Increased susceptibility of differentiated mononuclear phagocytes to productive infection with human immunodeficiency

E A Rich1, I S Chen, J A Zack

  • 1Department of Medicine, Case Western Reserve University, Cleveland, Ohio.

Insights

Alveolar macrophages (AM) and cultured monocytes (CM) are more susceptible to HIV-1 infection than freshly isolated monocytes (MN). This difference in productive HIV infection may influence lung complications in acquired immunodeficiency syndrome.

Area of Science:

  • Immunology
  • Virology
  • Cell Biology

Background:

  • Human immunodeficiency virus type 1 (HIV-1) infects mononuclear phagocytes.
  • Susceptibility of different mononuclear phagocyte subsets to HIV-1 infection is not fully understood.
  • Alveolar macrophages (AM) and cultured monocytes (CM) are key cells in the lung immune response.

Purpose of the Study:

  • To compare the susceptibility of freshly isolated blood monocytes (MN), cultured monocytes (CM), and alveolar macrophages (AM) to productive HIV-1 infection.
  • To investigate the mechanisms underlying differential HIV-1 susceptibility in these cell types.

Main Methods:

  • Primary human monocytes (MN), in vitro differentiated monocytes (CM), and alveolar macrophages (AM) were isolated from healthy donors.
  • Cells were infected with the macrophage-tropic HIV-1 strain HIV-1JR-FL.
  • Viral replication was assessed by measuring p24 gag antigen levels using ELISA.
  • Viral DNA levels, including entry and reverse transcription, were analyzed by quantitative PCR.

Main Results:

  • Freshly isolated MN showed negligible HIV-1 replication (p24 antigen).
  • AM exhibited significant HIV-1 replication (peak 4145 pg/ml), and CM showed higher replication (peak 9216 pg/ml).
  • Quantitative PCR indicated that differences in viral entry, not reverse transcription completion, contribute to varied virus production.

Conclusions:

  • Alveolar macrophages and cultured monocytes are significantly more susceptible to productive HIV-1 infection than freshly isolated blood monocytes.
  • Increased susceptibility of AM to HIV-1 may contribute to the pathogenesis of lung disorders in acquired immunodeficiency syndrome (AIDS).
  • Understanding these cellular differences is crucial for managing HIV-1-associated pulmonary complications.

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