PMID- 11698285 OWN - NLM STAT- MEDLINE DCOM- 20011221 LR - 20210216 IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 98 IP - 10 DP - 2001 Nov 15 TI - Reduced blood CD123+ (lymphoid) and CD11c+ (myeloid) dendritic cell numbers in primary HIV-1 infection. PG - 3016-21 AB - Successful immunologic control of HIV infection is achieved only in rare individuals. Dendritic cells (DCs) are required for specific antigen presentation to naive T lymphocytes and for antiviral, type I interferon secretion. Two major blood DC populations are found: CD11c+ (myeloid) DCs, which secrete IL-12, and CD123+ (IL-3-receptor+) DCs (lymphoid), which secrete type I interferons in response to viral stimuli. The authors have previously found a decreased proportion of blood CD11c+ DCs in chronic HIV+ patients. In this study, 26 to 57 days after infection and before treatment, CD123+ and CD11c+ DC numbers were dramatically reduced in 13 HIV+ patients compared with 13 controls (P =.0002 and P =.001, respectively). After 6 to 12 months of highly active antiretroviral therapy, DC subpopulation average numbers remained low, but CD123+ DC numbers increased again in 5 of 13 patients. A strong correlation was found between this increase and CD4 T-cell count increase (P =.0009) and plasma viral load decrease (P =.009). Reduced DC numbers may participate in the functional impairment of HIV-specific CD4+ T cells and be responsible for the low type I interferon responsiveness already known in HIV infection. The restoration of DC numbers may be predictive of immune restoration and may be a goal for immunotherapy to enhance viral control in a larger proportion of patients. FAU - Pacanowski, J AU - Pacanowski J AD - Unite INSERM 445, Immunologie des pathologies infectieuses et tumorales, Departement d'Immunologie, Institut Cochin de Genetique Moleculaire and Laboratoire de Virologie, Hopital St-Vincent de Paul, Paris, France. FAU - Kahi, S AU - Kahi S FAU - Baillet, M AU - Baillet M FAU - Lebon, P AU - Lebon P FAU - Deveau, C AU - Deveau C FAU - Goujard, C AU - Goujard C FAU - Meyer, L AU - Meyer L FAU - Oksenhendler, E AU - Oksenhendler E FAU - Sinet, M AU - Sinet M FAU - Hosmalin, A AU - Hosmalin A LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (IL3RA protein, human) RN - 0 (Integrin alphaXbeta2) RN - 0 (Interferon-alpha) RN - 0 (Interleukin-3 Receptor alpha Subunit) RN - 0 (RNA, Viral) RN - 0 (Receptors, Interleukin-3) RN - 187348-17-0 (Interleukin-12) SB - IM MH - Adult MH - Antiretroviral Therapy, Highly Active MH - Blood Cell Count MH - CD4 Lymphocyte Count MH - Dendritic Cells/metabolism/*pathology MH - Female MH - Follow-Up Studies MH - HIV Infections/*blood/drug therapy/immunology MH - HIV-1 MH - Humans MH - Integrin alphaXbeta2/*analysis MH - Interferon-alpha/blood/deficiency/metabolism MH - Interleukin-12/metabolism MH - Interleukin-3 Receptor alpha Subunit MH - Lymphocytes/metabolism/pathology MH - Male MH - Middle Aged MH - Myeloid Cells/metabolism/pathology MH - RNA, Viral/blood MH - Receptors, Interleukin-3/*analysis MH - Viral Load EDAT- 2001/11/08 10:00 MHDA- 2002/01/05 10:01 CRDT- 2001/11/08 10:00 PHST- 2001/11/08 10:00 [pubmed] PHST- 2002/01/05 10:01 [medline] PHST- 2001/11/08 10:00 [entrez] AID - S0006-4971(20)56835-3 [pii] AID - 10.1182/blood.v98.10.3016 [doi] PST - ppublish SO - Blood. 2001 Nov 15;98(10):3016-21. doi: 10.1182/blood.v98.10.3016.