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Profiling gene expression differences and immune cell populations in HIV exposed seronegative<br />

individuals [HESN] and seroconverters<br />

Augustine Ajuogu1, 2, 3 , Chloe Slichter 2,3 , Laura Pattacini, 3 and Jennifer Lund, 2,3<br />

1Northwest University, Kirkland, WA; 2Vaccine and Infectious Disease Division, <strong>Fred</strong> <strong>Hutchinson</strong> Cancer <strong>Research</strong><br />

Center, Seattle, WA; 3Department of Global Health, University of Washington, Seattle, WA<br />

2012 Best Poster Presentation Award<br />

Methodology Results<br />

Background<br />

Question 1: Do gene expression levels differ between seroconverters and HESN samples?<br />

Answer: Previous unpublished data supports our hypothesis, however we are still in the<br />

process of analyzing the data and have yet to determine the results<br />

Study cohorts<br />

The peripheral blood mononuclear cells (PBMC) samples analyzed were either from exposed seronegative<br />

subjects or from seroconverters. Seroconverters samples were obtained from the last visit before<br />

seroconversion. All samples were obtained from two different cohorts: Partners in Prevention HSV/HIV<br />

Transmission Study, Couples Observational Study, and Partner’s Pre-Exposure Prophylaxis study (PREP).<br />

With more than 1.8 million deaths per year, HIV remains the most<br />

devastating disease around the globe. Disease and death in HIV patients<br />

can be attributed to various factors including the inability of the host<br />

immune system to independently suppress or clear the infection.<br />

Question 2: Are there statistical differences in immune cell populations between<br />

seroconverters and HESN samples?<br />

Answer: No, there are no distinct differences between frequency of immune cells between<br />

the two cohorts.<br />

2a. Samples shipped for RNA gene<br />

expression analysis<br />

Some studies show that few individuals do not become infected after<br />

continued and prolonged exposure without the aid of antiretroviral<br />

therapy [HESN] .<br />

CD56-<br />

NK Cells<br />

CD8+ CD8+ T-Cell<br />

CD4<br />

CD4+ T-Cell<br />

Serodiscordant couples in which one partner is HIV positive and the<br />

other is HIV negative are of interest in understanding such phenomenon.<br />

4. Immune cell frequency analysis<br />

150<br />

60<br />

100<br />

100<br />

40<br />

50<br />

Phenoype Population<br />

80<br />

60<br />

40<br />

20<br />

20<br />

Phenotype Frequency<br />

1. PBMC Samples processed for<br />

gene expression studies and<br />

cell phenotyping<br />

0<br />

HESN<br />

Preinfection<br />

0<br />

0<br />

HESN<br />

Preinfection<br />

HESN<br />

Pre infection<br />

P value: 0.7585<br />

Summary: ns.<br />

P value: 0.7390<br />

Summary: ns.<br />

P value: 0.5381<br />

Summary: ns.<br />

3. Samples stained with specific markers<br />

and fluorochrome<br />

2b. Samples plated<br />

Figure 2: Simplified methodology diagram<br />

CD19+ CD19+ B-Cells<br />

Monocytes<br />

50<br />

40<br />

100<br />

112<br />

80<br />

30<br />

20<br />

60<br />

Sample processing for immune cell population phenotyping and gene expression studies<br />

Samples were processed via standard procedures and divided into two aliquots to determine the frequency<br />

of specific lymphocyte populations and to investigate gene expression of these specific populations.<br />

40<br />

10<br />

0<br />

Phenotype Frequency<br />

20<br />

0<br />

Phenotype population<br />

HESN<br />

Pre-infection<br />

HESN<br />

P value: 0.2818<br />

Summary: ns.<br />

Preinfection<br />

P value: 0.4436<br />

Summary: ns.<br />

Lymphocyte populations were identified using flow cytometry. Phenotyping for various subsets including T<br />

cells, B cells, Monocytes, plasmocytoid dendritic cells, myeloid dendritic cells, and natural killer cells by the<br />

expression of various cellular markers was performed.<br />

Figure 4: PBMC Frequencies<br />

Conclusion & . Discussion<br />

In order to provide confidence in our results, we performed a series of experiments to establish working<br />

antibody concentrations (titers). Furthermore, we performed a full fluorescence minus one (FMO) panel<br />

utilizing titers already established to draw the specific gates for each cell population. Cell populations were<br />

analyzed using FlowJo and Prism software.<br />

Our experiment revealed no statistically significant difference in frequency of immune cell<br />

populations between the HESN and seroconverters at the time point prior to seroconversion.<br />

