Abstract
The use of combination antiretroviral therapy results in a substantial reduction in viremia, a rebound of CD4+ T cells and increased survival for HIV-infected individuals. However, this treatment does not result in the total eradication of HIV. Rather, the virus is thought to remain latent in a subset of cells, where it avoids elimination by the immune system. In this state the virus is capable of reactivation of productive infection following cessation of therapy. These latently infected cells are very few in number and it has thus been difficult to determine their origin and to study the molecular nature of the latent viral genome. HIV replication is linked to cellular gene transcription and requires target cell activation. Therefore, should an activated, infected cell become transcriptionally inactive prior to cytopathic effects, the viral genome might be maintained in a latent state. We used the SCID-hu (Thy/Liv) mouse model to establish that activation-inducible HIV can be generated at high frequency during thymopoiesis, a process where previously activated cells mature towards quiescence. Moreover, we showed that these cells can be exported into the periphery where the virus remains latent until T-cell receptor stimulation, indicating that the thymus might be a source of latent HIV in humans.
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References
Ho, D.D. et al. Rapid turnover of plasma virions and CD4 lymphocytes in HIV-1 infection. Nature 373, 123–126 (1995).
Wei, X. et al. Viral dynamics in human immunodeficiency virus type 1 infection. Nature 373, 117–122 (1995).
Chun, T.W. et al. Presence of an inducible HIV-1 latent reservoir during highly active antiretroviral therapy. Proc. Natl. Acad. Sci. USA 94, 13193–13197 (1997).
Finzi, D. et al. Identification of a reservoir for HIV-1 in patients on highly active antiretroviral therapy. Science 278, 1295–1300 (1997).
Wong, J.K. et al. Recovery of replication-competent HIV despite prolonged suppression of plasma viremia. Science 278, 1291–1295 (1997).
Chun, T.W. et al. Quantification of latent tissue reservoirs and total body viral load in HIV-1 infection. Nature 387, 183–188 (1997).
Finzi, D. et al. Latent infection of CD4+ T cells provides a mechanism for lifelong persistence of HIV-1, even in patients on effective combination therapy. Nature Med. 5, 512–517 (1999).
Chun, T.W. et al. Early establishment of a pool of latently infected, resting CD4(+) T cells during primary HIV-1 infection. Proc. Natl. Acad. Sci. USA 95, 8869–8873 (1998).
Persaud, D. et al. A stable latent reservoir for HIV-1 in resting CD4(+) T lymphocytes in infected children. J. Clin. Invest. 105, 995–1003 (2000).
Furtado, M.R. et al. Persistence of HIV-1 transcription in peripheral-blood mononuclear cells in patients receiving potent antiretroviral therapy. New Engl. J. Med. 340, 1614–1622 (1999).
Zhang, L. et al. Quantifying residual HIV-1 replication in patients receiving combination antiretroviral therapy. New Engl. J. Med. 340, 1605–1613 (1999).
Sharkey, M.E. et al. Persistence of episomal HIV-1 infection intermediates in patients on highly active anti-retroviral therapy. Nature Med. 6, 76–81 (2000).
Zack, J.A. et al. HIV-1 entry into quiescent primary lymphocytes: molecular analysis reveals a labile, latent viral structure. Cell 61, 213–222 (1990).
Bukrinsky, M.I., Stanwick, T.L., Dempsey, M.P. & Stevenson, M. Quiescent T lymphocytes as an inducible virus reservoir in HIV-1 infection. Science 254, 423–427 (1991).
Chun, T.W. et al. In vivo fate of HIV-1-infected T cells: quantitative analysis of the transition to stable latency. Nature Medicine 1, 1284–1290 (1995).
Pierson, T. et al. Characterization of chemokine receptor utilization of viruses in the latent reservoir for human immunodeficiency virus type 1. J. Virol. 74, 7824–7833 (2000).
Kitchen, S.G. & Zack, J.A. CXCR4 expression during lymphopoiesis: implications for human immunodeficiency virus type 1 infection of the thymus. J. Virol. 71, 6928–6934 (1997).
Berkowitz, R.D., Beckerman, K.P., Schall, T.J. & McCune, J.M. CXCR4 and CCR5 expression delineates targets for HIV-1 disruption of T cell differentiation. J. Immunol. 161, 3702–3710 (1998).
