Regulatory dysfunction of the interleukin-2 receptor during HIV infection and the impact of triple combination therapy

D David, L Bani, JL Moreau… - Proceedings of the …, 1998 - National Acad Sciences
D David, L Bani, JL Moreau, MP Treilhou, T Nakarai, M Joussemet, J Ritz, B Dupont…
Proceedings of the National Academy of Sciences, 1998National Acad Sciences
The interleukin-2 (IL-2)/IL-2 receptor (IL-2R) system is the main regulatory determinant of T
cell reactivity. Although it is well known that IL-2 secretion is impaired during HIV infection,
up to now IL-2R expression has not been extensively studied in HIV-infected patients
despite the use of IL-2 in clinical therapy trials. We show here that IL-2R expression in HIV
patients with high viral load (group 1 in the study) is greatly enhanced on B lymphocytes,
CD8 T lymphocytes, and monocytes, but not on CD4 T lymphocytes, compared with …
The interleukin-2 (IL-2)/IL-2 receptor (IL-2R) system is the main regulatory determinant of T cell reactivity. Although it is well known that IL-2 secretion is impaired during HIV infection, up to now IL-2R expression has not been extensively studied in HIV-infected patients despite the use of IL-2 in clinical therapy trials. We show here that IL-2R expression in HIV patients with high viral load (group 1 in the study) is greatly enhanced on B lymphocytes, CD8 T lymphocytes, and monocytes, but not on CD4 T lymphocytes, compared with noninfected individuals. Paradoxically, this modified IL-2R expression does not lead to increased IL-2 responsiveness, except for B lymphocytes. In patients receiving triple combination therapy (TCT, two reverse transcriptase inhibitors and one protease inhibitor) that has triggered a drastic reduction in plasma viral load and an increase in CD4 counts (group 2 patients), IL-2R expression is significantly lower than in group 1 patients. Moreover, cells involved in cellular immunity and CD4 T lymphocytes have the capacity to respond to IL-2 after TCT. These results allow us to anticipate a beneficial role of IL-2 immunotherapy in combination with TCT.
National Acad Sciences