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γδ T cells: an immunotherapeutic approach for HIV cure strategies
Carolina Garrido, … , David M. Margolis, Natalia Soriano-Sarabia
Carolina Garrido, … , David M. Margolis, Natalia Soriano-Sarabia
Published June 21, 2018
Citation Information: JCI Insight. 2018;3(12):e120121. https://doi.org/10.1172/jci.insight.120121.
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Research Article AIDS/HIV

γδ T cells: an immunotherapeutic approach for HIV cure strategies

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Abstract

Current strategies aimed to cure HIV infection are based on combined efforts to reactivate the virus from latency and improve immune effector cell function to clear infected cells. These strategies are primarily focused on CD8+ T cells and approaches are challenging due to insufficient HIV antigen production from infected cells and poor HIV-specific CD8+ T cells. γδ T cells represent a unique subset of effector T cells that can traffic to tissues, and selectively target cancer or virally infected cells without requiring MHC presentation. We analyzed whether γδ T cells represent a complementary/alternative immunotherapeutic approach towards HIV cure strategies. γδ T cells from HIV-infected virologically suppressed donors were expanded with bisphosphonate pamidronate (PAM) and cells were used in autologous cellular systems ex vivo. These cells (a) are potent cytotoxic effectors able to efficiently inhibit HIV replication ex vivo, (b) degranulate in the presence of autologous infected CD4+ T cells, and (c) specifically clear latently infected cells after latency reversal with vorinostat. This is the first proof of concept to our knowledge showing that γδ T cells target and clear autologous HIV reservoirs upon latency reversal. Our results open potentially new insights into the immunotherapeutic use of γδ T cells for current interventions in HIV eradication strategies.

Authors

Carolina Garrido, Matthew L. Clohosey, Chloe P. Whitworth, Michael Hudgens, David M. Margolis, Natalia Soriano-Sarabia

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Figure 1

Expansion of Vδ2 cells after 6 days of culture.

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Expansion of Vδ2 cells after 6 days of culture.
(A) Greater Vδ2 cell fre...
(A) Greater Vδ2 cell frequency in uninfected donors. PBMCs of uninfected (n = 10) and HIV-infected donors (n = 13) were stained for CD3 and Vδ2 and analyzed by flow cytometry. As expected, uninfected individuals showed a statistically higher percentage of Vδ2 cells compared with HIV-infected donors. Data represent mean ± SEM (Mann-Whitney U test, P < 0.001). (B) Representative histograms showing Vδ2 cell expansion. PBMCs from uninfected (left histogram) or ART-suppressed HIV-infected donors (right panel) were incubated for 6 days using HMBPP + IL-2 (blue), pamidronate (PAM) + IL-2 (orange), or IL-2 alone (green). (C) Vδ2 cells from HIV-infected individuals expand in response to PAM and IL-2. Vδ2 cell fold change relative to basal cell numbers is represented. HIV-infected donors’ response to HMBPP was lower, not statistically significant after FDR adjustment, compared with uninfected individuals (FDR P = 0.11). Response to PAM and IL-2 was similar between uninfected and HIV-infected donors (FDR P = 0.29). Response to HMBPP and PAM in uninfected donors was comparable (FDR P = 0.22), while response to HMBPP in HIV-infected donors was statistically lower (FDR P = 0.04). Uninfected donors (n = 9) are represented with gray circles and HIV-infected donors (n = 11) with pink squares. Uninfected and HIV-infected donors were compared using Mann-Whitney U test. HMBPP, PAM, and IL-2 conditions in uninfected donors and in HIV-infected donors were compared using Wilcoxon’s signed-rank test.

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