Low Levels of Perforin Expression in CD8+ T Lymphocyte Granules in Lymphoid Tissue during Acute Human Immunodeficiency Virus Type 1 Infection

Andersson, Jan ; Kinloch, Sabine ; Sönnerborg, Anders ; Nilsson, Jakob ; Fehniger, Thomas E. ; Spetz, Anna-Lena ; Behbahani, Homira ; Goh, Li-Ean ; McDade, Hugh ; Gazzard, Brian ; Stellbrink, Hans ; Cooper, David ; Perrin, Luc

In: The Journal of Infectious Diseases, 2002, vol. 185, no. 9, p. 1355-1358

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    Summary
    Human immunodeficiency virus (HIV)-specific cytotoxic T lymphocyte (CTL) responses are detectable shortly after the acute phase of HIV infection, but they cannot control viral replication and prevent development of chronic immune suppression. This article describes a defect in the coexpression of perforin in granzyme A-positive CD8+ T cells in lymphoid tissue from patients with acute HIV infection and a reduction in the perforin-dependent nuclear translocation of granzyme A. Furthermore, intracellular levels of HIV DNA and RNA found in lymphoid tissue were higher (10-100 times) than those found in blood, and blood samples showed more-coordinated cellular perforin/granzyme A expression. This suggests that mechanisms inhibiting CTL-mediated cytotoxicity are operative in lymphoid tissue early in the course of HIV infection