PMID- 22441653 OWN - NLM STAT- MEDLINE DCOM- 20130708 LR - 20120424 IS - 1537-6591 (Electronic) IS - 1058-4838 (Linking) VI - 54 IP - 10 DP - 2012 May TI - Immune responses driven by protective human leukocyte antigen alleles from long-term nonprogressors are associated with low HIV reservoir in central memory CD4 T cells. PG - 1495-503 LID - 10.1093/cid/cis188 [doi] AB - BACKGROUND: The stable immune control of human immunodeficiency virus (HIV) in long-term nonprogressors (LTNPs) with protective human leukocyte antigen (HLA) alleles raises the question of whether and how these alleles influence the immune distribution of the HIV reservoirs. METHODS: Cell-associated HIV-DNA levels were quantified in blood sorted resting CD4 T-cell subsets from 8 LTNPs with and 10 without HLA-B*27 or HLA-B*57 alleles (HLA-B27/B57). RESULTS: A remarkably lower infection level of central memory CD4 T cells (T(CM)) was an exclusive feature that distinguished the HLA-B27/B57 HIV reservoirs from the other ones. In LTNPs, T(CM) protection was correlated with preservation of T(CM) counts, which correlated positively with the magnitude of HIV Gag-specific CD8 T cells. In HLA-B27/B57 LTNPs, a lower activation level of their memory CD4 T cells was associated with lower amounts of cell HIV-DNA in each resting memory CD4 subset and were also associated with higher ratios of HIV Gag-specific CD8 T cells per infected resting CD4 T cell (effector/target [E/T]). As a result, HLA-B27/B57 E/T ratios were negatively correlated with the contribution of memory CD4 T-cell subsets to the total HIV reservoirs. CONCLUSIONS: The potent antiviral immunity governed by the protective HLA-B27/B57 alleles, by limiting T(CM) infection and pool exhaustion, are associated with a reduced T(CM) contribution to the HIV reservoir. FAU - Descours, Benjamin AU - Descours B AD - Immunity and Infection Laboratory, Pierre and Marie Curie University, INSERM UMRS 945, Pitie-Salpetriere Hospital, Paris, France. FAU - Avettand-Fenoel, Veronique AU - Avettand-Fenoel V FAU - Blanc, Catherine AU - Blanc C FAU - Samri, Assia AU - Samri A FAU - Melard, Adeline AU - Melard A FAU - Supervie, Virginie AU - Supervie V FAU - Theodorou, Ioannis AU - Theodorou I FAU - Carcelain, Guislaine AU - Carcelain G FAU - Rouzioux, Christine AU - Rouzioux C FAU - Autran, Brigitte AU - Autran B CN - ALT ANRS CO15 Study Group LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120322 PL - United States TA - Clin Infect Dis JT - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JID - 9203213 RN - 0 (DNA, Viral) RN - 0 (HLA-B Antigens) SB - IM MH - CD4-Positive T-Lymphocytes/*immunology MH - DNA, Viral/isolation & purification MH - HIV Infections/*immunology/*virology MH - *HIV Long-Term Survivors MH - HLA-B Antigens/*genetics/immunology MH - Humans MH - Proviruses/isolation & purification MH - Viral Load FIR - Agut, Henri IR - Agut H FIR - Clauvel, Jean-Pierre IR - Clauvel JP FIR - Costagliola, Dominique IR - Costagliola D FIR - DaSilva, Maciel-Bosco IR - DaSilva MB FIR - Debre, Patrice IR - Debre P FIR - Sicard, Didier IR - Sicard D FIR - Viard, Jean-Paul IR - Viard JP EDAT- 2012/03/24 06:00 MHDA- 2013/07/09 06:00 CRDT- 2012/03/24 06:00 PHST- 2012/03/24 06:00 [entrez] PHST- 2012/03/24 06:00 [pubmed] PHST- 2013/07/09 06:00 [medline] AID - cis188 [pii] AID - 10.1093/cid/cis188 [doi] PST - ppublish SO - Clin Infect Dis. 2012 May;54(10):1495-503. doi: 10.1093/cid/cis188. Epub 2012 Mar 22.