PMID- 16425128 OWN - NLM STAT- MEDLINE DCOM- 20060525 LR - 20190508 IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 193 IP - 4 DP - 2006 Feb 15 TI - Abnormal presence of semimature dendritic cells that induce regulatory T cells in HIV-infected subjects. PG - 494-504 AB - Dendritic cells (DCs), because they orchestrate the immune response to microbes, represent an ideal target for pathogens attempting to evade the immune system. We hypothesized that interactions between human immunodeficiency virus (HIV) and DCs lead to the development of a semimature state, in which DCs migrate to lymph nodes but induce tolerance in T cells, rather than immunity. We found that lymph nodes from untreated HIV-infected subjects contained an abundance of semimature DCs, the disappearance of which correlated with the initiation of highly active antiretroviral therapy (HAART). Such lymph nodes also contained an abundance of T cells that had a regulatory phenotype and that persisted after HAART. Lymph node DCs from untreated HIV-infected subjects cultured with normal allogeneic T cells induced these T cells to adopt the phenotype of regulatory T cells, an ability that was lost after HAART. We conclude that HIV infection correlates with the presence of semimature DCs that stimulate T cell tolerance rather than immunity. These regulatory T cells may contribute to the lack of effective HIV immune responses. FAU - Krathwohl, Mitchell D AU - Krathwohl MD AD - Department of Medicine, University of Minnesota, Minneapolis, USA. mitch@rosettastonelabs.com. FAU - Schacker, Timothy W AU - Schacker TW FAU - Anderson, Jodi L AU - Anderson JL LA - eng GR - AI-01544/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20060119 PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (Anti-HIV Agents) SB - IM MH - Anti-HIV Agents/*therapeutic use MH - Antiretroviral Therapy, Highly Active MH - CD4-Positive T-Lymphocytes/immunology/pathology/virology MH - Cells, Cultured MH - Dendritic Cells/*immunology/metabolism/pathology MH - HIV Infections/drug therapy/*immunology MH - HIV-1/*physiology MH - Humans MH - Leukocytes, Mononuclear/virology MH - Lymph Nodes/pathology/virology MH - T-Lymphocytes, Regulatory/*immunology EDAT- 2006/01/21 09:00 MHDA- 2006/05/26 09:00 CRDT- 2006/01/21 09:00 PHST- 2005/03/08 00:00 [received] PHST- 2005/09/01 00:00 [accepted] PHST- 2006/01/21 09:00 [pubmed] PHST- 2006/05/26 09:00 [medline] PHST- 2006/01/21 09:00 [entrez] AID - JID34575 [pii] AID - 10.1086/499597 [doi] PST - ppublish SO - J Infect Dis. 2006 Feb 15;193(4):494-504. doi: 10.1086/499597. Epub 2006 Jan 19.