Frontiers in Immunology (May 2021)

Mitochondrial Functions Are Compromised in CD4 T Cells From ART-Controlled PLHIV

  • Juan Zhao,
  • Juan Zhao,
  • Madison Schank,
  • Madison Schank,
  • Ling Wang,
  • Ling Wang,
  • Zhengke Li,
  • Zhengke Li,
  • Lam Nhat Nguyen,
  • Lam Nhat Nguyen,
  • Xindi Dang,
  • Xindi Dang,
  • Dechao Cao,
  • Dechao Cao,
  • Sushant Khanal,
  • Sushant Khanal,
  • Lam Ngoc Thao Nguyen,
  • Lam Ngoc Thao Nguyen,
  • Bal Krishna Chand Thakuri,
  • Bal Krishna Chand Thakuri,
  • Stella C. Ogbu,
  • Stella C. Ogbu,
  • Zeyuan Lu,
  • Zeyuan Lu,
  • Xiao Y. Wu,
  • Xiao Y. Wu,
  • Zheng D. Morrison,
  • Zheng D. Morrison,
  • Mohamed El Gazzar,
  • Mohamed El Gazzar,
  • Ying Liu,
  • Ying Liu,
  • Jinyu Zhang,
  • Jinyu Zhang,
  • Shunbin Ning,
  • Shunbin Ning,
  • Jonathan P. Moorman,
  • Jonathan P. Moorman,
  • Jonathan P. Moorman,
  • Zhi Q. Yao,
  • Zhi Q. Yao,
  • Zhi Q. Yao

DOI
https://doi.org/10.3389/fimmu.2021.658420
Journal volume & issue
Vol. 12

Abstract

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The hallmark of HIV/AIDS is a gradual depletion of CD4 T cells. Despite effective control by antiretroviral therapy (ART), a significant subgroup of people living with HIV (PLHIV) fails to achieve complete immune reconstitution, deemed as immune non-responders (INRs). The mechanisms underlying incomplete CD4 T cell recovery in PLHIV remain unclear. In this study, CD4 T cells from PLHIV were phenotyped and functionally characterized, focusing on their mitochondrial functions. The results show that while total CD4 T cells are diminished, cycling cells are expanded in PLHIV, especially in INRs. HIV-INR CD4 T cells are more activated, displaying exhausted and senescent phenotypes with compromised mitochondrial functions. Transcriptional profiling and flow cytometry analysis showed remarkable repression of mitochondrial transcription factor A (mtTFA) in CD4 T cells from PLHIV, leading to abnormal mitochondrial and T cell homeostasis. These results demonstrate a sequential cellular paradigm of T cell over-activation, proliferation, exhaustion, senescence, apoptosis, and depletion, which correlates with compromised mitochondrial functions. Therefore, reconstituting the mtTFA pathway may provide an adjunctive immunological approach to revitalizing CD4 T cells in ART-treated PLHIV, especially in INRs.

Keywords