[HTML][HTML] Maintenance of intestinal Th17 cells and reduced microbial translocation in SIV-infected rhesus macaques treated with interleukin (IL)-21

S Pallikkuth, L Micci, ZS Ende, RI Iriele… - PLoS …, 2013 - journals.plos.org
S Pallikkuth, L Micci, ZS Ende, RI Iriele, B Cervasi, B Lawson, CS McGary, KA Rogers…
PLoS pathogens, 2013journals.plos.org
In pathogenic HIV and SIV infections of humans and rhesus macaques (RMs), preferential
depletion of CD4+ Th17 cells correlates with mucosal immune dysfunction and disease
progression. Interleukin (IL)-21 promotes differentiation of Th17 cells, long-term
maintenance of functional CD8+ T cells, and differentiation of memory B cells and antibody-
secreting plasma cells. We hypothesized that administration of IL-21 will improve mucosal
function in the context of pathogenic HIV/SIV infections. To test this hypothesis, we infected …
In pathogenic HIV and SIV infections of humans and rhesus macaques (RMs), preferential depletion of CD4+ Th17 cells correlates with mucosal immune dysfunction and disease progression. Interleukin (IL)-21 promotes differentiation of Th17 cells, long-term maintenance of functional CD8+ T cells, and differentiation of memory B cells and antibody-secreting plasma cells. We hypothesized that administration of IL-21 will improve mucosal function in the context of pathogenic HIV/SIV infections. To test this hypothesis, we infected 12 RMs with SIVmac239 and at day 14 post-infection treated six of them with rhesus rIL-21-IgFc. IL-21-treatment was safe and did not increase plasma viral load or systemic immune activation. Compared to untreated animals, IL-21-treated RMs showed (i) higher expression of perforin and granzyme B in total and SIV-specific CD8+ T cells and (ii) higher levels of intestinal Th17 cells. Remarkably, increased levels of Th17 cells were associated with reduced levels of intestinal T cell proliferation, microbial translocation and systemic activation/inflammation in the chronic infection. In conclusion, IL-21-treatment in SIV-infected RMs improved mucosal immune function through enhanced preservation of Th17 cells. Further preclinical studies of IL-21 may be warranted to test its potential use during chronic infection in conjunction with antiretroviral therapy.
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