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Altered immune cell follicular dynamics in HIV infection following influenza vaccination

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  • Altered immune cell follicular dynamics in HIV infection following influenza vaccination

    J Clin Invest. 2018 Jun 18. pii: 99884. doi: 10.1172/JCI99884. [Epub ahead of print]
    Altered immune cell follicular dynamics in HIV infection following influenza vaccination.

    Moysi E1,2, Pallikkuth S2, De Armas LR2, Gonzalez LE2, Ambrozak D3, George V2, Huddleston D4, Pahwa R2, Koup RA3, Petrovas C1, Pahwa S2.
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    Abstract

    HIV infection changes the lymph node (LN) tissue architecture, potentially impairing the immunologic response to antigenic challenge. The tissue-resident immune cell dynamics in virologically suppressed HIV+ patients on combination antiretroviral therapy (cART) are not clear. We obtained LN biopsies before and 10 to 14 days after trivalent seasonal influenza immunization from healthy controls (HCs) and HIV+ volunteers on cART to investigate CD4+ T follicular helper (Tfh) and B cell dynamics by flow cytometry and quantitative imaging analysis. Prior to vaccination, compared with those in HCs, HIV+ LNs exhibited an altered follicular architecture, but harbored higher numbers of Tfh cells and increased IgG+ follicular memory B cells. Moreover, Tfh cell numbers were dependent upon preservation of the follicular dendritic cell (FDC) network and were predictive of the magnitude of the vaccine-induced IgG responses. Interestingly, postvaccination LN samples in HIV+ participants had significantly (P = 0.0179) reduced Tfh cell numbers compared with prevaccination samples, without evidence for peripheral Tfh (pTfh) cell reduction. We conclude that influenza vaccination alters the cellularity of draining LNs of HIV+ persons in conjunction with development of antigen-specific humoral responses. The underlying mechanism of Tfh cell decline warrants further investigation, as it could bear implications for the rational design of HIV vaccines.


    KEYWORDS:

    AIDS vaccine; AIDS/HIV; B cells; Immunology; T cells

    PMID: 29911996 DOI: 10.1172/JCI99884
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