期刊论文详细信息
BMC Immunology
Immunosenescence of the CD8 + T cell compartment is associated with HIV-infection, but only weakly reflects age-related processes of adipose tissue, metabolism, and muscle in antiretroviral therapy-treated HIV-infected patients and controls
Ove Andersen5  Janne Petersen1  Frank Krieger Jensen3  Jens Henrik Henriksen2  Thomas Huneck Haupt4  Anne Langkilde4  Juliette Tavenier4 
[1]Section of Biostatistics, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Øster Farimagsgade 5, Copenhagen K., 1014, Denmark
[2]Department of Clinical Physiology and Nuclear Medicine, Copenhagen University Hospital, Hvidovre, Kettegård Alle 30, Hvidovre, DK-2650, Denmark
[3]Department of Radiology, Copenhagen University Hospital, Hvidovre, Kettegård Alle 30, Hvidovre, DK-2650, Denmark
[4]Optimed, Clinical Research Centre, Copenhagen University Hospital, Hvidovre, Kettegård Alle 30, Hvidovre, DK-2650, Denmark
[5]Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre, Kettegård Alle 30, Hvidovre, DK-2650, Denmark
关键词: KLRG1;    PD-1;    HIV;    Ageing;    Immunosenescence;   
Others  :  1234099
DOI  :  10.1186/s12865-015-0136-6
 received in 2015-08-06, accepted in 2015-11-20,  发布年份 2015
PDF
【 摘 要 】

Background

Despite effective antiretroviral therapy (ART), HIV-infected patients exhibit systemic inflammation, early onset of age-related diseases, and features of immunosenescence. The role of inflammation in the development of age-related diseases is widely recognized. However, the role of immunosenescence is not well established. Studying immunosenescence in HIV-infection could give insight into its role in ageing processes. In this cross-sectional study, we aimed to investigate whether ART-treated HIV-infected patients exhibit immunosenescence; and whether immunosenescence is associated with age-related processes of inflammation, metabolism, adipose tissue, and muscle. T cell immunosenescence and exhaustion were assessed by flow cytometry analysis of CD8 + cells from 43 ART-treated HIV-infected patients (HIV + ) and ten Controls using markers of differentiation: CD27/CD28; maturation: CD27/CD45RA; senescence: killer cell lectin-like receptor G1 (KLRG1); and exhaustion: programmed death-1 (PD-1). Relationships between CD8 + T cell immunosenescence, exhaustion, and age-related processes were assessed using linear regressions.

Results

HIV-infection was strongly associated with more highly differentiated and mature CD8 + T cell phenotypes. PD-1 and KLRG1 expression did not differ between HIV +and Controls, but depended on differentiation and maturation stages of the cells. CD8 + T cell maturation was associated with age. KLRG1 expression was associated with age, metabolic syndrome, visceral adipose tissue, and high muscle mass. PD-1 expression was not associated with age-related parameters.

Conclusions

HIV-infection strongly affected CD8 + T cell differentiation and maturation, whereas age-related processes were only weakly associated with immune parameters. Our findings suggest that, in contrast to inflammation, immunosenescence appears to be highly dependent on HIV-infection and is only to a small extent associated with age-related parameters in well-treated HIV-infection.

【 授权许可】

   
2015 Tavenier et al.

【 预 览 】
附件列表
Files Size Format View
20151128022510288.pdf 1347KB PDF download
Fig. 5. 45KB Image download
Fig. 4. 41KB Image download
Fig. 3. 73KB Image download
Fig. 2. 27KB Image download
Fig. 1. 46KB Image download
【 图 表 】

Fig. 1.

Fig. 2.

Fig. 3.

Fig. 4.

Fig. 5.