Samples from subjects sent for gene expression studies are still being analyzed and thus may<br />

provide unique signature of protection or susceptibility to HIV infection.<br />

250K<br />

200K<br />

150K<br />

98.6<br />

100K<br />

88.9<br />

10<br />

50K<br />

73.9<br />

0<br />

0<br />

0 50K 100K 150K 200K 250K<br />

0 50K 100K 150K 200K 250K<br />

FSC-A<br />

FSC-A<br />

PBMCs<br />

S<br />

211058.fcs<br />

211058.fcs<br />

Event Count: 57940<br />

Event Count: 65154<br />

2<br />

10 3<br />

10 4<br />

10 5<br />

99.4<br />

10 5<br />

10 5<br />

Singlets<br />

Lymphocyte-PBMCs<br />

Alive<br />

CD3+ CD3+<br />

CD3-<br />

CD4+/CD8+ T cells<br />

CD19+ B lymhocytes<br />

250K<br />

200K<br />

Figure 1: Seronegative vs. HESN individual<br />

In some cases, individuals can resist infection after repeated and<br />

prolonged exposure but eventually acquire the virus (seroconverters).<br />

The differences between HESN and seroconverters are not fully<br />

understood, but immune responses to the virus are well documented in<br />

both groups.<br />

Future Directions .<br />

: L/D<br />

150K<br />

SSC-A<br />

FSC-H<br />

100K<br />

50K<br />

0<br />

Investigate immune cell populations at different time points before and after seroconversion<br />

o Immune cell populations may change during exposure to HIV<br />

Evaluate cell populations for activation markers<br />

o Though immune cell frequency may not change, activation markers in HESN<br />

0 50K 100K 150K 200K 250K<br />

FSC-A<br />

Ungated<br />

211058.fcs<br />

Event Count: 66101<br />

Specific Aims<br />

CD3-<br />

NK cells<br />

10 5<br />

Quantify and compare gene expression levels in HESN and<br />

seroconverters via microarray technology.<br />

10 4<br />

Acknowledgements<br />

Acknowledgments<br />

may differ from seroconverters.<br />

23.1<br />

10 3<br />

: CD16<br />

: CD19<br />

: CD4<br />

: CD3<br />

0<br />

3 104 105<br />

0 10<br />

: CD56<br />

CD3-<br />

211058.fcs<br />

Event Count: 8897<br />

10<br />

0<br />

2<br />

0 10 103 104 105<br />

: CD8<br />

CD3+<br />

211058.fcs<br />

Event Count: 39014<br />

3<br />

10 4<br />

69.1<br />

10<br />

24.5<br />

0<br />

0 50K 100K 150K 200K 250K<br />

FSC-A<br />

Alive<br />

211058.fcs<br />

Event Count: 47922<br />

3<br />

10 4<br />

10 5<br />

81.4<br />

10<br />

18.6<br />

0<br />

0 50K 100K 150K 200K 250K<br />

FSC-A<br />

CD3-<br />

211058.fcs<br />

Event Count: 8897<br />

3<br />

10 4<br />

48.5<br />

51.5<br />

10<br />

0<br />

0 50K 100K 150K 200K 250K<br />

FSC-A<br />

Alive<br />

211058.fcs<br />

Event Count: 57620<br />

2<br />

10 3<br />

10 4<br />

10 5<br />

1.21<br />

10<br />

0<br />

0 50K 100K 150K 200K 250K<br />

FSC-A<br />

Alive<br />

211058.fcs<br />

Event Count: 57620<br />

2<br />

10 3<br />

10 4<br />

10 5<br />

14.7<br />

10<br />

0<br />

2<br />

0 10 103 104 105<br />

: CD11c<br />

HLA-DR+<br />

211058.fcs<br />

Event Count: 8465<br />

2<br />

10 3<br />

10 4<br />

10 5<br />

CD14+ HLA-DR + HLA-DR +<br />

CD11c+ mDCs<br />

48.1<br />

Figure 3: Full Panel and gating scheme for immune cell population.<br />

Profile immune cell frequencies in both HESN and seroconverters via<br />

flow cytometry to assist in de-convolution analysis in order to evaluate<br />

specific expression levels within specific immune cell types of both<br />

populations.<br />

I am indebted to Dr. Laura Pattacini both for her faithful mentorship and her grace. I thank Dr.<br />

Jairam Lingappa for the project, and Dr. Jennifer Lund for the opportunity to work in her lab. A<br />

special thank you to Chloe Slichter and the entire lab for their assistance. I thank Rafick Sekaly<br />

and his entire lab for their help with the RNA gene expression studies of samples. My work is<br />

made possible by the <strong>Fred</strong> <strong>Hutchinson</strong> Cancer <strong>Research</strong> Center <strong>Summer</strong> <strong>Undergraduate</strong> <strong>Research</strong><br />

<strong>Program</strong>. The <strong>Summer</strong> <strong>Undergraduate</strong> <strong>Research</strong> <strong>Program</strong> is supported in part by the Cancer<br />

Center Support Grant (CCSG) CURE Supplement: 5 P30 CA015704-37S1. This research is also<br />

supported in part by NIAID/NIH 3 R01 AI047086-10S1.<br />

HLA-DR +<br />

CD123+ pDCs<br />

10 5<br />

0.732<br />

10 4<br />

Rationale .<br />

10 3<br />

: HLA-DR<br />

: HLA-DR<br />

: HLA-DR<br />

: CD14<br />

10<br />

0<br />

2<br />

2<br />

103 104 105<br />

: CD123<br />

0 10<br />

HLA-DR+<br />

211058.fcs<br />

Event Count: 8465<br />

Our study may identify genes and immune cell populations important to HIV<br />

acquisition. Results will in addition enable a better understanding of host<br />

resistance to HIV infection which is critical to vaccine and drug<br />

development.

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