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Published on: September 14, 2014
[The expression of some homing and co-receptor molecules on CD4+ T cells in AIDS patients]
Yan Tan1, Ming-Xia Zhang, Ying-Xia Liu
1The Third People's Hospital of Shenzhen, Shenzhen 518020, China.
Insights
In AIDS patients, CD4+ T cell function is impaired, with reduced expression of homing receptors CD49d, CCR9, CD62L, and CCR5. Highly Active Antiretroviral Therapy (HAART) partially restores this function, indicating potential use of these markers for disease progression monitoring.
Area of Science:
- Immunology
- Virology
- Cell Biology
Background:
- CD4+ T cells play a crucial role in immune response.
- Acquired Immunodeficiency Syndrome (AIDS) significantly impairs CD4+ T cell function.
- Understanding immune cell marker expression is vital for assessing disease progression and treatment efficacy.
Purpose of the Study:
- To evaluate the expression of CD49d, CCR9, CD62L, and CCR5 on CD4+ T cells in AIDS patients before and after Highly Active Antiretroviral Therapy (HAART).
- To assess the potential of these markers in indicating AIDS progression and immune reconstitution.
Main Methods:
- Flow cytometry was used to analyze the expression of CD49d, CCR9, CD62L, and CCR5 on CD4+ T cells.
- The study included 42 AIDS patients and 18 healthy controls.
- Expression levels were compared between pre-HAART, post-HAART, and HIV-negative groups.
Main Results:
- AIDS patients pre-HAART showed decreased CD4+ T cell numbers and frequencies of CD4+ T cells expressing CCR9 and CCR5 compared to post-HAART.
- Expression of CD49d, CCR9, and CD62L on CD4+ T cells was significantly lower in pre-HAART patients.
- Post-HAART patients still exhibited lower frequencies of CD4+ T cells, CD62L+, and CCR5+ cells compared to HIV-negative controls.
Conclusions:
- CD4+ T cell number and function are impaired in AIDS patients, evidenced by reduced expression of homing receptors (CD49d, CCR9, CD62L) and coreceptor (CCR5).
- HAART therapy can partially reverse these pathological changes.
- CD49d, CCR9, and CD62L expression levels may serve as indicators for AIDS progression and immune recovery following HAART.
Objective:
To evaluate the expression of CD49d, CCR9, CD62L and CCR5 on CD4+ T cells in AIDS patients before and after HAART.
Methods:
The study was performed in 42 cases of AIDS patients and 18 cases of healthy controls. The expression of CD49d, CCR9, CD62L and CCR5 on CD4+ T cells, and CD45RO on CD4+ CCCR9+ and CD4+ CCR5+ T cells in AIDS patients and healthy controls were analysed by Flow cytometry. Software BD FACSDiva was used to calculate the percentage of expression.
Results:
The number of peripheral CD4+ T cells in group pre-HAART was decreased compared with group HAART (P < 0.01); the frequency of CD3+ CD4+, CD4+ CCR9+, CD4+ CCR5+ T cells in group pre-HAART were decreased compared with group HAART (P < 0.01), the frequency of CD4+ CD49d+, CD4+ CD62L+, CD4+ CCR9+ CD45RO , CD4+ CCR9+ CD45RO- ,CD4+ CCR5+ CD45RO+, CD4+ CCR5+ CD45RO- T cells in group pre-HAART were significantly decreased compared with group HAART (P < 0.001); the frequency of CD3+ CD4, CD4+ CD62L+, CD4+ CCR5+ T cells in group HAART were significantly decreased compared with group HIV-neg (P < 0.05).
Conclusions:
Not only the number but the function of CD4' T cells was impaired in AIDS patients: the lower expression frequency of gut homing receptor molecule CD49d and CCR9,1ymph node homing molecule CD62L, coreceptor molecule CCR5. HAART can partially reverse this pathological phenomena. CD49d, CCR9 and CD62L may be suggested to indicate the progression of AIDS and immunologic reconstitution after HAART.
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