Ligand-Independent Exhaustion of Killer Immunoglobulin-Like Receptor-Positive CD8+ T Cells in Human Immunodeficiency Virus Type 1 Infection

G Alter, S Rihn, H Streeck, N Teigen… - Journal of …, 2008 - Am Soc Microbiol
G Alter, S Rihn, H Streeck, N Teigen, A Piechocka-Trocha, K Moss, K Cohen, A Meier…
Journal of virology, 2008Am Soc Microbiol
Virus-specific CD8+ T cells play a central role in the control of viral infections, including
human immunodeficiency virus type 1 (HIV-1) infection. However, despite the presence of
strong and broad HIV-specific CD8+ T-cell responses in chronic HIV-1 infection, these cells
progressively lose critical effector functions and fail to clear the infection. Mounting evidence
suggests that the upregulation of several inhibitory regulatory receptors on the surface of
CD8+ T cells during HIV-1 infection may contribute directly to the impairment of T-cell …
Abstract
Virus-specific CD8+ T cells play a central role in the control of viral infections, including human immunodeficiency virus type 1 (HIV-1) infection. However, despite the presence of strong and broad HIV-specific CD8+ T-cell responses in chronic HIV-1 infection, these cells progressively lose critical effector functions and fail to clear the infection. Mounting evidence suggests that the upregulation of several inhibitory regulatory receptors on the surface of CD8+ T cells during HIV-1 infection may contribute directly to the impairment of T-cell function. Here, we investigated the role of killer immunoglobulin receptors (KIR), which are expressed on NK cells and on CD8+ T cells, in regulating CD8+ T-cell function in HIV-1 infection. KIR expression was progressively upregulated on CD8+ T cells during HIV-1 infection and correlated with the level of viral replication. Expression of KIR was associated with a profound inhibition of cytokine secretion, degranulation, proliferation, and activation by CD8+ T cells following stimulation with T-cell receptor (TCR)-dependent stimuli. In contrast, KIR+ CD8+ T cells responded potently to TCR-independent stimulation, demonstrating that these cells are functionally competent. KIR-associated suppression of CD8+ T-cell function was independent of ligand engagement, suggesting that these regulatory receptors may constitutively repress TCR activation. This ligand-independent repression of TCR activation of KIR+ CD8+ T cells may represent a significant barrier to therapeutic interventions aimed at improving the quality of the HIV-specific CD8+ T-cell response in infected individuals.
American Society for Microbiology