【 参考文献 】
  • [1]Department of Economic and Social Affairs (Population Division), United Nations. Volume I Comprehensive Tables. In: World Population Prospects : The 2012 Revision. 2012. http://esa.un.org/unpd/wpp/publications/Files/WPP2012_Volume-I_Comprehensive-Tables.pdf. Accessed 25 Nov 2015.
  • [2]Singh T, Newman AB. Inflammatory markers in population studies of aging. Ageing Res Rev. 2011; 10:319-29.
  • [3]Franceschi C, Campisi J. Chronic inflammation (inflammaging) and its potential contribution to age-associated diseases. J Gerontol A Biol Sci Med Sci. 2014; 69 Suppl 1:S4-9.
  • [4]Deeks SG. HIV Infection, Inflammation, Immunosenescence, and Aging. Annu Rev Med. 2011; 62:141-55.
  • [5]Arnold CR, Wolf J, Brunner S, Herndler-Brandstetter D, Grubeck-Loebenstein B. Gain and Loss of T Cell Subsets in Old Age—Age-Related Reshaping of the T Cell Repertoire. J Clin Immunol. 2011; 31:137-46.
  • [6]Wikby A, Nilsson B-O, Forsey R, Thompson J, Strindhall J, Löfgren S et al.. The immune risk phenotype is associated with IL-6 in the terminal decline stage: Findings from the Swedish NONA immune longitudinal study of very late life functioning. Mech Ageing Dev. 2006; 127(8):695-704.
  • [7]Akbar AN, Henson SM. Are senescence and exhaustion intertwined or unrelated processes that compromise immunity? Nat Rev Immunol. 2011; 11:289-95.
  • [8]Henson SM, Franzese O, Macaulay R, Libri V, Azevedo RI, Kiani-Alikhan S et al.. KLRG1 signaling induces defective Akt (ser473) phosphorylation and proliferative dysfunction of highly differentiated CD8+ T cells. Blood. 2009; 113:6619-28.
  • [9]Effros RB, Dagarag M, Spaulding C, Man J. The role of CD8+ T-cell replicative senescence in human aging. Immunol Rev. 2005; 205:147-57.
  • [10]Pathai S, Bajillan H, Landay AL, High KP. Is HIV a Model of Accelerated or Accentuated Aging? J Gerontol A Biol Sci Med Sci. 2014; 69(7):833-42.
  • [11]Guaraldi G, Orlando G, Zona S, Menozzi M, Carli F, Garlassi E et al.. Premature Age-Related Comorbidities Among HIV-Infected Persons Compared With the General Population. Clin Infect Dis. 2011; 53(11):1120-6.
  • [12]Emu B, Moretto WJ, Hoh R, Krone M, Martin JN, Nixon DF et al.. Composition and Function of T Cell Subpopulations Are Slow to Change Despite Effective Antiretroviral Treatment of HIV Disease. PLoS ONE. 2014; 9:e85613.
  • [13]Neuhaus J, Jacobs DR, Baker JV, Calmy A, Duprez D, La Rosa A et al.. Markers of Inflammation, Coagulation, and Renal Function Are Elevated in Adults with HIV Infection. J Infect Dis. 2010; 201:1788-95.
  • [14]Trautmann L, Janbazian L, Chomont N, Said EA, Gimmig S, Bessette B et al.. Upregulation of PD-1 expression on HIV-specific CD8+ T cells leads to reversible immune dysfunction. Nat Med. 2006; 12:1198-202.
  • [15]Andersen O, Haugaard SB, Andersen UB, Friis-Møller N, Storgaard H, Vølund A et al.. Lipodystrophy in human immunodeficiency virus patients impairs insulin action and induces defects in β-cell function. Metabolism. 2003; 52:1343-53.
  • [16]Bernasconi E, Boubaker K, Junghans C, Flepp M, Furrer HJ, Haensel A et al.. Swiss HIV Cohort Study. Abnormalities of body fat distribution in HIV-infected persons treated with antiretroviral drugs: The Swiss HIV Cohort Study. J Acquir Immune Defic Syndr. 2002; 31(1):50-5.
  • [17]Langkilde A, Petersen J, Henriksen JH, Jensen FK, Gerstoft J, Eugen-Olsen J et al.. Leptin, IL-6, and suPAR reflect distinct inflammatory changes associated with adiposity, lipodystrophy and low muscle mass in HIV-infected patients and Controls. Immun Ageing. 2015; 12:9. BioMed Central Full Text
  • [18]Langkilde A, Andersen O, Henriksen JH, Langberg H, Petersen J, Eugen-Olsen J. Assessment of in situ adipose tissue inflammation by microdialysis. Clin Physiol Funct Imaging. 2015; 35:110-9.
  • [19]Kotecha N, Krutzik PO, Irish JM. Web-Based Analysis and Publication of Flow Cytometry Experiments. Curr Protoc Cytom. 2010;Chapter 10:Unit10.17.
  • [20]Henson SM, Akbar AN. KLRG1–more than a marker for T cell senescence. Age. 2009; 31:285-91.
  • [21]Appay V, Dunbar PR, Callan M, Klenerman P, Gillespie GM, Papagno L et al.. Memory CD8+ T cells vary in differentiation phenotype in different persistent virus infections. Nat Med. 2002; 8:379-85.
  • [22]Solana R, Tarazona R, Aiello AE, Akbar AN, Appay V, Beswick M et al.. CMV and Immunosenescence: from basics to clinics. Immun Ageing. 2012; 9:23. BioMed Central Full Text
  • [23]Heymsfield SB, Wang Z, Baumgartner RN, Ross R. Human Body Composition: Advances in Models and Methods. Annu Rev Nutr. 1997; 17:527-58.
