Abstract

HIV-1 infection exhibits a significant sex bias. This study aimed at identifying and examining lymphocyte associated sex differences in HIV-1 pathogenesis using a data-driven approach. To select targets for investigating sex differences in lymphocytes, data of microarray experiments and literature mining were integrated. Data from three large-scale microarray experiments were obtained from NCBI/GEO and screened for sex differences in gene expression. Literature mining was employed to identify sex biased genes in the microarray data, which were relevant to HIV-1 pathogenesis and lymphocyte biology. Sex differences in gene expression of selected genes were investigated by RT-qPCR and flowcytometry in healthy individuals and persons living with HIV-1. A significant and consistent sex bias was identified in 31 genes, the majority of which were related to immunity and expressed at higher levels in women. Using literature mining, three genes (DPP4, FCGR1A and SOCS3) were selected for analysis by qPCR because of their relevance to HIV, as well as, B and T cell biology. DPP4 exhibited the most significant sex bias in mRNA expression (p = 0.00029). Therefore, its expression was further analyzed on B and T cells using flowcytometry. In HIV-1 infected controllers and healthy individuals, frequencies of CD4+DPP4+ T cells were higher in women compared to men (p = 0.037 and p = 0.027). In women, CD4 T cell counts correlated with a predominant decreased in DPP4+CD4+ T cells (p = 0.0032). Sex differences in DPP4 expression abrogated in progressive HIV-1 infection. In conclusion, we found sex differences in the pathobiology of T cells in HIV-1 infection using a data-driven approach. Our results indicate that DPP4 expression on CD4+ T cells might contribute to the immunological sex differences observed in chronic HIV‑1 infection.

Highlights

  • Numerous studies provide evidence that the human immunodeficiency virus 1 (HIV-1) infection is sex biased

  • HIV-1 infection profoundly interferes with the immune system and elicits persistent immune activation and inflammation, which are associated with progression to AIDS

  • To identify sex biased genes, sex differences in gene expression were computed for three microarray datasets obtained from NCBI/GEO

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Summary

Introduction

Numerous studies provide evidence that the human immunodeficiency virus 1 (HIV-1) infection is sex biased. A critical driver of this pathology is the interferon response of plasmacytoid dendritic cells (pDC) to HIV-1: sensing of viral components elicits an interferon alpha response by pDC, which is stronger in women compared to men [3]. This translates to an increased immune activation and inflammation in women with downstream effects on components of the adaptive immune system such as B or T cells [3, 4]. B cells and more importantly T cells play a pivotal role in the pathogenesis of HIV-1 infection [5] They are subject to immunological sex differences [6]. This study aimed at identifying sex differences in B and T cell biology and investigating their relationship to markers of disease progression

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