Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha...

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Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul U Cameron, Sharon R Lewin. International AIDS Conference, Washington DC, July 2012

Transcript of Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha...

Page 1: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

Myeloid dendritic cells and HIV latency in resting T-cells

Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul U Cameron, Sharon R Lewin.

International AIDS Conference, Washington DC, July 2012

Page 2: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

Ex vivo tissue blocks

Eckstein et al, Immunity 2001; 15: 671; Kreisberg et al., J Exp Med 2006; 203:865;

Infection of resting CD4+ T-cells

Unactivated resting cellsResting CD4+ T-cell

Swiggard et al., J Virol 2005; 79(22):14179-88; Lassen et al., Plos One 2012; 7(1):e30176

chemokinesIn v

itro

Saleh et al., Blood 2007;110:416; Cameron et al., Proc Natl Acad Sci 2010;107(39):16934-9

CCR7 (CCL19/21)CXCR3 (CXCL9/10)CCR6 (CCL20)

Page 3: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

Ex vivo tissue blocks

Eckstein et al, Immunity 2001; 15: 671; Kreisberg et al., J Exp Med 2006; 203:865;

Infection of resting CD4+ T-cells

Unactivated resting cellsResting CD4+ T-cell

Swiggard et al., J Virol 2005; 79(22):14179-88; Lassen et al., Plos One 2012; 7(1):e30176

Saleh et al., Blood 2007;110:416; Cameron et al., Proc Natl Acad Sci 2010;107(39):16934-9

In v

itro

Dendritic cells

Page 4: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

Resting CD4+ T-cells

SNARF or

Efluor

DC added 1:10AND

PBMC + Mouse-anti-human CD3, CD11b,

CD19

CD11c

CD

12

3

Myeloid DC

Plasmacytoid DC

HLA

-DR

Lineage cocktail

Bulk DC

Page 5: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

PHA

5 Days

Amplification in PBMC

PBMC

Non-proliferating SNARFhiNot productively infected EGFP-

EGFP

SN

AR

F

5 days

SNARFhiEGFP-

CD4+ T-cells

Resting CD4+ T cells

SNARF or

Efluor

DC added 1:10AND

Productive infection

SN

AR

FEGFP

Latent infection

R5-EGFP-HIV-1 (2h pulse)