  • [24]Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985; 28:412-9.
  • [25]Alberti KGMM, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA et al.. Harmonizing the Metabolic Syndrome A Joint Interim Statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation. 2009; 120:1640-5.
  • [26]Rosignoli G, Lim CH, Bower M, Gotch F, Imami N. Programmed death (PD)-1 molecule and its ligand PD-L1 distribution among memory CD4 and CD8 T cell subsets in human immunodeficiency virus-1-infected individuals. Clin Exp Immunol. 2009; 157:90-7.
  • [27]Derhovanessian E, Maier AB, Hähnel K, Beck R, de Craen AJM, Slagboom EP et al.. Infection with cytomegalovirus but not herpes simplex virus induces the accumulation of late-differentiated CD4+ and CD8+ T-cells in humans. J Gen Virol. 2011; 92(12):2746-56.
  • [28]Koch S, Larbi A, Derhovanessian E, Özcelik D, Naumova E, Pawelec G. Multiparameter flow cytometric analysis of CD4 and CD8 T cell subsets in young and old people. Immun Ageing. 2008; 5(1):6. BioMed Central Full Text
  • [29]Ye P, Kirschner DE, Kourtis AP. The thymus during HIV disease: role in pathogenesis and in immune recovery. Curr HIV Res. 2004; 2:177-83.
  • [30]Herasimtschuk AA, Hansen BR, Langkilde A, Moyle GJ, Andersen O, Imami N. Low-dose growth hormone for 40 weeks induces HIV-1-specific T cell responses in patients on effective combination anti-retroviral therapy. Clin Exp Immunol. 2013; 173:444-53.
  • [31]Finzi D, Hermankova M, Pierson T, Carruth LM, Buck C, Chaisson RE et al.. Identification of a Reservoir for HIV-1 in Patients on Highly Active Antiretroviral Therapy. Science. 1997; 278:1295-300.
  • [32]Appay V, Sauce D. Immune activation and inflammation in HIV-1 infection: causes and consequences. J Pathol. 2008; 214:231-41.
  • [33]Semba RD, Margolick JB, Leng S, Walston J, Ricks MO, Fried LP. T cell subsets and mortality in older community-dwelling women. Exp Gerontol. 2005; 40:81-7.
  • [34]Spielmann G, Johnston CA, O’Connor DP, Foreyt JP, Simpson RJ. Excess body mass is associated with T cell differentiation indicative of immune ageing in children. Clin Exp Immunol. 2014; 176:246-54.
  • [35]Erlandson KM, Allshouse AA, Jankowski CM, Lee EJ, Rufner KM, Palmer BE et al.. Association of Functional Impairment with Inflammation and Immune Activation in HIV Type 1–Infected Adults Receiving Effective Antiretroviral Therapy. J Infect Dis. 2013; 208:249-59.
  • [36]Wallet MA, Buford TW, Joseph AM, Sankuratri M, Leeuwenburgh C, Pahor M et al.. Increased inflammation but similar physical composition and function in older-aged, HIV-1 infected subjects. BMC Immunol. 2015; 16:43. BioMed Central Full Text
  • [37]Legat A, Speiser DE, Pircher H, Zehn D, Fuertes Marraco SA. Inhibitory Receptor Expression Depends More Dominantly on Differentiation and Activation than «Exhaustion» of Human CD8 T Cells. Front Immunol. 2013; 4:455.
  • [38]Sauce D, Almeida JR, Larsen M, Haro L, Autran B, Freeman GJ et al.. PD-1 expression on human CD8 T cells depends on both state of differentiation and activation status. AIDS. 2007; 21:2005-13.
  • [39]Cockerham LR, Jain V, Sinclair E, Glidden DV, Hartogenesis W, Hatano H et al.. Programmed death-1 expression on CD4+ and CD8+ T cells in treated and untreated HIV disease. AIDS. 2014; 28:1749-58.
  • [40]Poonia B, Pauza CD. Levels of CD56 + TIM-3- Effector CD8 T Cells Distinguish HIV Natural Virus Suppressors from Patients Receiving Antiretroviral Therapy. PLoS ONE. 2014; 9:e88884.
  • [41]Peretz Y, He Z, Shi Y, Yassine-Diab B, Goulet JP, Bordi R et al.. CD160 and PD-1 Co-Expression on HIV-Specific CD8 T Cells Defines a Subset with Advanced Dysfunction. PLoS Pathog. 2012; 8:e1002840.
  • [42]Bengsch B, Seigel B, Ruhl M, Timm J, Kuntz M, Blum HE et al.. Coexpression of PD-1, 2B4, CD160 and KLRG1 on Exhausted HCV-Specific CD8+ T Cells Is Linked to Antigen Recognition and T Cell Differentiation. PLoS Pathog. 2010; 6:e1000947.
  • [43]Lee S, Kim J, Jang B, Hur S, Jung U, Kil K et al.. Fluctuation of peripheral blood T, B, and NK cells during a menstrual cycle of normal healthy women. J Immunol. 2010; 181:756-62.
  • [44]Lang DJ, Kovacs AA, Zaia JA, Doelkin G, Nilanhad JC, Aledort L et al.. Seroepidemiologic studies of cytomegalovirus and Epstein-Barr virus infections in relation to human immunodeficiency virus type 1 infection in selected recipient populations. Transfusion Safety Study Group. J Acquir Immune Defic Syndr. 1989; 2:540-9.
  文献评价指标  
  下载次数:41次 浏览次数:33次