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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 3

Evaluation of NK cell mitochondrial health.

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Evaluation of NK cell mitochondrial health.
(A and B) Representative flo...
(A and B) Representative flow plots (A) and box-and-whisker plots (B) depicting the ratio of polarized over depolarized mitochondrial (mitochondrial membrane potential [ΔΨm]) of total CD56dim NK cells and NK cell subsets by JC-1 staining in HCMV+HIV-1– controls (CTR, n = 7) and HIV-1+ patients (HIV-1, n = 11). JC-1 red staining designates polarized mitochondria, while loss of JC-1 red shows depolarization. The box-and-whisker plots show the median, quartiles, and range. (C) Representative confocal images of mitochondria (red) from purified NK cells from an HIV– CTR and an HIV-1+ donor. The NK cell membrane was visualized by staining with wheat germ agglutinin (green). Scale bar: 2 μm. (D–G) Quantification of mitochondria numbers, area, sphericity, and volume in purified NK cells from n = 3 CTR and n = 3 HIV-1+ donors. Each symbol represents the mean value of 1 cell. Data are from a minimum of 50 cells from 3 independent donors. (H) Representative histograms and summary data of DRP-1 expression levels in CD56dim, canonical (NKG2C–CD57+), and adaptive (NKG2C+CD57+) NK cells (CTR, n = 5; HIV-1, n = 5). Significance was determined by 2-tailed Mann-Whitney U test or 1-way ANOVA with Tukey’s post-hoc test; *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001.

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