ABSTRACT
We
recently found that human immunodeficiency virus (HIV)-specific
CD4+ T cells express coreceptor CCR5 and activation
antigen CD38 during early primary HIV-1 infection (PHI) but then
rapidly disappear from the circulation. This cell loss may be due to
susceptibility to infection with HIV-1 but could also be due to
inappropriate apoptosis, an expansion of T regulatory cells,
trafficking out of the circulation, or dysfunction. We purified
CD38+++CD4+ T
cells from peripheral blood mononuclear cells, measured their level of
HIV-1 DNA by PCR, and found that about 10% of this population was
infected. However, a small subset of HIV-specific
CD4+ T cells also expressed CD127, a marker of
long-term memory cells. Purified
CD127+CD4+ lymphocytes contained
fivefold more copies of HIV-1 DNA per cell than did CD127-negative
CD4+ cells, suggesting preferential infection of
long-term memory cells. We observed no apoptosis of antigen-specific
CD4+ T cells in vitro and only a small increase in
CD45RO+CD25+CD127dimCD4+
T regulatory cells during PHI. However, 40% of
CCR5+CD38+++
CD4+ T cells expressed gut-homing integrins,
suggesting trafficking through gut-associated lymphoid tissue (GALT).
Furthermore, 80% of HIV-specific CD4+ T cells
expressed high levels of the negative regulator CTLA-4 in response to
antigen stimulation in vitro, which was probably contributing to their
inability to produce interleukin-2 and proliferate. Taken together, the
loss of HIV-specific CD4+ T cells is associated with
a combination of an infection of CCR5+
CD127+ memory CD4+ T cells,
possibly in GALT, and a high expression of the inhibitory receptor
CTLA-4.