Characterization of Cellular Immune Responses in Thai Individuals with and Without HIV-Associated Neurocognitive Disorders

  • Silvia Ratto-Kim
  • , Alexandra Schuetz
  • , Pasiri Sithinamsuwan
  • , John Barber
  • , Nicholas Hutchings
  • , Sukalaya Lerdlum
  • , James L.K. Fletcher
  • , Yuwadee Phuang-Ngern
  • , Weerawan Chuenarom
  • , Somporn Tipsuk
  • , Mantana Pothisri
  • , Tanate Jadwattanakul
  • , Supunnee Jirajariyavej
  • , Chayada Sajjaweerawan
  • , Siriwat Akapirat
  • , Thep Chalermchai
  • , Duanghathai Suttichom
  • , Boot Kaewboon
  • , Peeriya Prueksakaew
  • , Putthachard Karnsomlap
  • David Clifford, Robert H. Paul, Mark S. De Souza, Jerome H. Kim, Jintanat Ananworanich, Victor Valcour

Research output: Contribution to journalArticlepeer-review

Abstract

HIV-Associated neurocognitive disorder (HAND) remains a challenge despite antiretroviral therapy (ART), and has been linked to monocyte/macrophage (M/M) migration to the brain. Due to the potential impact of T cell effector mechanisms in eliminating activated/HIV-infected M/M, T cell activation may play a role in the development of HAND. We sought to investigate the relationship between cognition and both CD8 + T cell activation (HLA-DR + /CD38 + ) and HIV-specific CD8 + T cell responses at the time of HIV diagnosis and 12 months postinitiation of ART. CD8 + T cell activation was increased in HAND compared to cognitive normal (NL) individuals and correlated directly with plasma viral load and inversely with the cognitive status. In addition, Gag-specific cytolytic activity (CD107a/b + ) was decreased in HAND compared with NL individuals and correlated with their neurological testing, suggesting a potential role of cytotoxic CD8 + T cells in the mechanism of HAND development.

Original languageEnglish
Pages (from-to)685-689
Number of pages5
JournalAIDS research and human retroviruses
Volume34
Issue number8
DOIs
StatePublished - Aug 1 2018

Keywords

  • CD8+ T cell activation
  • HIV-Associated neurocognitive disorders
  • HIV-specific cytolytic T cells

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