Department of Biotechnology
inStem (Institute for Stem Cell Science and Regenerative Medicine)

Latent reservoirs in memory T cell subsets are linked to poor immune recovery in people living with HIV.

Publication Type

Journal Article

Date of Publication

January 1, 2025

Journal

Frontiers in immunology

Volume/Issue

16

ISSN

1664-3224

Highly active antiretroviral therapy (HAART) suppresses viral loads in 71% of people living with HIV globally, while failing to bring adequate immune reconstitution in nearly one-third of them. We hypothesize that the persistence of latent HIV reservoirs in specific memory T cell subsets contributes to impaired immune recovery. We conducted a case-control study to estimate differences in the HIV-1 proviral DNA across memory CD4-positive T cell subsets between participants with CD4 counts of over 500 cells/µL (immune responders or IRs) and those with counts of less than 350 cells/µL (immune non-responders or INRs) with sustained viral suppression. Latent HIV reservoirs (LRs) were detected in at least one memory T cell subset in 48.33% of total participants. Latent reservoirs were more frequent among INRs than among IRs (65.38% versus 35.29%, P = 0.02), particularly in the effector memory T cell subset (34.6% in INRs versus 8.8% in IRs, P = 0.02). Thus, despite long-term viral suppression with HAART, the persistence of latent reservoirs in memory T cells is associated with poor CD4-positive T cell recovery. Emerging classes of antiretroviral agents that target latent viral pools may enhance immune restoration and bring us closer to finding an HIV cure.

Alternate Journal

Front Immunol

PubMed ID

41409296

PubMed Central ID

PMC12706163

Authors

Kumar SS
Demosthenes JP
A M
P M
A I
V N
Manesh A
Thangavel S
Hanna LE
Kannangai R
Varghese GM

Keywords

CD4-Positive T-Lymphocytes
CD4 Lymphocyte Count
Female
Immunologic Memory
Male
Disease Reservoirs
Humans
Proviruses
Adult
Middle Aged
Case-Control Studies
HIV Infections
Antiretroviral Therapy
Highly Active
Virus Latency
HIV-1
Viral Load
Memory T Cells
T-Lymphocyte Subsets