Myeloid and CD4 T Cells Comprise the Latent Reservoir in Antiretroviral Therapy-Suppressed SIVmac251-Infected Macaques

ABSTRACT Human immunodeficiency virus (HIV) eradication or long-term suppression in the absence of antiretroviral therapy (ART) requires an understanding of all viral reservoirs that could contribute to viral rebound after ART interruption. CD4 T cells (CD4s) are recognized as the predominant reserv...

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Autores principales: Celina M. Abreu, Rebecca T. Veenhuis, Claudia R. Avalos, Shelby Graham, Daymond R. Parrilla, Edna A. Ferreira, Suzanne E. Queen, Erin N. Shirk, Brandon T. Bullock, Ming Li, Kelly A. Metcalf Pate, Sarah E. Beck, Lisa M. Mangus, Joseph L. Mankowski, Feilim Mac Gabhann, Shelby L. O’Connor, Lucio Gama, Janice E. Clements
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Publicado: American Society for Microbiology 2019
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HIV
SIV
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spelling oai:doaj.org-article:bcbb18ba10ce487f8c86493a4d42ad7b2021-11-15T16:22:10ZMyeloid and CD4 T Cells Comprise the Latent Reservoir in Antiretroviral Therapy-Suppressed SIVmac251-Infected Macaques10.1128/mBio.01659-192150-7511https://doaj.org/article/bcbb18ba10ce487f8c86493a4d42ad7b2019-08-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.01659-19https://doaj.org/toc/2150-7511ABSTRACT Human immunodeficiency virus (HIV) eradication or long-term suppression in the absence of antiretroviral therapy (ART) requires an understanding of all viral reservoirs that could contribute to viral rebound after ART interruption. CD4 T cells (CD4s) are recognized as the predominant reservoir in HIV type 1 (HIV-1)-infected individuals. However, macrophages are also infected by HIV-1 and simian immunodeficiency virus (SIV) during acute infection and may persist throughout ART, contributing to the size of the latent reservoir. We sought to determine whether tissue macrophages contribute to the SIVmac251 reservoir in suppressed macaques. Using cell-specific quantitative viral outgrowth assays (CD4-QVOA and MΦ-QVOA), we measured functional latent reservoirs in CD4s and macrophages in ART-suppressed SIVmac251-infected macaques. Spleen, lung, and brain in all suppressed animals contained latently infected macrophages, undetectable or low-level SIV RNA, and detectable SIV DNA. Silent viral genomes with potential for reactivation and viral spread were also identified in blood monocytes, although these cells might not be considered reservoirs due to their short life span. Additionally, virus produced in the MΦ-QVOA was capable of infecting healthy activated CD4s. Our results strongly suggest that functional latent reservoirs in CD4s and macrophages can contribute to viral rebound and reestablishment of productive infection after ART interruption. These findings should be considered in the design and implementation of future HIV cure strategies. IMPORTANCE This study provides further evidence that the latent reservoir is comprised of both CD4+ T cells and myeloid cells. The data presented here suggest that CD4+ T cells and macrophages found throughout tissues in the body can contain replication-competent SIV and contribute to rebound of the virus after treatment interruption. Additionally, we have shown that monocytes in blood contain latent virus and, though not considered a reservoir themselves due to their short life span, could contribute to the size of the latent reservoir upon entering the tissue and differentiating into long-lived macrophages. These new insights into the size and location of the SIV reservoir using a model that is heavily studied in the HIV field could have great implications for HIV-infected individuals and should be taken into consideration with the development of future HIV cure strategies.Celina M. AbreuRebecca T. VeenhuisClaudia R. AvalosShelby GrahamDaymond R. ParrillaEdna A. FerreiraSuzanne E. QueenErin N. ShirkBrandon T. BullockMing LiKelly A. Metcalf PateSarah E. BeckLisa M. MangusJoseph L. MankowskiFeilim Mac GabhannShelby L. O’ConnorLucio GamaJanice E. ClementsAmerican Society for MicrobiologyarticleHIVlatencySIVmacrophagesmonocytesMicrobiologyQR1-502ENmBio, Vol 10, Iss 4 (2019)
institution DOAJ
collection DOAJ
language EN
topic HIV
latency
SIV
macrophages
monocytes
Microbiology
QR1-502
spellingShingle HIV
latency
SIV
macrophages
monocytes
Microbiology
QR1-502
Celina M. Abreu
Rebecca T. Veenhuis
