CD4+ T cell depletion, immune activation and increased production of regulatory T cells in the thymus of HIV-infected individuals

PLoS One. 2010 May 24;5(5):e10788. doi: 10.1371/journal.pone.0010788.

Abstract

Mechanisms by which HIV affects the thymus are multiple and only partially known, and the role of thymic dysfunction in HIV/AIDS immunopathogenesis remains poorly understood. To evaluate the effects of HIV infection on intra-thymic precursors of T cells in HIV-infected adults, we conducted a detailed immunophenotypic study of thymic tissue isolated from 7 HIV-infected and 10 HIV-negative adults who were to undergo heart surgery. We found that thymuses of HIV-infected individuals were characterized by a relative depletion of CD4+ single positive T cells and a corresponding enrichment of CD8+ single positive T cells. In addition, thymocytes derived from HIV-infected subjects showed increased levels of activated and proliferating cells. Our analysis also revealed a decreased expression of interleukin-7 receptor in early thymocytes from HIV-infected individuals, along with an increase in this same expression in mature double- and single-positive cells. Frequency of regulatory T cells (CD25+FoxP3+) was significantly increased in HIV-infected thymuses, particularly in priorly-committed CD4 single positive cells. Our data suggest that HIV infection is associated with a complex set of changes in the immunophenotype of thymocytes, including a reduction of intrathymic CD4+ T cell precursors, increased expression of activation markers, changes in the expression pattern of IL-7R and enrichment of T regulatory cells generation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • CD4 Lymphocyte Count
  • CD8-Positive T-Lymphocytes / immunology
  • Cell Proliferation
  • Female
  • Flow Cytometry
  • HIV Infections / immunology*
  • HIV Infections / virology
  • HIV-1 / immunology*
  • Humans
  • Lymphocyte Activation / immunology*
  • Lymphocyte Depletion*
  • Male
  • Middle Aged
  • Receptors, Antigen, T-Cell / metabolism
  • Receptors, CCR5 / metabolism
  • Receptors, Chemokine / metabolism
  • Receptors, Interleukin-7 / metabolism
  • T-Lymphocytes, Regulatory / immunology*
  • Thymectomy
  • Thymus Gland / immunology*
  • Thymus Gland / pathology
  • Thymus Gland / virology*

Substances

  • Receptors, Antigen, T-Cell
  • Receptors, CCR5
  • Receptors, Chemokine
  • Receptors, Interleukin-7