1 day

Page 6: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

DC induce latent infection in non-proliferating (SNARFhi) cells

SNARFhiEGFP-

CD4+ T cells

LatentE

GF

P+

ce

lls

/10

4 c

ell

s

Total Cells

Productive

Alone +DC

10

100

1000

<1

*

Alone +DC

10

100

1000

<1

*

n=5

Page 7: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

SNARFhiEGFP- T-cells express CD69

Alone +DC

0

2

4

6

8

10

Ki67

CD69HLA-DR

*

% P

os

itiv

e c

ell

s

ActivationMarkers

SNARFhiEGFP-

CD4+ T cells

n=4

Alone +DC

0

10

20

Ki67

CD69HLA-DR

*

0

10

20

* *%

Po

sit

ive

ce

lls

- SE

B+

SE

B

ActivationMarkers

SNARFhiEGFP-

CD4+ T cells

n=4

Page 8: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

mDC specifically mediate HIV latency

Days-1 0 5

+pDC

Sorted SNARFhiEGFP- CD4+ T cells

Integrat

ed HIV D

NAcop

ies/ mill

ion cell

s

Latent Infection Integrated HIV DNAProductive Infection

Total Cells

EGFP+ c

ells/ 10

4 cells

EGFP+ c

ells/ 10

4 cells

-SEBAlone +pDC +mDC

10

100

1000

<1

NS****

Alone +pDC +mDC

10

100

1000

<1

******

Alone +pDC +mDC102

103

104

105

n=10 n=10 n=3

Productive

+mDC

+

+

Alu-LTR PCR

Sorted SNARFhiEGFP- CD4+ T cells

Integra

ted HIV

DNA

copies/

millio

n cells

Latent Infection Integrated HIV DNAProductive Infection

Total Cells

EGFP+

cells/ 1

04 c

ells

EGFP+

cells/ 1

04 c

ells

-SEB

Alone +pDC +mDC

10

100

1000

<1

NS****

Alone +pDC +mDC

10

100

1000

<1

******

Alone +pDC +mDC102

103

104

105

n=10 n=10 n=3

Sorted SNARFhiEGFP - CD4+ T cells

In

te

gra

te

d H

IV

D

NA

co

pie

s/ m

illio

n c

ells

Latent Infection Integrated HIV DNAProductive Infection

Total Cells

EG

FP

+ c

ells/ 1

0

4 c

ells

EG

FP

+ c

ells/ 1

0

4 c

ells

-S

EB

Alone +pDC +mDC

10

100

1000

<1

NS****

Alone +pDC +mDC

10

100

1000

<1

******

Alone +pDC +mDC102

103

104

105

n=10 n=10 n=3

5 days

Latent

Sorted SNARFhiEGFP- CD4+ T cells

Integra

ted HIV

DNA

copies/

millio

n cells

Latent Infection Integrated HIV DNAProductive Infection

Total Cells

EGFP+

cells/ 1

04 c

ells

EGFP+

cells/ 1

04 c

ells

-SEB

Alone +pDC +mDC

10

100

1000

<1

NS****

Alone +pDC +mDC

10

100

1000

<1

******

Alone +pDC +mDC102

103

104

105

n=10 n=10 n=3

PHA

SNARFhiEGFP-

CD4+ T-cells

PBMC

Page 9: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

SNARFhiEGFP-

CD4+ T cells

% P

D-1

-po

siti

ve c

ells

Alone +mDC0

2

4

6

p=0.007

n=6

SNARFhiEGFP- T-cells express PD1

Chomont et al., Nature Med 2010

Page 10: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

Establishment of latency not related to degree of productive infection

Productive Latent

EG

FP

+ c

ells

/ 10

4 c

ells

10

100

1000

<1

Alone +DC

Total Cells

n=2

10

100

1000

<1

Alone+imMDDC+matMDDC+mDC

Alone +DC

Sorted SNARFhiEGFP-

CD4+ T cells

MDDC = monocyte derived DCs

Page 11: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

Myeloid DC induce latency in memory not naïve CD4+ T-cells

Naive/Memory CD4+ TL

ate

nt

Infe

cti

on

EG

FP

+ c

ell

s/ 1

04

ce

lls

Sorted SNARFhiEGFP-

CD4+ T cells

10

100

1000

<1

Alone +mDC

Naive

Memory**

n=5

Page 12: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

Cytokines/chemokines in mDC-T-cell co-cultures

Days

-1 0 5

+pDC

+mDC

+

+Bead arrays

Page 13: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

Neutralization of DC-derived chemokines does not inhibit latency

Page 14: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

Neutralisation of select cytokines does not inhibit latency

Lat

en

t In

fect

ion

EG

FP

+ cel

ls /1

04 c

ells

10

100

Alone +mDC

<1

n=3

NS

Lat

en

t In

fect

ion

EG

FP

+ cel

ls /1

04 c

ells

10

100

<1

Alone +mDCn=5

NS

anti-IL-10R anti-IL-6

Sorted eFluorhiEGFP- CD4+ T cells

Page 15: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

24 hrs

EGFP HIV-1

DC

DC

DC-T cell proximity required for DC-induced latency

CD4+ T

DC

CD4+ T CD4+ T

DC

Lat

ent

Infe

ctio

n

EG

FP

+ c

ells

/10

4 c

ells

10

100

1000

<1

Alone+mDC

* *

Page 16: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

DC-T-cell culture supernatant doesn’t facilitate latency

Late

nt

Infe

cti

on

EG

FP

+ c

ell

s/1

04 c

ell

s10

100

<1

ii iiii

CD4+ T

DC

CD4+ T CD4+ T

Supernatant

Alone+mDC

*

n=3

CD4+ T

DC

CD4+ T

n=3

CD4+ T

Supernatant

Page 17: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

Conclusions

Myeloid DC facilitate establishment of HIV latency in resting memory CD4+ T-cells via direct infection.

Close proximity (± cell contact) of mDC and T-cells required

Role for negative regulators in the establishment/maintenance of DC-induced latency

Page 18: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

Implications

Efficient infection of resting T-cells in close contact with mDC and HIV may explain the rapid early establishment of the latent reservoir.

If infectious virus persists in tissues such as LN in patients on cART, mDC may facilitate ongoing infection of resting T-cells leading to replenishment of the reservoir.

Page 19: Myeloid dendritic cells and HIV latency in resting T-cells Nitasha A Kumar, Vanessa A Evans, Suha Saleh, Candida de Fonseca Pereira, Paula Ellenberg, Paul.

Acknowledgements

Department of Infectious Diseases, Monash University– Sharon Lewin – Paul Cameron– Vanessa Evans– Suha Saleh– Paula Ellenberg– Candida de Fonseca Pereira– Ajantha Solomon

University of Melbourne– Damian Purcell

Flow Cytometry Facility, Monash University– Geza Paukovics– Michael Thomson– Jeanne Le Masurier

Vaccine Gene Therapy Institute– Rafick Sekaly– Nicholas Chomont

Sharon Lewin
Add Rafick, nicolas and who ever else Vanessa thinks we need to add from VGTI