PMID- 23772620 OWN - NLM STAT- MEDLINE DCOM- 20140124 LR - 20211021 IS - 1600-065X (Electronic) IS - 0105-2896 (Print) IS - 0105-2896 (Linking) VI - 254 IP - 1 DP - 2013 Jul TI - Dendritic cell dysregulation during HIV-1 infection. PG - 170-89 LID - 10.1111/imr.12082 [doi] AB - Dendritic cells (DCs) are a diverse subset of innate immune cells that are key regulators of the host response to human immunodeficiency virus-1 (HIV-1) infection. HIV-1 directly and indirectly modulates DC function to hinder the formation of effective antiviral immunity and fuel immune activation. This review focuses upon the differential dysregulation of myeloid DCs (mDCs) and plasmacytoid DCs (pDCs) at various stages of HIV-1 infection providing insights into pathogenesis. HIV-1 evades innate immune sensing by mDCs resulting in suboptimal maturation, lending to poor generation of antiviral adaptive responses and contributing to T-regulatory cell (Treg) development. Dependent upon the stage of HIV-1 infection, mDC function is altered in response to Toll-like receptor ligands, which further hinders adaptive immunity and limits feasibility of therapeutic vaccine strategies. pDC interactions with HIV-1 are pleotropic, modulating immune responses on an axis between immunostimulatory and immunosuppressive. pDCs promote immune activation through an altered phenotype of persistent type I interferon secretion and weak antigen presentation capacity. Conversely, HIV-1 stimulates secretion of indolemine 2,3 dioxygenase (IDO) by pDCs resulting in Treg induction. An improved understanding of the roles and underlying mechanisms of DC dysfunction will be valuable to the development of therapeutics to enhance HIV-specific adaptive responses and to dampen immune activation. CI - (c) 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Miller, Elizabeth AU - Miller E AD - Division of Infectious Diseases, New York University School of Medicine, New York, NY, USA. FAU - Bhardwaj, Nina AU - Bhardwaj N LA - eng GR - R01 AI044628/AI/NIAID NIH HHS/United States GR - U01 A1067854/PHS HHS/United States GR - AI044628/AI/NIAID NIH HHS/United States GR - P01 AI057127/AI/NIAID NIH HHS/United States GR - P01AI057127/AI/NIAID NIH HHS/United States GR - K08 AI84578/AI/NIAID NIH HHS/United States GR - AI081848/AI/NIAID NIH HHS/United States GR - R37 AI044628/AI/NIAID NIH HHS/United States GR - R01 AI081848/AI/NIAID NIH HHS/United States GR - K08 AI084578/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Immunol Rev JT - Immunological reviews JID - 7702118 SB - IM MH - Animals MH - Dendritic Cells/*immunology/metabolism/virology MH - HIV Infections/*immunology/metabolism MH - HIV-1/*immunology MH - Humans MH - Immunomodulation PMC - PMC5590719 MID - NIHMS903021 EDAT- 2013/06/19 06:00 MHDA- 2014/01/25 06:00 PMCR- 2017/09/08 CRDT- 2013/06/19 06:00 PHST- 2013/06/19 06:00 [entrez] PHST- 2013/06/19 06:00 [pubmed] PHST- 2014/01/25 06:00 [medline] PHST- 2017/09/08 00:00 [pmc-release] AID - 10.1111/imr.12082 [doi] PST - ppublish SO - Immunol Rev. 2013 Jul;254(1):170-89. doi: 10.1111/imr.12082.