1
lecular patterns (PAMPs) and signal through TLR2 and its heterodimers leading to significantly increased HIV infec- tion,NFjB-dependent activation and proinflammatory cytokine production. These findings have important implications for our understanding of HIV immune activation, pathogenesis and vaccine development. P12.14 Phenotypic Characterization of Natural Killer (NK) Cells in Antiretroviral Naı ¨ve Chronically Infected HIV-1 Patients (the CIRCB Afrodec Cohort) Carole Ste ´phanie Sake Ngane 1,2 , Jules C. Tchadji 1,3 , Achille Nangue 1 , Nadesh Nji 1 , Georgia Ambada 1,3 , Edith Temgoua 1 , Samuel Sosso 1 , Rachel Kamgaing 1 , Franc ¸ois-Xavier Etoa 2 , Godwin Nchinda 1 1 1-CIRCB/Microbiology and Immunology Lab, Yaounde ´, Cameroon, 2 University of Yaounde ´ I, Department of Biochem- istry, Yaounde ´, Cameroon, 3 University of Yaounde ´ I, Yaounde ´, Cameroon Background: Natural Killer (NK) cells are effectors cells of the innate immune system which play a critical role as a first line of defense against viral infection. They are characterized as CD3- CD56 + CD16 + / - cells and effect cytotoxic activity against target cells as well as cytokines and chemokines production. NK cytotoxicity is modulated by inhibitory and activating receptors. HIV-1 infection maintains immune system in a sustained state of activation and causes immune dysfunction. However the impact of NK cell phenotype modulation has not been acessed in the context of Antiretroviral naı ¨ve HIV-1 infection. We shall verify the existence of HIV-specific NK cells in anti- retroviral naı ¨ve chronically infected HIV-1 patients. Methods: 35 treatment naı ¨ve HIV-1 patients, CD4 greater than 350 cell/ll and 30 healthy donors were recruited. Age ranged from 21 to 65 years old. Patients group was composed of 5 patients with Viral load (VL) < 2Log, 23 VL between 2-4, 5 Log and 07 VL > 4,5 Log. PBMCs were obtained from whole blood using ficoll-paque density grandient. NK cells are analyzed by multiparametric flow cytometry in bulk PBMCs. samples were aquired using BD FACScanto II machine and data analysed by flowjo 7.4 Results: There was a differential modulation of NK cell pheno- type as we observed a decreased expression of activating markers NKP30, NKP44, NKP46 and a significant increase (P < 0,05) in the expression of HLADR, CD38 and NKG2D in treatment naı ¨ve HIV-1 infected patients relative to healthy donors. Down regula- tion of NKG2A expression was also observed in the patients group. Conclusions: This study shows phenotypic pertubations on NK cells in treatment naive HIV-1 infected patients. Observation of increased expression of activating receptors NKG2D, CD38 and HLA-DR is a pathological signature of HIV-1 infection however a decreased NKG2A in expression could be necessary in in- crease cytolytic function of NK cells. P12.15 Human Beta Defensins and RNases: Antiviral Effect during Sexual Exposure to HIV-1 Wildeman Zapata 1,2 , Wbeimar Aguilar-Jimenez 1 , Zhimin Feng 3 , Aaron Weinberg 3 , Aniello Russo 4 , Nicoletta Potenza 4 , Her- nando Estrada 5 , Maria Teresa Rugeles 1 1 Universidad de Antioquia UdeA, Facultad de Medicina, Grupo Inmunovirologı ´a, Medellin, Colombia, 2 Universidad Co- operativa de Colombia, Facultad de Medicina, Grupo Infettare, Medellin, Colombia, 3 Case Western Reserve University, School of Dental Medicine, Department of Biological Sciences, Cle- veland, OH, United States, 4 Second University of Naples, De- partment of Life Sciences, Naples, Italy, 5 HERES Health, Lending Institution of Health, Santa Marta, Colombia Background: Individuals demonstrating natural resistance to HIV infection, despite repeated unprotected sexual exposure, are referred to as HIV-1-exposed seronegative (HESN), and are considered a model to determine mechanisms of protection. In- nate immune factors, such as human beta defensins (HBD), and RNases, previously known for their antiviral potential, are present at mucosal barriers, main ports of HIV entry, suggesting their involvement in avoiding the establishment of HIV infection. Methods: To evaluate the role of these factors in the natural resistance to HIV-1, we performed a study, including 60 HESN, and 61 healthy controls (HC). Vaginal, endocervical and oral mucosal samples were taken from these individuals; RNA was extracted, and mRNA transcripts of HBD-2, -3, and the Ribo- nucleases, eosinophil-derived neurotoxin (EDN), RNase-1 and angiogenin were quantified by qPCR. In addition, we explored the step(s) of the viral cycle that was inhibited by these soluble factors, using an in vitro single-round, recombinant-based, viral infectivity assay. Results: Oral mucosa of HESN expressed significantly higher levels of hBD-2 ( p = 0.04) and hBD-3 ( p = 0.04) mRNA compared to HC. Likewise, vaginal mucosa of HESN showed significantly higher mRNA levels of RNase-1 compared to HC ( p = 0.036); in addition, endocervical mucosa showed higher mRNA levels of EDN ( p = 0.04) and Angiogenin ( p = 0.02) compared to HC. Fi- nally, HBDs and RNases inhibited HIV-1 replication, in a dose dependent manner at the following steps of the viral replication cycle: entry, reverse transcription and nuclear import. Conclusions: Taken together, these results suggest that innate immune factors, such as HBD-2 and -3, and RNases inhibit HIV-1 infection during either oral or genital exposure of HIV. In fact, HBDs and RNases inhibited in vitro replication of HIV-1, pointing their potential role as antiretroviral molecules to be explored in the near future. P12.16 Sex Differences in TNFAIP3 Levels in pDC upon TLR7 Stimulation Susanne M. Ziegler 1 , Morgane Griesbeck 2,3 , Judy Chang 4 , Marcus Altfeld 1,2 1 Heinrich Pette Institute, Leibniz Institute for Experimental Virology, Viral Immunology, Hamburg, Germany, 2 Ragon In- stitute of MIT, MGH and Harvard, Boston, MA, United States, 3 CIMI/ U1135, Paris, France, 4 Monash University, Department of Infectious Diseases, Melbourne, Australia Background: The outcomes of many diseases differ between women and men. It is well documented that women have a higher incidence as well as more severe pathogenesis of auto- immune diseases. Furthermore, accumulating evidence indicates a role of sex-based divergence of infectious diseases, including influenza and HIV-1. In HIV-1 infection, clinical studies have shown faster disease progression and stronger immune activa- tion in females compared to males for the same level of viral A129

