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Immunotoxin-mediated depletion of Gag-specific CD8+ T cells undermines natural control of SIV
Jennifer Simpson, Carly E. Starke, Alexandra M. Ortiz, Amy Ransier, Sam Darko, Sian Llewellyn-Lacey, Christine M. Fennessey, Brandon F. Keele, Daniel C. Douek, David A. Price, Jason M. Brenchley
Jennifer Simpson, Carly E. Starke, Alexandra M. Ortiz, Amy Ransier, Sam Darko, Sian Llewellyn-Lacey, Christine M. Fennessey, Brandon F. Keele, Daniel C. Douek, David A. Price, Jason M. Brenchley
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Research Article AIDS/HIV

Immunotoxin-mediated depletion of Gag-specific CD8+ T cells undermines natural control of SIV

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Abstract

Antibody-mediated depletion studies have demonstrated that CD8+ T cells are required for effective immune control of SIV. However, this approach is potentially confounded by several factors, including reactive CD4+ T cell proliferation, and provides no information on epitope specificity, a likely determinant of CD8+ T cell efficacy. We circumvented these limitations by selectively depleting CD8+ T cells specific for the Gag epitope CTPYDINQM (CM9) via the administration of immunotoxin-conjugated tetrameric complexes of CM9/Mamu-A*01. Immunotoxin administration effectively depleted circulating but not tissue-localized CM9-specific CD8+ T cells, akin to the bulk depletion pattern observed with antibodies directed against CD8. However, we found no evidence to indicate that circulating CM9-specific CD8+ T cells suppressed viral replication in Mamu-A*01+ rhesus macaques during acute or chronic progressive infection with a pathogenic strain of SIV. This observation extended to macaques with established infection during and after continuous antiretroviral therapy. In contrast, natural controller macaques experienced dramatic increases in plasma viremia after immunotoxin administration, highlighting the importance of CD8+ T cell–mediated immunity against CM9. Collectively, these data showed that CM9-specific CD8+ T cells were necessary but not sufficient for robust immune control of SIV in a nonhuman primate model and, more generally, validated an approach that could inform the design of next-generation vaccines against HIV-1.

Authors

Jennifer Simpson, Carly E. Starke, Alexandra M. Ortiz, Amy Ransier, Sam Darko, Sian Llewellyn-Lacey, Christine M. Fennessey, Brandon F. Keele, Daniel C. Douek, David A. Price, Jason M. Brenchley

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Figure 1

CM9-specific CD8+ T cells contribute to natural control of viremia during chronic infection with SIV.

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CM9-specific CD8+ T cells contribute to natural control of viremia durin...
(A) Schematic representation of the experiment. Immunotoxin was administered to 5 Mamu-A*01+ rhesus macaques chronically infected with SIVmac239. (B) Representative flow cytometry plots showing CM9 tetramer staining versus CD8. Plots are gated on live memory CD8+ events. (C) CM9-specific CD8+ T cell frequencies among PBMCs (parent = CD8+ T cells). (D) CM9-specific CD8+ T cell frequencies in BAL, jejunum, and LNs (parent = CD8+ T cells). (E) Plasma viral loads. (F) Extended quantification of CM9-specific CD8+ T cell frequencies among PBMCs (parent = CD8+ T cells). Each symbol represents 1 macaque (C–F). Significance was determined using a 2-tailed paired t test (C and D). *P < 0.05. DPI, days postimmunotoxin.

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