PMID- 32350076 OWN - NLM STAT- MEDLINE DCOM- 20201119 LR - 20240427 IS - 1098-5514 (Electronic) IS - 0022-538X (Print) IS - 0022-538X (Linking) VI - 94 IP - 14 DP - 2020 Jul 1 TI - Delayed Expression of PD-1 and TIGIT on HIV-Specific CD8 T Cells in Untreated HLA-B*57:01 Individuals Followed from Early Infection. LID - 10.1128/JVI.02128-19 [doi] LID - e02128-19 AB - While the relationship of protective human leukocyte antigen (HLA) class I alleles and HIV progression is well defined, the interaction of HLA-mediated protection and CD8 T-cell exhaustion is less well characterized. To gain insight into the influence of HLA-B*57:01 on the deterioration of CD8 T-cell responses during HIV infection in the absence of antiretroviral treatment, we compared HLA-B*57:01-restricted HIV-specific CD8 T-cell responses to responses restricted by other HLA class I alleles longitudinally after control of peak viremia. Detailed characterization of polyfunctionality, differentiation phenotypes, transcription factor, and inhibitory receptor expression revealed progression of CD8 T-cell exhaustion over the course of the infection in both patient groups. However, early effects on the phenotype of the total CD8 T-cell population were apparent only in HLA-B*57-negative patients. The HLA-B*57:01-restricted, HIV epitope-specific CD8 T-cell responses showed beneficial functional patterns and significantly lower frequencies of inhibitory receptor expression, i.e., PD-1 and coexpression of PD-1 and TIGIT, within the first year of infection. Coexpression of PD-1 and TIGIT was correlated with clinical markers of disease progression and declining percentages of the T-bet(hi) Eomes(dim) CD8 T-cell population. In accordance with clinical and immunological deterioration in the HLA-B*57:01 group, the difference in PD-1 and TIGIT receptor expression did not persist to later stages of the disease.IMPORTANCE Given the synergistic nature of TIGIT and PD-1, the coexpression of those inhibitory receptors should be considered when evaluating T-cell pathogenesis, developing immunomodulatory therapies or vaccines for HIV, and when using immunotherapy or vaccination for other causes in HIV-infected patients. HIV-mediated T-cell exhaustion influences the patient s disease progression, immune system and subsequently non-AIDS complications, and efficacy of vaccinations against other pathogens. Consequently, the possibilities of interfering with exhaustion are numerous. Expanding the use of immunomodulatory therapies to include HIV treatment depends on information about possible targets and their role in the deterioration of the immune system. Furthermore, the rise of immunotherapies against cancer and elevated cancer incidence in HIV-infected patients together increase the need for detailed knowledge of T-cell exhaustion and possible interactions. A broader approach to counteract immune exhaustion to alleviate complications and improve efficacy of other vaccines also promises to increase patients' health and quality of life. CI - Copyright (c) 2020 Scharf et al. FAU - Scharf, Lydia AU - Scharf L AUID- ORCID: 0000-0002-1596-2208 AD - Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden. FAU - Tauriainen, Johanna AU - Tauriainen J AD - Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden. FAU - Buggert, Marcus AU - Buggert M AD - Department of Medicine, Karolinska Institutet, Stockholm, Sweden. AD - Department of Microbiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA. FAU - Hartogensis, Wendy AU - Hartogensis W AD - Department of Medicine, University of California, San Francisco, San Francisco, California, USA. FAU - Nolan, David J AU - Nolan DJ AD - Department of Pathology, Immunology and Laboratory Medicine, University of Florida, Gainesville, Florida, USA. AD - Bioinfoexperts LLC, Alachua, Florida, USA. FAU - Deeks, Steven G AU - Deeks SG AD - Department of Medicine, University of California, San Francisco, San Francisco, California, USA. FAU - Salemi, Marco AU - Salemi M AD - Department of Pathology, Immunology and Laboratory Medicine, University of Florida, Gainesville, Florida, USA. FAU - Hecht, Frederick M AU - Hecht FM AD - Department of Medicine, University of California, San Francisco, San Francisco, California, USA. FAU - Karlsson, Annika C AU - Karlsson AC AUID- ORCID: 0000-0002-2028-8393 AD - Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden annika.karlsson@ki.se. LA - eng GR - K24 AT007827/AT/NCCIH NIH HHS/United States GR - P01 AI071713/AI/NIAID NIH HHS/United States GR - P30 AI027763/AI/NIAID NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20200701 PL - United States TA - J Virol JT - Journal of virology JID - 0113724 RN - 0 (HLA-B Antigens) RN - 0 (HLA-B*57:01 antigen) RN - 0 (PDCD1 protein, human) RN - 0 (Programmed Cell Death 1 Receptor) RN - 0 (Receptors, Immunologic) RN - 0 (TIGIT protein, human) SB - IM MH - Adult MH - CD8-Positive T-Lymphocytes/*metabolism/pathology MH - Female MH - *Gene Expression Regulation MH - HIV Infections/*metabolism/pathology MH - HIV-1/*metabolism MH - HLA-B Antigens/*metabolism MH - Humans MH - Male MH - Middle Aged MH - Programmed Cell Death 1 Receptor/*biosynthesis MH - Receptors, Immunologic/*biosynthesis PMC - PMC7343205 OTO - NOTNLM OT - CD4 OT - CD8-positive T lymphocytes OT - HIV Gag OT - HIV-1 OT - PD-1 OT - T-cell immunoreceptor with Ig and ITIM domain OT - TIGIT OT - cellular immunity OT - disease progression OT - evolution OT - human HLA-B*5701 antigen OT - molecular evolution OT - programmed cell death protein 1 OT - viral load EDAT- 2020/05/01 06:00 MHDA- 2020/11/20 06:00 PMCR- 2020/07/01 CRDT- 2020/05/01 06:00 PHST- 2019/12/20 00:00 [received] PHST- 2020/04/16 00:00 [accepted] PHST- 2020/05/01 06:00 [pubmed] PHST- 2020/11/20 06:00 [medline] PHST- 2020/05/01 06:00 [entrez] PHST- 2020/07/01 00:00 [pmc-release] AID - JVI.02128-19 [pii] AID - 02128-19 [pii] AID - 10.1128/JVI.02128-19 [doi] PST - epublish SO - J Virol. 2020 Jul 1;94(14):e02128-19. doi: 10.1128/JVI.02128-19. Print 2020 Jul 1.