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Dominant enrichment of phenotypically activated CD38 + HLA‐DR + CD8 + T cells, rather than CD38 + HLA‐DR + CD4 + T cells, in HIV/HCV coinfected patients on antiretroviral therapy
Author(s) -
d'Ettorre Gabriella,
Ceccarelli Giancarlo,
Serafino Sara,
Giustini Noemi,
Cavallari Eugenio Nelson,
Bianchi Luigi,
Pavone Paolo,
Bellelli Valeria,
Turriziani Ombretta,
Antonelli Guido,
Stroffolini Tommaso,
Vullo Vincenzo
Publication year - 2016
Publication title -
journal of medical virology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.782
H-Index - 121
eISSN - 1096-9071
pISSN - 0146-6615
DOI - 10.1002/jmv.24475
Subject(s) - cd38 , cd8 , immune system , virology , immunology , human leukocyte antigen , medicine , immunopathology , coinfection , human immunodeficiency virus (hiv) , antigen , biology , genetics , stem cell , cd34
HIV infection may enhance immune‐activation, while little is known regarding the role of HCV infection. This study investigates the impact of HCV in HIV coinfected patients with undetectable viraemia under HAART on the levels of peripheral T cell's immune‐activation. We determined T lymphocytes subsets to characterize immune‐activation defined as CD38 and/or HLA‐DR expression in chronic monoinfected HCV, HIV, and HIV/HCV coinfected subjects. One hundred and fifty six patients were divided into three groups: (i) 77 HIV+ patients; (ii) 50 HCV+ patients; and (iii) 29 coinfected HIV/HCV patients. The level of CD4 + was significantly higher in HCV+ than in HIV+ or in coinfected HIV/HCV subjects. The frequencies of CD4 + CD38 + /HLA‐DR ‐ , CD4 + CD38 ‐ /HLA‐DR + and CD4 + CD38 + /HLA‐DR + in HIV+ patients were comparable to those measured in coinfected patients, but statistically higher than those observed in HCV+ subjects. The percentage of CD8 + was comparable in HIV‐1+ patients and coinfected HIV/HCV but the results obtained in both groups were significantly higher compared to the results obtained in HCV patients. The level of CD8 + CD38 + /HLA‐DR ‐ showed values lower in HIV+ patients than in that monoinfected HCV and coinfected HIV/HCV patients. The frequencies of CD8 + CD38 ‐ /HLA‐DR + were higher in HIV+ patients compared to HCV+ and coinfected HIV/HCV patients. HIV/HCV coinfected group showed highest levels of CD8 + CD38 + /HLA‐DR + . HIV plays a pivotal role to determine the immune activation in the host. The role of HCV needs of further investigations but our data show that HCV mainly influences the immune‐activation of the pool of CD8, but also probably plays a supporting additive effect on CD4 immune‐activation. J. Med. Virol. 88:1347–1356, 2016 . © 2016 Wiley Periodicals, Inc.