Phenotypic Characterization of Natural Killer (NK) Cells in Antiretroviral Naïve Chronically Infected HIV-1 Patients (the CIRCB Afrodec Cohort)

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Page 1: Phenotypic Characterization of Natural Killer (NK) Cells in Antiretroviral Naïve Chronically Infected HIV-1 Patients (the CIRCB Afrodec Cohort)

lecular patterns (PAMPs) and signal through TLR2 and itsheterodimers leading to significantly increased HIV infec-tion,NFjB-dependent activation and proinflammatory cytokineproduction. These findings have important implications for ourunderstanding of HIV immune activation, pathogenesis andvaccine development.

P12.14Phenotypic Characterization of Natural Killer (NK)Cells in Antiretroviral Naıve Chronically InfectedHIV-1 Patients (the CIRCB Afrodec Cohort)

Carole Stephanie Sake Ngane1,2, Jules C. Tchadji1,3, AchilleNangue1, Nadesh Nji1, Georgia Ambada1,3, Edith Temgoua1,Samuel Sosso1, Rachel Kamgaing1, Francois-Xavier Etoa2,Godwin Nchinda1

11-CIRCB/Microbiology and Immunology Lab, Yaounde,Cameroon, 2University of Yaounde I, Department of Biochem-istry, Yaounde, Cameroon, 3University of Yaounde I, Yaounde,Cameroon

Background: Natural Killer (NK) cells are effectors cells of theinnate immune system which play a critical role as a first line ofdefense against viral infection. They are characterized as CD3-CD56 + CD16 + / - cells and effect cytotoxic activity againsttarget cells as well as cytokines and chemokines production. NKcytotoxicity is modulated by inhibitory and activating receptors.HIV-1 infection maintains immune system in a sustained state ofactivation and causes immune dysfunction. However the impactof NK cell phenotype modulation has not been acessed in thecontext of Antiretroviral naıve HIV-1 infection.We shall verify the existence of HIV-specific NK cells in anti-retroviral naıve chronically infected HIV-1 patients.Methods: 35 treatment naıve HIV-1 patients, CD4 greater than350 cell/ll and 30 healthy donors were recruited. Age rangedfrom 21 to 65 years old. Patients group was composed of 5patients with Viral load (VL) < 2Log, 23 VL between 2-4, 5 Logand 07 VL > 4,5 Log. PBMCs were obtained from whole bloodusing ficoll-paque density grandient. NK cells are analyzed bymultiparametric flow cytometry in bulk PBMCs. samples wereaquired using BD FACScanto II machine and data analysed byflowjo 7.4Results: There was a differential modulation of NK cell pheno-type as we observed a decreased expression of activating markersNKP30, NKP44, NKP46 and a significant increase (P < 0,05) in theexpression of HLADR, CD38 and NKG2D in treatment naıveHIV-1 infected patients relative to healthy donors. Down regula-tion of NKG2A expression was also observed in the patients group.Conclusions: This study shows phenotypic pertubations on NKcells in treatment naive HIV-1 infected patients. Observation ofincreased expression of activating receptors NKG2D, CD38 andHLA-DR is a pathological signature of HIV-1 infection howevera decreased NKG2A in expression could be necessary in in-crease cytolytic function of NK cells.

