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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.
Abstract:
The current intersection of the COVID-19 and HIV-1 pandemics, has raised concerns about the risk for poor COVID-19 outcomes particularly in regions like sub-Saharan Africa, disproportionally affected by HIV. DPP4/CD26 has been suggested to be a potential therapeutic target and a biomarker for risk in COVID-19 patients with high risk co-morbidities. We therefore evaluated soluble DPP4 (sDPP4) levels and activity in plasma of 131 HIV-infected and 20 HIV-uninfected South African individuals. Flow cytometry was performed to compare cell surface expression of DPP4/CD26 and activation markers on peripheral blood mononuclear cells of extreme clinical phenotypes. Progressors had lower specific DPP4 activity and lower frequency of CD3+ T-cells expressing CD26 than HIV-1 controllers, but more activated CD3+CD26+ T-cells. The frequency of CD26-expressing T-cells negatively correlated with HLA-DR+ and CD38+ T-cells. Divergent DPP4/CD26 expression between HIV-1 controllers and progressors may have implications for risk and treatment of COVID-19 in people living with HIV.
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