Systemic dendritic cell mobilization associated with administration of FLT3 ligand to SIV- and SHIV-infected macaques

R Keith Reeves1, Qing Wei, Jackie Stallworth

  • 1Department of Microbiology, University of Alabama at Birmingham (UAB), Birmingham, Alabama 35294, USA.

Insights

Hematopoietic cytokine FLT3-ligand (FLT3-L) safely expands myeloid and plasmacytoid dendritic cells (mDCs and pDCs) in macaques with lentivirus infections. This expansion may offer therapeutic benefits for innate immune response restoration.

Area of Science:

  • Immunology
  • Virology
  • Hematology

Background:

  • Myeloid and plasmacytoid dendritic cells (mDCs and pDCs) are crucial for innate immunity but are depleted during chronic HIV and SIV infections.
  • Loss of functional dendritic cells (DCs) can compromise immune responses against opportunistic pathogens and cancer.
  • Previous studies show mDC and pDC loss in SIV-infected macaques.

Purpose of the Study:

  • To investigate if FLT3-ligand (FLT3-L) can expand mDCs and pDCs in naive and SIV/SHIV-infected pigtailed macaques.
  • To assess the safety and potential therapeutic benefit of FLT3-L in lentivirus infection models.

Main Methods:

  • Administration of supraphysiologic doses of FLT3-L to naive and SIV/SHIV-infected pigtailed macaques.
  • Monitoring of mDC, pDC, and monocyte populations in blood, lymph nodes, and bone marrow.
  • Analysis of serum IL-12 levels, HLA-DR, CD25, CD69 expression on immune cells, CD4(+) T cell counts, viral RNA, and antibody titers.

Main Results:

  • FLT3-L treatment led to a significant expansion (up to 45-fold) of mDCs, pDCs, and monocytes in various tissues.
  • DC expansion in bone marrow preceded mobilization to blood and lymphoid tissues.
  • FLT3-L transiently increased IL-12, enhanced HLA-DR and activation marker expression on NK and T cells, and increased APC numbers and activation in infected animals, without altering CD4(+) T cell counts or viral load.

Conclusions:

  • FLT3-L is a safe modality for expanding dendritic cell populations in vivo.
  • FLT3-L administration shows potential therapeutic benefits in chronic lentivirus infections by restoring innate immune cell numbers and function.
  • Further research is warranted to explore FLT3-L's efficacy in managing lentiviral infections.

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