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Updated: Jul 29, 2026

In Vitro Assay to Evaluate the Impact of Immunoregulatory Pathways on HIV-specific CD4 T Cell Effector Function
Published on: October 16, 2013
Decreased function of monocytes and granulocytes during HIV-1 infection correlates with CD4 cell counts
T S Dobmeyer1, B Raffel, J M Dobmeyer
1Dept. of Medicine III, University Hospital, Theodor-Stern-Kai 7 Frankfurt D-60590, Germany.
Abstract:
Monocytes and neutrophils are involved in the primary immune response against opportunistic infections that occur during the progression of human immunodeficiency virus (HIV) infection towards development of acquired immune deficiency syndrome (AIDS). Phagocytic cells operate through the generation of reactive oxygen species which may be toxic for fungi, bacteria and viruses. In the present study we evaluated the function of monocytes and granulocytes in whole blood samples of 16 healthy controls, 12 HIV infected subjects who had not undergone significant infections and of 17 individuals with AIDS. Using flow cytometric methods we were able to determine phagocytosis and respiratory burst under conditions that reflect the normal environment of these cells. Compared with results in samples from controls, granulocytes and monocytes from asymptomatic HIV infected patients exhibited a significantly increased capacity to phagocytose bacteria. The production of reactive oxygen intermediates was in the normal range. In comparison to asymptomatic HIV infected individuals, patients with AIDS showed a significant reduction of phagocytosis and respiratory burst which correlated with the number of CD4+ cells. In comparison to controls, patients infected with HIV, whether they were symptomatic or not, revealed a significantly diminished number of oxygen radical producing cells compared with the number of phagocytic cells. These results indicate that monocytes and granulocytes show reduced antimicrobial activity even in early stages of HIV infection. This defect is only partly due to the HIV infection itself as neutrophils are not target cells for HIV.
Insights
Immune cells like monocytes and neutrophils show reduced antimicrobial activity in early human immunodeficiency virus (HIV) infection. This defect worsens with acquired immune deficiency syndrome (AIDS) progression, impacting the body's ability to fight infections.
Area of Science:
- Immunology
- Infectious Diseases
- Cell Biology
Background:
- Monocytes and neutrophils are crucial for immune response against opportunistic infections in human immunodeficiency virus (HIV) progression to acquired immune deficiency syndrome (AIDS).
- Phagocytic cells utilize reactive oxygen species (ROS) for antimicrobial activity against pathogens.
- HIV infection can compromise the immune system, increasing susceptibility to infections.
Purpose of the Study:
- To evaluate the phagocytic capacity and respiratory burst function of monocytes and granulocytes in individuals with varying stages of HIV infection.
- To compare immune cell function in healthy controls, asymptomatic HIV-infected individuals, and patients with AIDS.
Main Methods:
- Whole blood samples were collected from healthy controls, asymptomatic HIV-infected subjects, and AIDS patients.
- Flow cytometry was used to assess phagocytosis and respiratory burst activity of monocytes and granulocytes.
- Measurements were performed under conditions mimicking the cells' natural environment.
Main Results:
- Asymptomatic HIV-infected individuals showed increased bacterial phagocytosis by granulocytes and monocytes compared to controls, with normal ROS production.
- Patients with AIDS exhibited significantly reduced phagocytosis and respiratory burst activity, correlating with CD4+ cell counts.
- HIV-infected individuals (symptomatic and asymptomatic) had a diminished ratio of ROS-producing cells to phagocytic cells compared to controls.
Conclusions:
- Monocytes and granulocytes display reduced antimicrobial activity even in early HIV infection stages.
- The observed immune defect is not solely due to direct HIV infection of neutrophils.
- Immune cell dysfunction in HIV/AIDS impacts the body's ability to combat opportunistic infections.
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