Different localization of dendritic cell reservoirs in human immunodeficiency virus-1 subtype B versus subtype

L Bhoopat1, T S Rithaporn, S Lekawanvijit

  • 1Department of Pathology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. lbhoopat@mail.med.cmu.ac.th

Insights

Human immunodeficiency virus (HIV) p24 protein presence differs in lymph nodes between HIV-1 subtype B and E. Subtype B showed a reticular pattern in germinal centers, unlike subtype E, suggesting varied viral behavior.

Area of Science:

  • Immunology
  • Virology
  • Pathology

Background:

  • Persistent generalized lymphadenopathy is a common clinical manifestation in human immunodeficiency virus (HIV) infection.
  • The p24 protein is a major core and capsid antigen of HIV, crucial for viral structure and replication.
  • Understanding the distribution of HIV antigens within lymph nodes can provide insights into viral pathogenesis and disease progression.

Purpose of the Study:

  • To investigate the presence and distribution of HIV p24 protein in lymph nodes of patients with persistent generalized lymphadenopathy.
  • To compare the patterns of p24 protein expression between HIV-1 subtype B (United States) and HIV-1 subtype E (Thailand) infections.

Main Methods:

  • Immunohistochemistry using streptavidin-biotin immunoperoxidase technique was employed.
  • Paraffin-embedded lymph node sections from 50 HIV-1 subtype E and 25 HIV-1 subtype B infected patients were analyzed.
  • Monoclonal antibodies targeting the p24 HIV major core and capsid were used for immunostaining.

Main Results:

  • HIV p24 protein positivity was detected in 20 of 22 (90.9%) HIV-1 subtype B infected lymph nodes with lymphoid follicles.
  • A distinct reticular staining pattern of p24 protein was observed within the germinal centers of HIV-1 subtype B infected nodes.
  • None of the 50 HIV-1 subtype E infected lymph nodes with lymphoid follicles exhibited this reticular pattern in germinal centers.

Conclusions:

  • There is a significant difference in the pattern of HIV p24 protein distribution within lymph node germinal centers between HIV-1 subtypes B and E.
  • This differential pattern may be attributed to the distinct tropism of HIV-1 clades for specific dendritic cell subsets.
  • Alternative explanations include variations in the routes of initial HIV-1 transmission and subsequent viral dissemination.

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