Pedroza-Martins, L., Gurney, K.B., Torbett, B.E. & Uittenbogaart, C.H. Differential tropism and replication kinetics of human immunodeficiency virus type 1 isolates in thymocytes: Coreceptor expression allows viral entry, but productive infection of distinct subsets is determined at the postentry level. J. Virol. 72, 9441–9452 (1998).
Papiernik, M. et al. Thymic abnormalities in fetuses aborted from human immunodeficiency virus type 1 seropositive women. Pediatrics 89, 297–301 (1992).
Aldrovandi, G.M. et al. The SCID-hu mouse as a model for HIV-1 infection. Nature 363, 732–736 (1993).
Bonyhadi, M.L. et al. HIV induces thymus depletion in vivo. Nature 363, 728–732 (1993).
Stanley, S.K. et al. Human immunodeficiency virus infection of the human thymus and disruption of the thymic microenvironment in the SCID-hu mouse. J. Exp. Med. 178, 1151–1163 (1993).
Kollmann, T.R. et al. Disseminated human immunodeficiency virus 1 (HIV-1) infection in SCID-hu mice after peripheral inoculation with HIV-1. J. Exp. Med. 179, 513–522 (1994).
Jamieson, B.D. & Zack, J.A. In vivo pathogenesis of a human immunodeficiency virus type 1 reporter virus. J. Virol. 72, 6520–6526 (1998).
Korin, Y.D. & Zack, J.A. Nonproductive human immunodeficiency virus type 1 infection in nucleoside-treated G0 lymphocytes. J. Virol. 73, 6526–6532 (1999).
Jamieson, B.D., Pang, S., Aldrovandi, G.M., Zha, J. & Zack, J.A. In vivo pathogenic properties of two clonal human immunodeficiency virus type 1 isolates. J. Virol. 69, 6259–6264 (1995).
Zack, J.A., Haislip, A.M., Krogstad, P. & Chen, I.S. Incompletely reverse-transcribed human immunodeficiency virus type 1 genomes in quiescent cells can function as intermediates in the retroviral life cycle. J. Virol. 66, 1717–1725 (1992).
Chun, T.W., Engel, D., Mizell, S.B., Ehler, L.A. & Fauci, A.S. Induction of HIV-1 replication in latently infected CD4+ T cells using a combination of cytokines. J. Exp. Med. 188, 83–91 (1998); erratum: 188, 614 (1998).
Livingstone, W.J., Moore, M., Innes, D., Bell, J.E. & Simmonds, P. Frequent infection of peripheral blood CD8-positive T-lymphocytes with HIV-1. Edinburgh Heterosexual Transmission Study Group. Lancet 348, 649–654 (1996).
Zhang, Z. et al. Sexual transmission and propagation of SIV and HIV in resting and activated CD4+ T cells. Science 286, 1353–1357 (1999).
Unutmaz, D., KewalRamani, V.N., Marmon, S. & Littman, D.R. Cytokine signals are sufficient for HIV-1 infection of resting human T lymphocytes. J. Exp. Med. 189, 1735–1746 (1999).
Schmid, I., Cole, S.W., Korin, Y.D., Zack, J.A. & Giorgi, J.V. Detection of cell cycle subcompartments by flow cytometric estimation of DNA-RNA content in combination with dual-color immunofluorescence. Cytometry 39, 108–116 (2000).
Meyers, L.E., McQuay, L.J. & Hollinger, F.B. Dilution assay statistics. Journal of Clinical Microbiology 32, 732–739 (1994).
Arrigo, S.J., Weitsman, S., Rosenblatt, J.D. & Chen, I.S. Analysis of rev gene function on human immunodeficiency virus type 1 replication in lymphoid cells by using a quantitative polymerase chain reaction method. J. Virol. 63, 4875–4881 (1989).
Acknowledgements
We thank I.S.Y. Chen and T.M. Folks for critical reviews of this manuscript and G. Bristol, R. Cortado and A. Kacena for technical assistance. This work was supported by NIH grants #AI 36554 and AI 36059, and the UCLA CFAR. J.A.Z. is an Elizabeth Glaser scientist supported by the Pediatric AIDS Foundation. S.G.K. is a recipient of the UCLA Center for Clinical AIDS Research and Education HIV Pathogenesis Institutional Training Grant.
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Brooks, D., Kitchen, S., Kitchen, C. et al. Generation of HIV latency during thymopoiesis. Nat Med 7, 459–464 (2001). https://doi.org/10.1038/86531
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DOI: https://doi.org/10.1038/86531