학술논문

Elite control of HIV is associated with distinct functional and transcriptional signatures in lymphoid tissue CD8+ T cells
Document Type
article
Source
Science Translational Medicine. 11(523)
Subject
Medical Microbiology
Biomedical and Clinical Sciences
Immunology
Genetics
Vaccine Related
Immunization
Sexually Transmitted Infections
HIV/AIDS
Prevention
Clinical Research
Infectious Diseases
Vaccine Related (AIDS)
1.1 Normal biological development and functioning
Underpinning research
Inflammatory and immune system
Infection
Good Health and Well Being
CD4-Positive T-Lymphocytes
CD8-Positive T-Lymphocytes
HIV Infections
HIV-1
Humans
Lymphoid Tissue
Viral Load
Biological Sciences
Medical and Health Sciences
Medical biotechnology
Biomedical engineering
Language
Abstract
The functional properties of circulating CD8+ T cells have been associated with immune control of HIV. However, viral replication occurs predominantly in secondary lymphoid tissues, such as lymph nodes (LNs). We used an integrated single-cell approach to characterize effective HIV-specific CD8+ T cell responses in the LNs of elite controllers (ECs), defined as individuals who suppress viral replication in the absence of antiretroviral therapy (ART). Higher frequencies of total memory and follicle-homing HIV-specific CD8+ T cells were detected in the LNs of ECs compared with the LNs of chronic progressors (CPs) who were not receiving ART. Moreover, HIV-specific CD8+ T cells potently suppressed viral replication without demonstrable cytolytic activity in the LNs of ECs, which harbored substantially lower amounts of CD4+ T cell-associated HIV DNA and RNA compared with the LNs of CPs. Single-cell RNA sequencing analyses further revealed a distinct transcriptional signature among HIV-specific CD8+ T cells from the LNs of ECs, typified by the down-regulation of inhibitory receptors and cytolytic molecules and the up-regulation of multiple cytokines, predicted secreted factors, and components of the protein translation machinery. Collectively, these results provide a mechanistic framework to expedite the identification of novel antiviral factors, highlighting a potential role for the localized deployment of noncytolytic functions as a determinant of immune efficacy against HIV.