identify mechanisms that contribute to the control of HIV replication that may have implications for vaccine design. We observed a low inflammation, a downmodulation of natural killer inhibitory cell signaling, and an upregulation of T-cell activation gene expression in the blood of HIC compared to patients under combined antiretroviral treatment. This profile persists following in vitro stimulation of peripheral blood mononuclear cells with HIV antigens, and was consistent with functional analyses showing a Th1 and cytotoxic T cell response and a lower production of inflammatory cytokines. These results reveal significant features of HIC that maintain strong HIV-specific immune responses with low levels of inflammation. These findings define the immune status of HIC that is probably associated with the control of viral load.
“…Although the role of the Fc receptors in virus control remains to be thoroughly explored, one can speculate that the downregulation of these receptors could be associated with both lower activation/inflammation and the HIV reservoir observed in HIC compared to cART-treated individuals (40). It was also reported that the quality rather than the quantity of FCGR signaling could be responsible for the wider polyfunctional Fcmediated responses observed in HIC (36,41). In parallel, there is a downregulation in HIC of mitogen-activated protein kinase 1 (MAPK1) and PI3-kinase (PIK3CG and PIK3CB); both are critical regulatory factors of immune stimulation and suppression during inflammation (15,16,42).…”
HIV controllers (HIC) maintain control of HIV replication without combined antiretroviral treatment (cART). The mechanisms leading to virus control are not fully known. We used gene expression and cellular analyses to compare HIC and HIV-1-infected individuals under cART. In the blood, HIC are characterized by a low inflammation, a downmodulation of natural killer inhibitory cell signaling, and an upregulation of T cell activation gene expression. This balance that persists after stimulation of cells with HIV antigens was consistent with functional analyses showing a bias toward a Th1 and cytotoxic T cell response and a lower production of inflammatory cytokines. Taking advantage of the characterization of HIC based upon their CD8+ T lymphocyte capacity to suppress HIV-infection, we show here that unsupervised analysis of differentially expressed genes fits clearly with this cytotoxic activity, allowing the characterization of a specific signature of HIC. These results reveal significant features of HIC making the bridge between cellular function, gene signatures, and the regulation of inflammation and killing capacity of HIV-specific CD8+ T cells. Moreover, these genetic profiles are consistent through analyses performed from blood to peripheral blood mononuclear cells and T cells. HIC maintain strong HIV-specific immune responses with low levels of inflammation. Our findings may pave the way for new immunotherapeutic approaches leading to strong HIV-1-specific immune responses while minimizing inflammation.
IMPORTANCE A small minority of HIV-infected patients, called HIV controllers (HIC), maintains spontaneous control of HIV replication. It is therefore important to identify mechanisms that contribute to the control of HIV replication that may have implications for vaccine design. We observed a low inflammation, a downmodulation of natural killer inhibitory cell signaling, and an upregulation of T-cell activation gene expression in the blood of HIC compared to patients under combined antiretroviral treatment. This profile persists following in vitro stimulation of peripheral blood mononuclear cells with HIV antigens, and was consistent with functional analyses showing a Th1 and cytotoxic T cell response and a lower production of inflammatory cytokines. These results reveal significant features of HIC that maintain strong HIV-specific immune responses with low levels of inflammation. These findings define the immune status of HIC that is probably associated with the control of viral load.
“…(D) Tetherin-high antibody binding assay indicates binding of the indicated antibody in the presence of the indicated drug, NF279 (left) or NF449 (right). Binding index (BI) was calculated for each anti-HIV antibody by multiplying the percent Ab binding within the entire HIV ϩ population against the MFI ratio of HIV-positive over HIV-negative cells (56,57). Results are the means Ϯ SEMs from at two or three independent experiments.…”
Section: Nf279 and Nf449 Block Hiv-1 Productive Infection In A Dose-dmentioning
confidence: 99%
“…To further explore the hypothesis that NF279 and NF449 activities are dependent on direct binding to the HIV-1 Env V1V2 region, the PG9 binding site, we employed a well-characterized antibody binding system that retains viral particles on the surface of HIV-infected CD4 ϩ T cells (55)(56)(57). This system is based on high expression of tetherin on cells, which allows for the enhanced resolution of differences in antibody binding.…”
Section: Nf279 and Nf449 Block Hiv-1 Productive Infection In A Dose-dmentioning
confidence: 99%
“…Tetherin-high antibody binding assay. A cell-based assay for bNAb binding was used as previously described (56) in which a subclone of the Jurkat E6 CD4 T cell line, which constitutively expresses high levels of tetherin, was transfected with an HIV-1 NL4-3 Δvpu mCherry fluorescent reporter virus. Cells retained virus particles on their surface.…”
Section: Figmentioning
confidence: 99%
“…Plots depict the level of anti-HIV antibody binding (APC) to HIV ϩ cells (mCherry ϩ ) treated with DMSO control, NF449, or NF279. Binding index (BI) was calculated for each anti-HIV antibody by multiplying the percent Ab binding within the entire HIV ϩ population against the mean fluorescence intensity (MFI) ratio of HIV-positive over HIV-negative cells, as previously described (56,57).…”
Purinergic receptors are well-established modulators of inflammatory processes, primarily through detection of extracellular nucleotides that are released by dying or infected cells. Emerging literature has demonstrated that inhibition of these inflammatory receptors can block HIV-1 productive infection and HIV-1-associated inflammation. The specificity of receptor type and mechanism of interaction has not yet been determined. Here, we characterize the inhibitory activity of P2X1 receptor antagonists, NF279 and NF449, in cell lines, primary cells, and a variety of HIV-1 envelope (Env) clades. NF279 and NF449 blocked productive infection at the level of viral membrane fusion, with a range of inhibitory activities against different HIV-1 Env isolates. A mutant virus carrying a truncation deletion of the C-terminal tail of HIV-1 Env glycoprotein 41 (gp41) showed reduced sensitivity to P2X1 antagonists, indicating that the sensitivity of inhibition by these molecules may be modulated by Env conformation. In contrast, a P2X7 antagonist, A438079, had a limited effect on productive infection and fusion. NF279 and NF449 interfered with the ability of the gp120 variable regions 1 and 2 (V1V2)-targeted broadly neutralizing antibody PG9 to block productive infection, suggesting that these drugs may antagonize HIV-1 Env at gp120 V1V2 to block viral membrane fusion. Our observations indicate that P2X1 antagonism can inhibit HIV-1 replication at the level of viral membrane fusion through interaction with Env. Future studies will probe the nature of these compounds in inhibiting HIV-1 fusion and the development of small molecules to block HIV-1 entry via this mechanism.
IMPORTANCE While effective treatment can lower the severe morbidity and mortality associated with HIV-1 infection, patients infected with HIV-1 suffer from significantly higher rates of noncommunicable comorbidities associated with chronic inflammation. Emerging literature suggests a key role for P2X1 receptors in mediating this chronic inflammation, but the mechanism is still unknown. Here, we demonstrate that HIV-1 infection is reduced by P2X1 receptor antagonism. This inhibition is mediated by interference with HIV-1 Env and can impact a variety of viral clades. These observations highlight the importance of P2X1 antagonists as potential novel therapeutics that could serve to block a variety of different viral clades with additional benefits for their anti-inflammatory properties.
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