Abstract

In spite of the efficacy of combinational antiretroviral treatment (cART), HIV-1 persists in the host and infection is associated with chronic inflammation, leading to an increased risk of comorbidities, such as cardiovascular diseases, neurocognitive disorders, and cancer. Myeloid cells, mainly monocytes and macrophages, have been shown to be involved in the immune activation observed in HIV-1 infection. However, less attention has been paid to neutrophils, the most abundant circulating myeloid cell, even though neutrophils are strongly involved in tissue damage and inflammation in several chronic diseases, in particular, autoimmune diseases. Herein, we performed a longitudinal characterization of neutrophil phenotype and we evaluated the interplay between neutrophils and T cells in the model of pathogenic SIVmac251 experimental infection of cynomolgus macaques. We report that circulating granulocytes consists mainly of immature CD10- neutrophils exhibiting a prime phenotype during primary and chronic infection. We found that neutrophil priming correlates with CD8+ T cell activation. Moreover, we provide the evidence that neutrophils are capable of modulating CD4+ and CD8+ T-cell proliferation and IFN-γ production in different ways depending on the time of infection. Thus, our study emphasizes the role of primed immature neutrophils in the modulation of T-cell responses in SIV infection.

Highlights

  • In the absence of a cure for HIV infection, lifelong antiretroviral treatment is necessary to control replication of the virus because of the inability of combinational antiretroviral treatment and host defenses to eradicate it. cART has increased life expectancy and the quality of life of HIVinfected patients, but is still far from being a cure [1, 2]

  • Because persistence of neutrophils priming could be associated with differences in functionality, we characterized these changes in SIV-infected cynomolgus macaques from acute to chronic phases and under cART

  • We evaluated the impact of early cART on neutrophil priming by separating the animals into two groups according to the time of treatment initiation (Group 1: cART initiated at 28 dpi, Group 2: cART initiated at 180 dpi)

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Summary

Introduction

In the absence of a cure for HIV infection, lifelong antiretroviral treatment is necessary to control replication of the virus because of the inability of combinational antiretroviral treatment (cART) and host defenses to eradicate it. cART has increased life expectancy and the quality of life of HIVinfected patients, but is still far from being a cure [1, 2]. CART has increased life expectancy and the quality of life of HIVinfected patients, but is still far from being a cure [1, 2]. Immunomodulatory Role of PMN in SIV Infection co-morbidities (metabolic, neurodegenerative, and cardiovascular diseases) normally associated with aging have been shown to be more frequent and occur earlier in the HIV-infected than agedmatched general population [3]. Such an increased frequency of co-morbidities was suggested to contribute to the persistence of chronic inflammation [4]. Even under long-term cART, HIVinfected patients have a higher level of soluble inflammatory

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