HIV-1 and SIV predominantly use CCR5 expressed on a precursor population to establish infection in T follicular helper cells

<h4>Background</h4> <p>T follicular helper (Tfh) cells are increasingly recognized as a major reservoir of HIV infection that will likely need to be addressed in approaches to curing HIV. However, Tfh express minimal CCR5, the major coreceptor for HIV-1, and the mechanism by which...

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Main Authors: Xu, Y, Phetsouphanh, C, Suzuki, K, Aggrawal, A, Graff-Dubois, S, Roche, M, Bailey, M, Alcantara, S, Cashin, K, Sivasubramaniam, R, Koelsch, K, Autran, B, Harvey, R, Gorry, P, Moris, A, Cooper, D, Turville, S, Kent, S, Kelleher, A, Zaunders, J
Format: Journal article
Language:English
Published: Frontiers Media 2017
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author Xu, Y
Phetsouphanh, C
Suzuki, K
Aggrawal, A
Graff-Dubois, S
Roche, M
Bailey, M
Alcantara, S
Cashin, K
Sivasubramaniam, R
Koelsch, K
Autran, B
Harvey, R
Gorry, P
Moris, A
Cooper, D
Turville, S
Kent, S
Kelleher, A
Zaunders, J
author_facet Xu, Y
Phetsouphanh, C
Suzuki, K
Aggrawal, A
Graff-Dubois, S
Roche, M
Bailey, M
Alcantara, S
Cashin, K
Sivasubramaniam, R
Koelsch, K
Autran, B
Harvey, R
Gorry, P
Moris, A
Cooper, D
Turville, S
Kent, S
Kelleher, A
Zaunders, J
author_sort Xu, Y
collection OXFORD
description <h4>Background</h4> <p>T follicular helper (Tfh) cells are increasingly recognized as a major reservoir of HIV infection that will likely need to be addressed in approaches to curing HIV. However, Tfh express minimal CCR5, the major coreceptor for HIV-1, and the mechanism by which they are infected is unclear. We have previously shown that macaque Tfh lack CCR5, but are infected in vivo with CCR5-using SIV at levels comparable to other memory CD4+ T cells. Similarly, human splenic Tfh cells are highly infected with HIV-1 DNA. Therefore, we set out to examine the mechanism of infection of Tfh cells.</p> <h4>Methodology</h4> <p>Tfh and other CD4+ T cell subsets from macaque lymph nodes and spleens, splenic Tfh from HIV+ subjects, and tonsillar Tfh from HIV-uninfected subjects were isolated by cell sorting prior to cell surface and molecular characterization. HIV proviral gp120 sequences were submitted to genotypic and phenotypic tropism assays. Entry of CCR5- and CXCR4-using viruses into Tfh from uninfected tonsillar tissue was measured using a fusion assay.</p> <h4>Results</h4> <p>Phylogenetic analysis, genotypic, and phenotypic analysis showed that splenic Tfh cells from chronic HIV+ subjects were predominantly infected with CCR5-using viruses. In macaques, purified CCR5+PD-1intermediate(int)+ memory CD4+ T cells were shown to include pre-Tfh cells capable of differentiating in vitro to Tfh by upregulation of PD-1 and Bcl6, confirmed by qRT-PCR and single-cell multiplex PCR. Infected PD-1int cells survive, carry SIV provirus, and differentiate into PD-1hi Tfh after T cell receptor stimulation, suggesting a pathway for SIV infection of Tfh. In addition, a small subset of macaque and human PD-1hi Tfh can express low levels of CCR5, which makes them susceptible to infection. Fusion assays demonstrated CCR5-using HIV-1 entry into CCR5+ Tfh and pre-Tfh cells from human tonsils.</p> <h4>Conclusion</h4> <p>The major route of infection of Tfh in macaques and humans appears to be via a CCR5-expressing pre-Tfh population. As the generation of Tfh are important for establishing effective immune responses during primary infections, Tfh are likely to be an early target of HIV-1 following transmission, creating an important component of the reservoir that has the potential to expand over time.</p>
