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Clinical and Diagnostic Laboratory Immunology, January 2001, p. 74-78, Vol. 8, No. 1
Department of Pediatrics, Division of Allergy
and Immunology, North Shore University Hospital/New York University
School of Medicine, Manhasset, New York1, and Children's
Hospital, Heinrich Heine University, Düsseldorf,
Germany2
Received 2 May 2000/Returned for modification 21 August
2000/Accepted 5 October 2000
Phosphatidylserine molecules are translocated to the outer plasma
membrane of lymphocytes undergoing apoptosis and can be detected by the binding of fluorochrome-conjugated annexin V. Using the
annexin V assay, we examined CD4 and CD8 T cells from human
immunodeficiency virus (HIV)-infected children for apoptosis upon isolation or following in vitro culture. Immediate ex vivo analysis or overnight culture showed significantly higher levels of
apoptosis in CD8 cells than in CD4 cells. Following culture with the activating stimulus phytohemagglutinin or anti-CD3 monoclonal antibody, we observed an increase in the percentage of
apoptotic CD4 cells, whereas there was no change in the rate of
CD8 cell death. These results demonstrate that in HIV-infected
children, CD8 apoptosis may occur at a greater rate than CD4
apoptosis in vivo; greater CD4 depletion may be observed due to
more efficient mechanisms for peripheral lymphocyte replacement in the
CD8 compartment. Furthermore, our data suggest that CD8 lymphocytes may
be maximally activated in vivo, a condition which may lead to the
exhaustion of CD8-mediated immunity. These findings clarify the
differences between the CD4 and CD8 apoptotic responses to HIV.
1071-412X/01/$04.00+0 DOI: 10.1128/CDLI.8.1.74-78.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Apoptosis in T-Lymphocyte Subsets in Human Immunodeficiency
Virus-Infected Children Measured Immediately Ex Vivo and following
In Vitro Activation
*
Corresponding author. Mailing address: North Shore
University Hospital, 350 Community Drive, Manhasset, NY 11030. Phone:
(516) 562-4641. Fax: (516) 562-2866. E-mail:
spahwa{at}nshs.edu.
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