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Dexamethasone Inhibits CD4 T Cell Deletion Mediated by Macrophages from Human Immunodeficiency Virus–Infected Persons

Prednisolone slows the loss of CD4 T cells in individuals with human immunodeficiency virus (HIV) disease and inhibits antigen-induced apoptosis of recently HIV-infected CD4 cells in vitro. This study investigated whether dexamethasone inhibits the ability of macrophages to delete CD4 T cells via an...

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Bibliographic Details
Published in:The Journal of infectious diseases 2001-11, Vol.184 (10), p.1328-1330
Main Authors: Orlikowsky, Thorsten W., Wang, Z. Q., Dudhane, Anita, Dannecker, Günther E., Niethammer, Dietrich, Wormser, Gary P., Hoffmann, Michael K., Horowitz, Harold W.
Format: Article
Language:English
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Summary:Prednisolone slows the loss of CD4 T cells in individuals with human immunodeficiency virus (HIV) disease and inhibits antigen-induced apoptosis of recently HIV-infected CD4 cells in vitro. This study investigated whether dexamethasone inhibits the ability of macrophages to delete CD4 T cells via anti-CD4 antibody or immune-complexed HIV envelope protein gp120. Peripheral blood mononuclear cells from HIV-negative persons were incubated with CD4-reactive ch412 monoclonal antibody or with gp120/IgG immune complexes and resident macrophages, with and without dexamethasone. Dexamethasone inhibited CD4 cell deletion in a dose-dependent manner. The deletion of normal CD4 cells by macrophages from HIV-infected patients also was inhibited by dexamethasone. Furthermore, up-regulation of CD95 expression on T cells exposed to anti-CD4 and gp120/IgG, which predisposes T cells to CD95-mediated apoptosis, is inhibited by dexamethasone in a dose-dependent fashion. Dexamethasone inhibits the macrophage-mediated deletion of CD4 lymphocytes in HIV-infected persons
ISSN:0022-1899
1537-6613
DOI:10.1086/323997