A role for TLR signaling during B cell activation in antiretroviral-treated HIV individuals.

A role for TLR signaling during B cell activation in antiretroviral-treated HIV individuals.
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TLR 信号传导在接受抗逆转录病毒治疗的 HIV 个体 B 细胞激活过程中的作用。

DOI:
10.1089/aid.2013.0115
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发表时间:
2013
影响因子:
1.5
通讯作者:
Landay,Alan
Landay,Alan
中科院分区:
医学4区
文献类型:
--
作者:
Siewe,Basile;Keshavarzian,Ali;French,Audrey;Demarais,Patricia;Landay,Alan

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抗逆转录病毒治疗(ART)期间持续存在的B细胞活化的潜在机制尚不清楚。Toll样受体(TLR)信号传导是先天性细胞活化的关键介质,尽管B细胞表达TLR,但很少有研究调查TLR信号传导在HIV感染期间B细胞活化中的作用。我们通过评估ART治疗的HIV感染受试者(HIVART+)的B细胞的活化表型和TLR表达/反应性来解决这个问题。我们评估了HIV发病过程中涉及B细胞介导的T细胞转感染的活化标志物。我们发现HIVART+和HIV-受试者的B细胞之间TLR表达没有显著差异。然而,HIVART+受试者的B细胞表现出IL-6(p=0.0051)、T细胞同源配体CD 40(p=0.0475)、CD 54(p=0.0229)和磷酸化p38(p<0.0001)(TLR信号传导的标志物)的内源性表达水平升高。在体外,与HIV-受试者的B细胞相比,HIVART+受试者的B细胞对TLR刺激的反应较低。HIV−受试者体内TLR刺激的B细胞的活化表型与HIVART+个体的体外B细胞相似。TLR 2刺激是B细胞活化的有效介质,而B细胞对TLR 4刺激的反应最小。与HIV−受试者相比,HIVART+受试者的血清脂磷壁酸(TLR 2配体)水平显著较高(p=0.0207),与病毒载量呈正相关(p= 0.0127,r =0.6453)。我们的数据表明,在HIV感染过程中,TLR激活的B细胞可能发挥致病作用,并且来自HIVART+受试者的B细胞对体外TLR刺激有反应,但表现出TLR耐受表型,这表明先前体内TLR刺激。
The mechanisms underlying B cell activation that persists during antiretroviral therapy (ART) are unknown. Toll-like receptor (TLR) signaling is a critical mediator of innate cell activation and though B cells express TLRs, few studies have investigated a role for TLR signaling in B cell activation during HIV infection. We addressed this question by assessing the activated phenotype and TLR expression/responsiveness of B cells from ART-treated HIV-infected subjects (HIVART+). We evaluated activation markers implicated in B cell-mediated T celltransinfection during HIV pathogenesis. We found no significant difference in TLR expression between B cells of HIVART+and HIV−subjects. However, B cells of HIVART+subjects exhibited heightened endogenous expression levels of IL-6 (p=0.0051), T cell cognate ligands CD40 (p=0.0475), CD54 (p=0.0229), and phosphorylated p38 (p<0.0001), a marker of TLR signaling.In vitro,B cells of HIVART+individuals were less responsive to TLR stimulation compared to B cells of HIV−subjects. The activated phenotype ofin vitroTLR-stimulated B cells of HIV−subjects was similar toex vivoB cells from HIVART+individuals. TLR2 stimulation was a potent mediator of B cell activation, whereas B cells were least responsive to TLR4 stimulation. Compared to HIV−subjects, the serum level of lipoteichoic acid (TLR2 ligand) in HIVART+subjects was significantly higher (p=0.0207), correlating positively with viral load (p=0.0127,r=0.6453). Our data suggest that during HIV infection TLR-activated B cells may exert a pathogenic role and B cells from HIVART+subjects respond toin vitroTLR stimulation, yet exhibit a TLR tolerant phenotype suggesting priorin vivoTLR stimulation.
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DOI: --
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