1. Loss of HIV-specific memory B-cells as a potential mechanism for the dysfunction of the humoral immune response against HIV
- Author
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Bussmann, Bianca M., Reiche, Sven, Bieniek, Bernhard, Krznaric, Ivanka, Ackermann, Frank, and Jassoy, Christian
- Subjects
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HIV infections , *B cells , *IMMUNE response , *T cells , *HIGHLY active antiretroviral therapy , *TETANUS toxin , *IMMUNOGLOBULINS , *ANTIRETROVIRAL agents - Abstract
Abstract: A central, yet unresolved issue in the pathogenesis of HIV disease is the mechanism of antibody perturbation. In this study, HIV-specific memory B-cells were quantified in groups of infected subjects and compared with memory responses to other antigens and antibody titers. HIV-specific memory B-cell responses were vigorous in individuals with CD4+ T-cell counts >350/μl and weak or undetectable in subjects with CD4+ T-cell numbers <200/μl. Memory B-cell loss was permanent, because antiretroviral therapy failed to restore HIV-specific memory responses while influenza- and tetanus toxoid-specific memory B-cells remained unaffected or recovered. Antibody titers to Gag strongly correlated with memory B-cell frequencies. In contrast, Env-specific antibodies were maintained in advanced disease despite low or undetectable levels of memory B-cells. These results provide a potential mechanism by which destruction of HIV-specific CD4+ T-cells affects the humoral immune response against HIV and compromises the ability to maintain an effective antibody response. [Copyright &y& Elsevier]
- Published
- 2010
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