Effect of HIV-1 infection on lymphocyte proliferation in gut-associated lymphoid tissue

A H Talal1, C E Irwin, D T Dieterich

  • 1Aaron Diamond AIDS Research Center, New York City, New York, USA. aht2002@pop.med.cornell.edu

Insights

HIV-1 infection increases the proliferation of CD4+ T cells in gut-associated lymphoid tissue (GALT). However, activation levels in GALT and the proportion of circulating T cells entering the gut remain unchanged.

Area of Science:

  • Immunology
  • Virology
  • Gastroenterology

Background:

  • Human Immunodeficiency Virus type 1 (HIV-1) infection impacts immune cell populations.
  • Gut-associated lymphoid tissue (GALT) is a critical site for immune responses.
  • Understanding lymphocyte dynamics in GALT during HIV-1 infection is crucial.

Purpose of the Study:

  • To investigate changes in proliferative and activated lymphocytes within the GALT.
  • To compare these changes in HIV-1-infected individuals versus uninfected controls.
  • To assess T cell trafficking between peripheral blood and the gut.

Main Methods:

  • Quantified proliferative (Ki-67+) and activated (CD-69+, HLA-DR+, CD45RO+) lymphocytes.
  • Analyzed samples from GALT and peripheral blood.
  • Included 12 HIV-1-infected and 9 uninfected individuals.

Main Results:

  • Increased percentage of proliferative GALT CD4+ T cells in HIV-1-infected subjects (p <.007).
  • Proliferative T cells primarily located in the parafollicular regions of GALT.
  • No significant difference in activated GALT lymphocytes; however, peripheral blood showed increased activation in HIV-1-infected individuals.

Conclusions:

  • HIV-1 infection is associated with heightened CD4+ T cell proliferation within GALT.
  • Peripheral blood T cell activation is increased in HIV-1 infection.
  • Lymphocyte trafficking to the gastrointestinal mucosa is not significantly altered by HIV-1 infection.
Abstract