Impaired phagolysosomal fusion of peripheral blood monocytes from HIV-infected subjects

M G Pittis1, G Sternik, L Sen

  • 1Instituto de Investigaciones Hematológicas Mariano R. Castex, Academia Nacional de Medicina, Buenos Aires, Argentina.

Insights

HIV infection impairs monocyte phagolysosomal fusion, particularly in later stages, correlating with decreased CD4+ T-lymphocyte counts. The viral protein gp120 may cause this dysfunction in infected individuals.

Area of Science:

  • Immunology
  • Virology

Background:

  • Human immunodeficiency virus (HIV) infection is known to affect immune cell function.
  • Monocytes play a crucial role in innate immunity, including phagocytosis and pathogen clearance.

Purpose of the Study:

  • To investigate phagolysosomal fusion capacity in monocytes from HIV-infected individuals.
  • To determine the relationship between phagolysosomal fusion and immune markers (CD4+ lymphocytes, CD4/CD8 ratio).
  • To assess the role of the HIV envelope protein gp120 in monocyte phagolysosomal dysfunction.

Main Methods:

  • Phagolysosomal fusion was assessed in peripheral blood monocytes using an acridine orange fluorescence assay.
  • Monocytes from 20 HIV-infected individuals and 40 healthy controls were analyzed.
  • The effect of recombinant gp120 on phagolysosomal fusion in normal monocytes was evaluated.

Main Results:

  • Phagolysosomal fusion percentages in HIV-infected individuals did not significantly differ from controls at 30 and 60 minutes.
  • A significant positive linear association was observed between phagolysosomal fusion and CD4+ lymphocyte counts (P < 0.001) and CD4/CD8 T-cell ratio (P < 0.01).
  • Recombinant gp120 significantly inhibited normal phagolysosomal fusion.

Conclusions:

  • Monocyte phagolysosomal dysfunction in HIV infection is associated with advanced disease stages and declining CD4+ T-lymphocyte counts.
  • The HIV envelope protein gp120 is implicated as a potential cause of monocyte phagolysosomal dysfunction in HIV-infected patients.

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