Claudia R. Avalos
Shelby Graham
Daymond R. Parrilla
Edna A. Ferreira
Suzanne E. Queen
Erin N. Shirk
Brandon T. Bullock
Ming Li
Kelly A. Metcalf Pate
Sarah E. Beck
Lisa M. Mangus
Joseph L. Mankowski
Feilim Mac Gabhann
Shelby L. O’Connor
Lucio Gama
Janice E. Clements
Myeloid and CD4 T Cells Comprise the Latent Reservoir in Antiretroviral Therapy-Suppressed SIVmac251-Infected Macaques
description ABSTRACT Human immunodeficiency virus (HIV) eradication or long-term suppression in the absence of antiretroviral therapy (ART) requires an understanding of all viral reservoirs that could contribute to viral rebound after ART interruption. CD4 T cells (CD4s) are recognized as the predominant reservoir in HIV type 1 (HIV-1)-infected individuals. However, macrophages are also infected by HIV-1 and simian immunodeficiency virus (SIV) during acute infection and may persist throughout ART, contributing to the size of the latent reservoir. We sought to determine whether tissue macrophages contribute to the SIVmac251 reservoir in suppressed macaques. Using cell-specific quantitative viral outgrowth assays (CD4-QVOA and MΦ-QVOA), we measured functional latent reservoirs in CD4s and macrophages in ART-suppressed SIVmac251-infected macaques. Spleen, lung, and brain in all suppressed animals contained latently infected macrophages, undetectable or low-level SIV RNA, and detectable SIV DNA. Silent viral genomes with potential for reactivation and viral spread were also identified in blood monocytes, although these cells might not be considered reservoirs due to their short life span. Additionally, virus produced in the MΦ-QVOA was capable of infecting healthy activated CD4s. Our results strongly suggest that functional latent reservoirs in CD4s and macrophages can contribute to viral rebound and reestablishment of productive infection after ART interruption. These findings should be considered in the design and implementation of future HIV cure strategies. IMPORTANCE This study provides further evidence that the latent reservoir is comprised of both CD4+ T cells and myeloid cells. The data presented here suggest that CD4+ T cells and macrophages found throughout tissues in the body can contain replication-competent SIV and contribute to rebound of the virus after treatment interruption. Additionally, we have shown that monocytes in blood contain latent virus and, though not considered a reservoir themselves due to their short life span, could contribute to the size of the latent reservoir upon entering the tissue and differentiating into long-lived macrophages. These new insights into the size and location of the SIV reservoir using a model that is heavily studied in the HIV field could have great implications for HIV-infected individuals and should be taken into consideration with the development of future HIV cure strategies.
format article
author Celina M. Abreu
Rebecca T. Veenhuis
Claudia R. Avalos
Shelby Graham
Daymond R. Parrilla
Edna A. Ferreira
Suzanne E. Queen
Erin N. Shirk
Brandon T. Bullock
Ming Li
Kelly A. Metcalf Pate
Sarah E. Beck
Lisa M. Mangus
Joseph L. Mankowski
Feilim Mac Gabhann
Shelby L. O’Connor
Lucio Gama
Janice E. Clements
author_facet Celina M. Abreu
Rebecca T. Veenhuis
Claudia R. Avalos
Shelby Graham
Daymond R. Parrilla
Edna A. Ferreira
Suzanne E. Queen
Erin N. Shirk
Brandon T. Bullock
Ming Li
Kelly A. Metcalf Pate
Sarah E. Beck
Lisa M. Mangus
Joseph L. Mankowski
Feilim Mac Gabhann
Shelby L. O’Connor
Lucio Gama
Janice E. Clements
author_sort Celina M. Abreu
title Myeloid and CD4 T Cells Comprise the Latent Reservoir in Antiretroviral Therapy-Suppressed SIVmac251-Infected Macaques
title_short Myeloid and CD4 T Cells Comprise the Latent Reservoir in Antiretroviral Therapy-Suppressed SIVmac251-Infected Macaques
title_full Myeloid and CD4 T Cells Comprise the Latent Reservoir in Antiretroviral Therapy-Suppressed SIVmac251-Infected Macaques
title_fullStr Myeloid and CD4 T Cells Comprise the Latent Reservoir in Antiretroviral Therapy-Suppressed SIVmac251-Infected Macaques
title_full_unstemmed Myeloid and CD4 T Cells Comprise the Latent Reservoir in Antiretroviral Therapy-Suppressed SIVmac251-Infected Macaques
title_sort myeloid and cd4 t cells comprise the latent reservoir in antiretroviral therapy-suppressed sivmac251-infected macaques
publisher American Society for Microbiology
publishDate 2019
url https://doaj.org/article/bcbb18ba10ce487f8c86493a4d42ad7b
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