Selective impairments in dendritic cell-associated function distinguish hepatitis C virus and HIV infection

Donald D Anthony1, Nicole L Yonkers, Anthony B Post

  • 1Department of Medicine, Veterans Administration Medical Center, Center for AIDS Research, and University Hospitals of Cleveland, Case Western Reserve University, Cleveland, OH 44106, USA. dda3@po.cewru.edu

Insights

Hepatitis C virus (HCV) and human immunodeficiency virus (HIV) infections differentially impair immature dendritic cell (DC) functions, affecting innate and adaptive immunity. Coinfection with HCV and HIV leads to more severe DC dysfunction and reduced T cell responses to HCV.

Area of Science:

  • Immunology
  • Virology
  • Infectious Diseases

Background:

  • Impaired antigen-presenting cell (APC) functions are implicated in the chronicity of Hepatitis C virus (HCV) and Human Immunodeficiency Virus (HIV) infections.
  • Dendritic cells (DCs), crucial for initiating immune responses, include myeloid-derived DCs (MDCs) and plasmacytoid-derived DCs (PDCs).

Purpose of the Study:

  • To investigate the distinct and combined effects of chronic HCV and HIV infections on MDC and PDC frequencies and functions.
  • To assess the relationship between innate immune function (DC responses) and adaptive immunity (HCV-specific T cell responses).

Main Methods:

  • Evaluated MDC and PDC frequencies and Toll-like receptor ligand-induced IFN-alpha and IL-12 production in healthy controls and subjects with chronic HCV, HIV, or HCV-HIV coinfection.
  • Measured HCV-specific IFN-gamma-producing T cell frequency to assess adaptive immunity.

Main Results:

  • MDC frequencies were reduced in HIV, while PDC frequencies were minimally reduced in HCV. Significant reductions in IFN-alpha production were observed in HIV (non-PDC) and HCV (PDC) infections.
  • Both MDC and PDC functions were impaired in HCV-HIV coinfection. MDC-associated IL-12 production was markedly reduced in both HCV and HIV infections.
  • Functional defects were attenuated in slowly progressive HIV infection. HCV-specific T cell responses were reduced in coinfected subjects, with a positive association between MDC IL-12 production and HCV-specific T cells in HCV-infected individuals.

Conclusions:

  • Immature DC function is differentially dysregulated in HIV and HCV infections, impacting innate and adaptive immunity.
  • These DC functional impairments are exacerbated in HCV-HIV coinfection, potentially contributing to reduced adaptive immune responses to HCV.
  • The severity of DC dysfunction is influenced by the progression rate of HIV infection.

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