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IL-15 reprogramming compensates for NK cell mitochondrial dysfunction in HIV-1 infection
Elia Moreno-Cubero, Aljawharah Alrubayyi, Stefan Balint, Ane Ogbe, Upkar S. Gill, Rebecca Matthews, Sabine Kinloch, Fiona Burns, Sarah L. Rowland-Jones, Persephone Borrow, Anna Schurich, Michael Dustin, Dimitra Peppa
Elia Moreno-Cubero, Aljawharah Alrubayyi, Stefan Balint, Ane Ogbe, Upkar S. Gill, Rebecca Matthews, Sabine Kinloch, Fiona Burns, Sarah L. Rowland-Jones, Persephone Borrow, Anna Schurich, Michael Dustin, Dimitra Peppa
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Research Article AIDS/HIV Immunology

IL-15 reprogramming compensates for NK cell mitochondrial dysfunction in HIV-1 infection

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Abstract

Dynamic regulation of cellular metabolism is important for maintaining homeostasis and can directly influence immune cell function and differentiation, including NK cell responses. Persistent HIV-1 infection leads to a state of chronic immune activation, NK cell subset redistribution, and progressive NK cell dysregulation. In this study, we examined the metabolic processes that characterize NK cell subsets in HIV-1 infection, including adaptive NK cell subpopulations expressing the activating receptor NKG2C, which expand during chronic infection. These adaptive NK cells exhibit an enhanced metabolic profile in HIV-1– individuals infected with human cytomegalovirus (HCMV). However, the bioenergetic advantage of adaptive CD57+NKG2C+ NK cells is diminished during chronic HIV-1 infection, where NK cells uniformly display reduced oxidative phosphorylation (OXPHOS). Defective OXPHOS was accompanied by increased mitochondrial depolarization, structural alterations, and increased DRP-1 levels promoting fission, suggesting that mitochondrial defects are restricting the metabolic plasticity of NK cell subsets in HIV-1 infection. The metabolic requirement for the NK cell response to receptor stimulation was alleviated upon IL-15 pretreatment, which enhanced mammalian target of rapamycin complex 1 (mTORC1) activity. IL-15 priming enhanced NK cell functionality to anti-CD16 stimulation in HIV-1 infection, representing an effective strategy for pharmacologically boosting NK cell responses.

Authors

Elia Moreno-Cubero, Aljawharah Alrubayyi, Stefan Balint, Ane Ogbe, Upkar S. Gill, Rebecca Matthews, Sabine Kinloch, Fiona Burns, Sarah L. Rowland-Jones, Persephone Borrow, Anna Schurich, Michael Dustin, Dimitra Peppa

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Figure 2

Metabolic requirements of NK cells for IFN-γ production after CD16 activation.

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Metabolic requirements of NK cells for IFN-γ production after CD16 activ...
(A) Representative flow plots illustrating IFN-γ production by CD56dim NK cells from a HCMV+HIV-1– control (CTR) and HIV-1+ donor when stimulated with plate-bound anti-CD16 antibody alone or in the presence of oligomycin or 2-DG as indicated. (B) Summary analysis of IFN-γ production by CD56dim NK cells following anti-CD16 stimulation from n = 9 HCMV+HIV-1– CTR (black circles) and n = 8 patients with chronic HIV-1 (red circles). (C–E) Paired data showing IFN-γ production from CD56dim, canonical, and adaptive NK cells following anti-CD16 stimulation alone or in the presence of oligomycin or 2-DG in CTR donors (black circles) and HIV-1+ donors (red circles). Significance determined by 2-tailed Mann-Whitney U test or Wilcoxon matched-pairs signed-rank test;*P < 0.05, **P < 0.01.

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