Systemic DPP4/CD26 is associated with natural HIV-1 control: Implications for COVID-19 susceptibility

Yashini Govender1, Sharon Shalekoff1, Osman Ebrahim2

  • 1Centre for HIV & STIs, National Institute for Communicable Diseases, National Health Laboratory Service and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Insights

The study found differences in dipeptidyl peptidase 4 (DPP4/CD26) activity and expression in people living with HIV-1. These findings suggest DPP4/CD26 may impact COVID-19 risk and treatment in this population.

Area of Science:

  • Immunology
  • Virology
  • Public Health

Background:

  • The COVID-19 and HIV-1 pandemics intersect, raising concerns for individuals with HIV, especially in sub-Saharan Africa.
  • Dipeptidyl peptidase 4 (DPP4/CD26) is a potential therapeutic target and biomarker for COVID-19 risk in patients with comorbidities.

Purpose of the Study:

  • To evaluate soluble DPP4 (sDPP4) levels and activity in HIV-1 infected and uninfected South African individuals.
  • To compare cell surface DPP4/CD26 expression and activation markers on immune cells between different clinical phenotypes of HIV-1 infection.

Main Methods:

  • Plasma samples from 131 HIV-infected and 20 HIV-uninfected South Africans were analyzed for sDPP4 levels and activity.
  • Flow cytometry was used to assess DPP4/CD26 and activation marker expression on peripheral blood mononuclear cells (PBMCs).

Main Results:

  • HIV-1 progressors exhibited lower specific DPP4 activity and reduced frequency of CD3+ T-cells expressing CD26 compared to HIV-1 controllers.
  • Progressors showed a higher frequency of activated CD3+CD26+ T-cells.
  • The frequency of CD26-expressing T-cells negatively correlated with T-cell activation markers HLA-DR+ and CD38+.

Conclusions:

  • Divergent DPP4/CD26 expression patterns exist between HIV-1 controllers and progressors.
  • These differences may have significant implications for understanding COVID-19 risk and guiding treatment strategies in people living with HIV.

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