P12.15Human Beta Defensins and RNases: Antiviral Effectduring Sexual Exposure to HIV-1

Wildeman Zapata1,2, Wbeimar Aguilar-Jimenez1, Zhimin Feng3,Aaron Weinberg3, Aniello Russo4, Nicoletta Potenza4, Her-nando Estrada5, Maria Teresa Rugeles1

1Universidad de Antioquia UdeA, Facultad de Medicina, GrupoInmunovirologıa, Medellin, Colombia, 2Universidad Co-operativa de Colombia, Facultad de Medicina, Grupo Infettare,Medellin, Colombia, 3Case Western Reserve University, Schoolof Dental Medicine, Department of Biological Sciences, Cle-veland, OH, United States, 4Second University of Naples, De-partment of Life Sciences, Naples, Italy, 5HERES Health,Lending Institution of Health, Santa Marta, Colombia

Background: Individuals demonstrating natural resistance toHIV infection, despite repeated unprotected sexual exposure, arereferred to as HIV-1-exposed seronegative (HESN), and areconsidered a model to determine mechanisms of protection. In-nate immune factors, such as human beta defensins (HBD), andRNases, previously known for their antiviral potential, are presentat mucosal barriers, main ports of HIV entry, suggesting theirinvolvement in avoiding the establishment of HIV infection.Methods: To evaluate the role of these factors in the naturalresistance to HIV-1, we performed a study, including 60 HESN,and 61 healthy controls (HC). Vaginal, endocervical and oralmucosal samples were taken from these individuals; RNA wasextracted, and mRNA transcripts of HBD-2, -3, and the Ribo-nucleases, eosinophil-derived neurotoxin (EDN), RNase-1 andangiogenin were quantified by qPCR. In addition, we exploredthe step(s) of the viral cycle that was inhibited by these solublefactors, using an in vitro single-round, recombinant-based, viralinfectivity assay.Results: Oral mucosa of HESN expressed significantly higherlevels of hBD-2 ( p = 0.04) and hBD-3 ( p = 0.04) mRNA comparedto HC. Likewise, vaginal mucosa of HESN showed significantlyhigher mRNA levels of RNase-1 compared to HC ( p = 0.036); inaddition, endocervical mucosa showed higher mRNA levels ofEDN ( p = 0.04) and Angiogenin ( p = 0.02) compared to HC. Fi-nally, HBDs and RNases inhibited HIV-1 replication, in a dosedependent manner at the following steps of the viral replicationcycle: entry, reverse transcription and nuclear import.Conclusions: Taken together, these results suggest that innateimmune factors, such as HBD-2 and -3, and RNases inhibitHIV-1 infection during either oral or genital exposure of HIV. Infact, HBDs and RNases inhibited in vitro replication of HIV-1,pointing their potential role as antiretroviral molecules to beexplored in the near future.

P12.16Sex Differences in TNFAIP3 Levels in pDCupon TLR7 Stimulation

Susanne M. Ziegler1, Morgane Griesbeck2,3, Judy Chang4,Marcus Altfeld1,2

1Heinrich Pette Institute, Leibniz Institute for ExperimentalVirology, Viral Immunology, Hamburg, Germany, 2Ragon In-stitute of MIT, MGH and Harvard, Boston, MA, United States,3CIMI/ U1135, Paris, France, 4Monash University, Departmentof Infectious Diseases, Melbourne, Australia

Background: The outcomes of many diseases differ betweenwomen and men. It is well documented that women have ahigher incidence as well as more severe pathogenesis of auto-immune diseases. Furthermore, accumulating evidence indicatesa role of sex-based divergence of infectious diseases, includinginfluenza and HIV-1. In HIV-1 infection, clinical studies haveshown faster disease progression and stronger immune activa-tion in females compared to males for the same level of viral

A129