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Oral Abstract Session 01 - Global HIV Vaccine Enterprise

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POSTERS<br />

Posters<br />

Topic 7: Innate Immunity<br />

P07.13<br />

Early Immune Events During Acute <strong>HIV</strong> Infection<br />

B.M. Slike 7 , B. Tassaneetrithep 1 , S. Nitayaphan 2 , K. Rono 3 ,<br />

E. Sanga 4 , A. Sekiziyivu 5 , D. Stablein 6 , L. Eller 7 , M.A. Eller 7 ,<br />

J. Kim 7 , N. Michael 7 , M. Robb 7 , M. Marovich 7<br />

1 Siriraj Hospital, Mahidol University, Bankok, Thailand; 2 Armed<br />

Forces Research Institute of Medical Sciences, Bankok,<br />

Thailand; 3 Walter Reed Program, Kericho, Kenya; 4 Mbeya<br />

Medical Research Programme, Mbeya, United Republic of<br />

Tanzania; 5 Makerere University Walter Reed Project, Kampala,<br />

Uganda; 6 Emmes Corporation, Rockville, MD, USA; 7 US Military<br />

<strong>HIV</strong> Research Program, Silver Spring, MD, USA<br />

Background: We characterized plasma cytokine and chemokine<br />

profiles at baseline and during acute infection in a prospective<br />

high-risk cohort (RV217). PBMC collected in parallel allow for the<br />

longitudinal analysis of changes in immune cell populations during<br />

acute infection. These data can provide insight into the earliest<br />

events in host-<strong>HIV</strong> interaction and inform <strong>HIV</strong> vaccine development.<br />

Methods: Semiweekly viral load (VL) testing in individuals at highrisk<br />

for <strong>HIV</strong> acquisition was performed to prospectively identify<br />

very early acute <strong>HIV</strong> infections (Fiebig stage I/II, NAT+/Ab-).<br />

Cytokines were assayed in plasma from pre-infection through<br />

early plasma viral load set point using the Q-Plex Multiplex Array<br />

or by traditional ELISA. Peripheral blood cells were longitudinally<br />

analyzed with multiparameter flow cytometry.<br />

Results: African participants were all female and acquired subtype<br />

A, C and D recombinant <strong>HIV</strong> while participants in Thailand were<br />

male and acquired <strong>HIV</strong> subtype E predominantly. Longitudinal<br />

plasma samples from acutely infected individuals (n=24) showed<br />

similar trends in cytokine profiles with statistically significant<br />

increases in expression over time. VL setpoint, IL-10 and MCP-1<br />

expression differed by region. Preliminary PBMC analysis revealed<br />

frequency and phenotypic changes in all antigen presenting cell<br />

populations. Significant decreases in plasmacytoid dendritic cells<br />

were observed at peak VL, which preceded a sharp decline in<br />

plasma IFN-α to near baseline values. MCP-1 and IP-10 also rose<br />

sharply in conjunction with fluctuations in T cell subsets and<br />

APCs. These early changes could impact adaptive cellular and<br />

humoral immune responses.<br />

Conclusion: Understanding cytokine kinetics and VL dynamics<br />

during acute <strong>HIV</strong> infection may help identify key controls<br />

of early viral set point. Regional differences may reflect <strong>HIV</strong><br />

subtype, gender, background cytokine expression levels and<br />

co-morbidities as these covaried. Analyses of correlations<br />

with immune cell phenotype/function and viral set point are<br />

underway. Efforts focus on examination of the evolution of the<br />

innate response after infection, prior to peak viremia.<br />

186<br />

AIDS <strong>Vaccine</strong> 2<strong>01</strong>2<br />

P07.14 LB<br />

Modulation of <strong>HIV</strong>-1 Replication In Primary Dendritic<br />

Cells In Contact With Autologous CD4 T-Lymphocytes<br />

B. Su 1 , M.E. Biedma 1 , A. Lederle 1 , M. Lambotin 1 , C. Moog 1<br />

1 INSERM U748, Université de Strasbourg, Strasbourg, France<br />

Background: Immature dendritic cells (DCs), which reside in<br />

genital mucosal surfaces, are among the first cells that encounter<br />

<strong>HIV</strong>-1. These cells poorly replicate R5-tropic <strong>HIV</strong>-1, but have<br />

been shown to efficiently transfer the virus to autologous CD4<br />

T-lymphocytes. We have shown that <strong>HIV</strong>-1 replication was<br />

enhanced in primary <strong>HIV</strong>-1-loaded DCs when they are in close<br />

contact with autologous CD4 T-lymphocytes. Recently, SAMHD1<br />

has been proposed to restrict <strong>HIV</strong>-1 replication in myeloid cells by<br />

decreasing deoxynucleoside triphosphate (dNTP) pools. We aimed<br />

to decipher whether SAMHD1 was involved in the increased <strong>HIV</strong>-<br />

1 replication observed in DCs coculture with CD4 T-lymphocytes.<br />

Methods: DCs were generated from human blood CD14 +<br />

monocytes. After 2 hours of incubation with <strong>HIV</strong>-1, DCs were<br />

added to autologous primary CD4 T-lymphocytes. The percentage<br />

of infection was quantified by flow cytometry (intracellular p24<br />

staining). The expression of intracellular SAMHD1 was measured<br />

by flow cytometry and by western blot. Virus-like particles<br />

containing Vpx (VLP-Vpx) was used as control to decrease<br />

SAMHD1 expression.<br />

Results: <strong>HIV</strong>-1 replication was enhanced in DCs cocultured<br />

with autologous CD4 T-lymphocytes compared to DCs alone.<br />

Slightly lower levels of SAMHD1 expression were detected in<br />

infected cocultured DCs by flow cytometry. Moreover, addition<br />

of exogenous dNTPs to the culture significantly increased <strong>HIV</strong>-1<br />

replication in DCs. As control, VLP-Vpx enhanced viral replication<br />

and decreased SAMHD1 expression in DCs.<br />

Conclusion: Preliminary results suggest that the stimulation of<br />

<strong>HIV</strong>-1 replication in DCs observed in coculture conditions was<br />

partially associated to the concomitant decrease of SAMHD1<br />

expression in DCs. As <strong>HIV</strong>-1 replication was inhibited by Abs<br />

in DCs, further investigations are required to determine if<br />

SAMHD1 modulates <strong>HIV</strong>-1 replication in the presence of these<br />

Abs. Cross-links between the restriction factors and humoral<br />

immune response should be considered in the development of<br />

an effective anti-<strong>HIV</strong>-1 vaccine.

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