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Updated: Jan 4, 2026

Preparation and Use of HIV-1 Infected Primary CD4+ T-Cells as Target Cells in Natural Killer Cell Cytotoxic Assays
Published on: March 14, 2011
Mechanisms of Human Immunodeficiency Virus-Associated Lymphocyte Regulated Cell Death
Ana C Paim1, Andrew D Badley1,2, Nathan W Cummins1
1Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota.
Insights
Human immunodeficiency virus-1 (HIV-1) causes CD4 T cell depletion via programmed cell death. Understanding these mechanisms is key for the "kick and kill" HIV cure strategy targeting latent reservoirs.
Area of Science:
- Immunology
- Virology
- Cell Biology
Background:
- Human immunodeficiency virus-1 (HIV-1) infection leads to CD4 T cell depletion.
- Programmed cell death pathways, both apoptotic and nonapoptotic, contribute to lymphocyte loss.
- Complex interactions between host immunity and viral factors drive enhanced cell death.
Purpose of the Study:
- To review the mechanisms by which HIV-1 induces lymphocyte cell death.
- To highlight the role of cell death in HIV-1 pathogenesis.
- To underscore the importance of understanding cell death for HIV cure strategies.
Main Methods:
- Literature review of existing studies on HIV-1 and lymphocyte cell death.
- Analysis of host-pathogen interactions contributing to cell death.
- Examination of viral factors influencing programmed cell death pathways.
Main Results:
- HIV-1 employs multiple programmed cell death pathways to deplete CD4 T cells.
- Latent HIV-1 infection in long-lived cells like CD4+ T cells and macrophages confers resistance to cell death.
- Understanding these death pathways is crucial for overcoming viral latency.
Conclusions:
- Targeting HIV-1-induced cell death mechanisms is essential for developing effective cure strategies.
- The "kick and kill" approach necessitates knowledge of how to eliminate reactivated, infected cells.
- Further research into cell death resistance in latent reservoirs may reveal new therapeutic targets.
Abstract:
Human immunodeficiency virus-1 (HIV-1) causes CD4 T cell depletion through a number of mechanisms, including programmed cell death pathways (both apoptotic and nonapoptotic). In the setting of HIV-1 infection, the enhanced lymphocyte cell death occurs as a consequence of complex interactions between the host immune system and viral factors, which are reviewed herein. On the other hand, the main challenge to HIV-1 eradication is the development of latent infection in a subset of long lived cells, including CD4+ T cells and macrophages, which resist HIV-induced cell death. Understanding the potential mechanisms of how HIV-1 induces lymphocyte cell death is critical to the "kick and kill" cure strategy, which relies on the effective killing of reactivated, HIV-1-infected cells.
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