Interleukin-2 induced immune effects in human immunodeficiency virus-infected patients receiving intermittent interleukin-2 immunotherapy

Autor: J A, Kovacs, S, Vogel, J A, Metcalf, M, Baseler, R, Stevens, J, Adelsberger, R, Lempicki, R L, Hengel, I, Sereti, L, Lambert, R L, Dewar, R T, Davey, R E, Walker, J, Falloon, M A, Polis, H, Masur, H C, Lane
Rok vydání: 2001
Předmět:
Zdroj: European journal of immunology. 31(5)
ISSN: 0014-2980
Popis: To characterize the immunological effects of intermittent IL-2 therapy, which leads to selective increases in CD4+ T lymphocytes in HIV-infected patients, 11 patients underwent extensive immunological evaluation. While IL-2 induced changes in both CD4+ and CD8+ cell number acutely, only CD4+ cells showed sustained increases following discontinuation of IL-2. Transient increases in expression of the activation markers CD38 and HLA-DR were seen on both CD4+ and CD8+ cells, but CD25 (a chain of the IL-2 receptor) increased exclusively on CD4+ cells. This increase in CD25 expression was sustained for months following discontinuation of IL-2, and was seen in naive as well as memory cells. IL-2 induced cell proliferation, but tachyphylaxis to these proliferative effects developed after 1 week despite continued IL-2 administration. It thus appears that sustained CD25 expression selectively on CD4+ cells is a critical component of the immunological response to IL-2, and that intermittent administration of IL-2 is necessary to overcome the tachyphylaxis to IL-2-induced proliferation.
Databáze: OpenAIRE