Ontology highlight
ABSTRACT: Background
Among people living with HIV, elite controllers (ECs) maintain an undetectable viral load, even without receiving anti-HIV therapy. In non-EC patients, this therapy leads to marked improvement, including in immune parameters, but unlike ECs, non-EC patients still require ongoing treatment and experience co-morbidities. In-depth, comprehensive immune analyses comparing EC and treated non-EC patients may reveal subtle, consistent differences. This comparison could clarify whether elevated circulating interferon-alpha (IFNα) promotes widespread immune cell alterations and persists post-therapy, furthering understanding of why non-EC patients continue to need treatment.Methods
Levels of IFNα in HIV-infected EC and treated non-EC patients were compared, along with blood immune cell subset distribution and phenotype, and functional capacities in some cases. In addition, we assessed mechanisms potentially associated with IFNα overload.Results
Treatment of non-EC patients results in restoration of IFNα control, followed by marked improvement in distribution numbers, phenotypic profiles of blood immune cells, and functional capacity. These changes still do not lead to EC status, however, and IFNα can induce these changes in normal immune cell counterparts in vitro. Hypothesizing that persistent alterations could arise from inalterable effects of IFNα at infection onset, we verified an IFNα-related mechanism. The protein induces the HIV coreceptor CCR5, boosting HIV infection and reducing the effects of anti-HIV therapies. EC patients may avoid elevated IFNα following on infection with a lower inoculum of HIV or because of some unidentified genetic factor.Conclusions
Early control of IFNα is essential for better prognosis of HIV-infected patients.
SUBMITTER: Le Buanec H
PROVIDER: S-EPMC10951336 | biostudies-literature | 2024 Mar
REPOSITORIES: biostudies-literature
Le Buanec Hélène H Schiavon Valérie V Merandet Marine M How-Kit Alexandre A Song Hongshuo H Bergerat David D Fombellida-Lopez Céline C Bensussan Armand A Bouaziz Jean-David JD Burny Arsène A Darcis Gilles G Sajadi Mohammad M MM Kottilil Shyamasundaran S Zagury Daniel D Gallo Robert C RC
Communications medicine 20240319 1
<h4>Background</h4>Among people living with HIV, elite controllers (ECs) maintain an undetectable viral load, even without receiving anti-HIV therapy. In non-EC patients, this therapy leads to marked improvement, including in immune parameters, but unlike ECs, non-EC patients still require ongoing treatment and experience co-morbidities. In-depth, comprehensive immune analyses comparing EC and treated non-EC patients may reveal subtle, consistent differences. This comparison could clarify whethe ...[more]