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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 2

Expansion of Vδ2 cells from ART-suppressed HIV-infected donors in response to pamidronate (PAM).

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Expansion of Vδ2 cells from ART-suppressed HIV-infected donors in respon...
(A) PAM exposure significantly increased Vδ2 cell frequency. Vδ2 cells from suppressed HIV+ donors (n = 21) significantly expanded in response to PAM. Patients treated in the acute infection (n = 9) are represented with green triangles and patients treated in chronic infection (n = 12) are represented with purple squares. (B) Decreased Vδ2 cell numbers in donors treated in the chronic phase of the infection. HIV-infected donors treated in the chronic phase of the infection (n = 12) showed significantly reduced number of Vδ2 cells (FDR P = 0.007) compared with those treated in the acute phase of the infection (n = 9). After PAM expansion, Vδ2 cells remained significantly lower in donors treated in chronic infection. Mean ± SEM. Mann-Whitney U test, FDR P = 0.02. (C) Comparable expansion capacity between patients who initiated ART in the acute or chronic phase of HIV infection. Fold change of Vδ2 cell expansion with PAM was similar in patients treated in the acute and chronic infection. Mean ± SEM. Mann-Whitney U test.

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