Short-lived infected cells support virus replication in sooty mangabeys naturally infected with simian
Shari N Gordon1, Richard M Dunham, Jessica C Engram
1University of Pennsylvania School of Medicine, 705 Stellar-Chance Laboratories, 422 Curie Boulevard, Philadelphia, PA 19143, USA.
Abstract:
Sooty mangabeys (SMs) naturally infected with simian immunodeficiency virus (SIV) do not develop AIDS despite high levels of virus replication. At present, the mechanisms underlying this disease resistance are poorly understood. Here we tested the hypothesis that SIV-infected SMs avoid immunodeficiency as a result of virus replication occurring in infected cells that live significantly longer than human immunodeficiency virus (HIV)-infected human cells. To this end, we treated six SIV-infected SMs with potent antiretroviral therapy (ART) and longitudinally measured the decline in plasma viremia. We applied the same mathematical models used in HIV-infected individuals and observed that SMs naturally infected with SIV also present a two-phase decay of viremia following ART, with the bulk (92 to 99%) of virus replication sustained by short-lived cells (average life span, 1.06 days), and only 1 to 8% occurring in longer-lived cells. In addition, we observed that ART had a limited impact on CD4(+) T cells and the prevailing level of T-cell activation and proliferation in SIV-infected SMs. Collectively, these results suggest that in SIV-infected SMs, similar to HIV type 1-infected humans, short-lived activated CD4(+) T cells, rather than macrophages, are the main source of virus production. These findings indicate that a short in vivo life span of infected cells is a common feature of both pathogenic and nonpathogenic primate lentivirus infections and support a model for AIDS pathogenesis whereby the direct killing of infected cells by HIV is not the main determinant of disease progression.
Insights
Sooty mangabeys infected with simian immunodeficiency virus (SIV) resist AIDS. Virus replication primarily occurs in short-lived CD4(+) T cells, not long-lived cells, explaining their disease resistance.
Area of Science:
- Immunology
- Virology
- Primatology
Background:
- Sooty mangabeys (SMs) infected with simian immunodeficiency virus (SIV) resist AIDS despite high viral loads.
- Mechanisms of this disease resistance are not well understood.
Purpose of the Study:
- To test if SIV-infected SMs avoid immunodeficiency due to virus replication in longer-lived cells compared to HIV-infected human cells.
- To investigate the role of infected cell lifespan in SIV pathogenesis.
Main Methods:
- Six SIV-infected SMs were treated with potent antiretroviral therapy (ART).
- Plasma viremia decline was measured longitudinally.
- Mathematical models used for HIV-1 research were applied to SIV-infected SM data.
Main Results:
- SIV-infected SMs showed a two-phase viremia decay post-ART, similar to HIV-1.
- 92-99% of virus replication was sustained by short-lived cells (average lifespan 1.06 days).
- Only 1-8% of virus replication occurred in longer-lived cells; ART had minimal impact on CD4(+) T cells.
Conclusions:
- Short-lived, activated CD4(+) T cells are the primary source of SIV production in SMs, not macrophages.
- A short in vivo lifespan of infected cells is characteristic of both pathogenic and nonpathogenic primate lentivirus infections.
- Direct killing of infected cells is not the main driver of AIDS pathogenesis.
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