Induction of prolonged survival of CD4+
T lymphocytes by intermittent IL-2 therapy
in HIV-infected patients
J. Clin. Invest. Joseph A. Kovacs, et al. 115:2139 doi:10.1172/JCI23196 [
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Figure 4BrdU labeling kinetics in 4 patients receiving a BrdU infusion immediately after the last IL-2 dose. (
A) Experimental data for CD4 cells, represented by blue squares, and for CD8 cells, represented by red triangles. For patient 3 (top panels), data following labeling before any IL-2 was received are shown by green squares (CD4) and black triangles (CD8). The solid lines represent the fitting by the model equations. (
B) The probability density function of the normal distribution of log
d multiplied by the total source of labeled cells (
S) for the same patients. The last 2 patients were long-term responders (patients 1 and 19 from Figure
1). Mean log decay
md values for these data are (CD4/CD8): pt. 3, 0.10/–0.07 (for labeling with no IL-2), 0.14/0.88 (cycle 1); pt. 8, 1.38/0.85; pt. 1, –1.34/0.11; pt. 19, –1.28/0.35. Consistent with the deuterium-labeling studies, the 2 long-term responders had a smaller
md for labeled CD4 but not CD8 cells, indicating longer survival of the proliferating cells. (
C) BrdU labeling kinetics in naive (CD27
+CD45RO
–), central memory (CD27
+CD45RO
+), and effector memory (CD27
–CD45RO
+ and CD27
–CD45RO
–) CD4 (top) and CD8 (bottom) subpopulations for patient 19. Presentation of data is as in
A and
B. For both CD4 and CD8 cells,
md is substantially smaller (indicating a slower decay) for the 2 CD27
+ populations. Mean log decay
md values for these data are (CD45RO
–/CD45RO
+): CD4/CD27
+, –1.58/–1.10; CD8/CD27
+, –1.02/–1.32; CD4/CD27
–, 0.69/2.32; CD8/CD27
–, 0.07/1.92.