Modulation of TIM-3 expression on NK and T cell subsets in HIV immunological non-responders.

Highly active antiretroviral therapy (HAART) for the treatment of HIV infection sustains viral suppression and increases CD4 + T cells in HIV patients. However, in 10–25% of subjects, known as immunological non-responders (INRs), HAART does not increase CD4 count. We investigated a potential role for galectin-9 and TIM-3 in INRs as galectin-9 and TIM-3 have been described to modulate NK and T cell function. PBMCs were isolated from healthy controls, HIV immunological responders (IRs, > 350 CD4 + cells/mm 3 ) and HIV INRs (< 350 CD4 + cells/mm 3 ) and TIM-3 and galectin-9 expressions on NK cell subsets and CD4 + T cells were assessed. HIV INRs and HIV IRs showed increased galectin-9 expression on CD16 − CD56 bright and CD16 + CD56 + NK cells and CD4 + T cells. Only HIV INRs showed a reduced frequency of TIM-3-expressing CD16 + CD56 + , CD16 + CD56 − and CD4 + cells, which correlated with low peripheral CD4 counts. These data suggest that TIM-3 expression may be characteristic for HIV INRs. [ABSTRACT FROM AUTHOR]