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spelling oxford-uuid:edbb5f4b-4e55-4907-abb2-d0927d2bec992022-03-27T11:27:23ZHIV-1 and SIV predominantly use CCR5 expressed on a precursor population to establish infection in T follicular helper cellsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:edbb5f4b-4e55-4907-abb2-d0927d2bec99EnglishSymplectic Elements at OxfordFrontiers Media2017Xu, YPhetsouphanh, CSuzuki, KAggrawal, AGraff-Dubois, SRoche, MBailey, MAlcantara, SCashin, KSivasubramaniam, RKoelsch, KAutran, BHarvey, RGorry, PMoris, ACooper, DTurville, SKent, SKelleher, AZaunders, J <h4>Background</h4> <p>T follicular helper (Tfh) cells are increasingly recognized as a major reservoir of HIV infection that will likely need to be addressed in approaches to curing HIV. However, Tfh express minimal CCR5, the major coreceptor for HIV-1, and the mechanism by which they are infected is unclear. We have previously shown that macaque Tfh lack CCR5, but are infected in vivo with CCR5-using SIV at levels comparable to other memory CD4+ T cells. Similarly, human splenic Tfh cells are highly infected with HIV-1 DNA. Therefore, we set out to examine the mechanism of infection of Tfh cells.</p> <h4>Methodology</h4> <p>Tfh and other CD4+ T cell subsets from macaque lymph nodes and spleens, splenic Tfh from HIV+ subjects, and tonsillar Tfh from HIV-uninfected subjects were isolated by cell sorting prior to cell surface and molecular characterization. HIV proviral gp120 sequences were submitted to genotypic and phenotypic tropism assays. Entry of CCR5- and CXCR4-using viruses into Tfh from uninfected tonsillar tissue was measured using a fusion assay.</p> <h4>Results</h4> <p>Phylogenetic analysis, genotypic, and phenotypic analysis showed that splenic Tfh cells from chronic HIV+ subjects were predominantly infected with CCR5-using viruses. In macaques, purified CCR5+PD-1intermediate(int)+ memory CD4+ T cells were shown to include pre-Tfh cells capable of differentiating in vitro to Tfh by upregulation of PD-1 and Bcl6, confirmed by qRT-PCR and single-cell multiplex PCR. Infected PD-1int cells survive, carry SIV provirus, and differentiate into PD-1hi Tfh after T cell receptor stimulation, suggesting a pathway for SIV infection of Tfh. In addition, a small subset of macaque and human PD-1hi Tfh can express low levels of CCR5, which makes them susceptible to infection. Fusion assays demonstrated CCR5-using HIV-1 entry into CCR5+ Tfh and pre-Tfh cells from human tonsils.</p> <h4>Conclusion</h4> <p>The major route of infection of Tfh in macaques and humans appears to be via a CCR5-expressing pre-Tfh population. As the generation of Tfh are important for establishing effective immune responses during primary infections, Tfh are likely to be an early target of HIV-1 following transmission, creating an important component of the reservoir that has the potential to expand over time.</p>
spellingShingle Xu, Y
Phetsouphanh, C
Suzuki, K
Aggrawal, A
Graff-Dubois, S
Roche, M
Bailey, M
Alcantara, S
Cashin, K
Sivasubramaniam, R
Koelsch, K
Autran, B
Harvey, R
Gorry, P
Moris, A
Cooper, D
Turville, S
Kent, S
Kelleher, A
Zaunders, J
HIV-1 and SIV predominantly use CCR5 expressed on a precursor population to establish infection in T follicular helper cells
title HIV-1 and SIV predominantly use CCR5 expressed on a precursor population to establish infection in T follicular helper cells
title_full HIV-1 and SIV predominantly use CCR5 expressed on a precursor population to establish infection in T follicular helper cells
title_fullStr HIV-1 and SIV predominantly use CCR5 expressed on a precursor population to establish infection in T follicular helper cells
title_full_unstemmed HIV-1 and SIV predominantly use CCR5 expressed on a precursor population to establish infection in T follicular helper cells
title_short HIV-1 and SIV predominantly use CCR5 expressed on a precursor population to establish infection in T follicular helper cells
title_sort hiv 1 and siv predominantly use ccr5 expressed on a precursor population to establish infection in t follicular helper cells
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