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IL-15 reprogramming compensates for NK cell mitochondrial dysfunction in HIV-1 infection
Elia Moreno-Cubero, … , Michael Dustin, Dimitra Peppa
Elia Moreno-Cubero, … , Michael Dustin, Dimitra Peppa
Published February 22, 2024
Citation Information: JCI Insight. 2024;9(4):e173099. https://doi.org/10.1172/jci.insight.173099.
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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 5

Effect of IL-15 priming on NK cells from HCMV+HIV-1– donors.

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Effect of IL-15 priming on NK cells from HCMV+HIV-1– donors.
(A) Represe...
(A) Representative flow plots showing IFN-γ production by CD56dim NK cells from a HCMV+HIV-1– donor following stimulation with anti-CD16 with or without IL-15 pretreatment and in the presence or absence of oligomycin or 2-DG. (B) Paired analysis showing IFN-γ production ex vivo and following IL-15 priming in response to anti-CD16 stimulation from total CD56dim, canonical, and adaptive NK cells (n = 6). Ex vivo: 6-hour stimulation with anti-CD16; IL-15 pretreatment: incubation with IL-15 for 48–72 hours followed by 6-hour anti-CD16 stimulation. (C) Summary data showing IFN-γ production in response to isotype control or anti-CD16 stimulation, following IL-15 pretreatment, in the presence of oligomycin or 2-DG by CD56dim, canonical, and adaptive NK cells from n = 6 control donors. (D) Summary bar charts showing IFN-γ production in CD56dim, canonical, and adaptive NK cells following IL-15 priming, in both HIV-1+ and control donors, in response to anti-CD16 stimulation. (E) Fold change in IFN-γ production to anti-CD16 stimulation between IL-15 pretreated and directly ex vivo stimulated NK cells. (F) Real-time analysis of aerobic glycolysis (ECAR) and basal oxygen consumption rate (OCR) in purified NK cells from n = 3 HIV-1– donors in the presence or absence of anti-CD16 and/or IL-15 pretreatment. (G) OCR/ECAR ratio in NK cells from HIV-1– individuals. Significance determined by 2-tailed Mann–Whitney U test (D and E) , Wilcoxon matched-pairs test (B), or paired t test for G. One-way ANOVA with multiple-comparison test was performed for C; *P < 0.05, **P < 0.01.

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