1. People with HIV-1 Demonstrate Type 1 Interferon Refractoriness Associated with Upregulated USP18
- Author
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Shruti H. Mehta, Andrea L. Cox, Sho K. Sugawara, Ramy El-Diwany, Joel N. Blankson, Rebecca T. Veenhuis, Laura K. Cohen, David L. Thomas, Christopher Y.K. Williams, Kimberly E Rousseau, and Ashwin Balagopal
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0303 health sciences ,Gene knockdown ,Innate immune system ,biology ,030306 microbiology ,Immunology ,Cellular Response to Infection ,Stimulation ,Microbiology ,Peripheral blood mononuclear cell ,03 medical and health sciences ,Downregulation and upregulation ,Virology ,Insect Science ,biology.protein ,STAT1 ,Ex vivo ,CD8 ,030304 developmental biology - Abstract
HIV-1 infection persists in humans despite expression of antiviral type 1 interferons (IFN). Even exogenous administration of IFNα only marginally reduces HIV-1 abundance, raising the hypothesis that people living with HIV-1 (PLWH) are refractory to type 1 IFN. We demonstrated type 1 IFN refractoriness in CD4(+) and CD8(+) T cells isolated from HIV-1-infected persons by detecting diminished STAT1 phosphorylation (pSTAT1) and interferon-stimulated gene (ISG) induction upon type 1 IFN stimulation compared to those in cells from healthy controls. Importantly, HIV-1-infected people who were virologically suppressed with antiretrovirals also showed type 1 IFN refractoriness. We found that USP18 levels were elevated in people with refractory pSTAT1 and ISG induction and confirmed this finding ex vivo in CD4(+) T cells from another cohort of HIV-hepatitis C virus (HCV) coinfected persons who received exogenous pegylated interferon-α2b in a clinical trial. We used a cell culture model to recapitulate type 1 IFN refractoriness in uninfected CD4(+) T cells that were conditioned with media from HIV-1 inoculated peripheral blood mononuclear cells (PBMCs), inhibiting de novo infection with antiretroviral agents. In this model, RNA interference against USP18 partly restored type 1 IFN responses in CD4(+) T cells. We found evidence of type 1 IFN refractoriness in PLWH irrespective of virologic suppression that was associated with upregulated USP18, a process that might be therapeutically targeted to improve endogenous control of infection. IMPORTANCE People living with HIV-1 (PLWH) have elevated constitutive expression of type 1 interferons (IFN). However, it is unclear whether this affects downstream innate immune responses. We identified refractory responses to type 1 IFN stimulation in T cells from PLWH, independent of antiretroviral treatment. Type 1 IFN refractoriness was linked to elevated USP18 levels in the same cells. Moreover, we found that USP18 levels predicted the anti-HIV-1 effect of type 1 IFN-based therapy on PLWH. In vitro, we demonstrated that refractory type 1 IFN responses were transferrable to HIV-1-uninfected target CD4(+) T cells, and this phenomenon was mediated by type 1 IFN from HIV-1-infected cells. Type 1 IFN responses were partially restored by USP18 knockdown. Our findings illuminate a new mechanism by which HIV-1 contributes to innate immune dysfunction in PLWH through the continuous production of type 1 IFN that induces a refractory state of responsiveness.
- Published
- 2021
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