HIV感染中的T细胞功能障碍及其治疗前景
T Cell Dysfunction in HIV Infection and Its Therapeutic Prospects
DOI: 10.12677/acm.2025.15103003, PDF,   
作者: 王宣人, 窦家琪, 金 泽, 赵伊卓:空军军医大学基础医学院学员队,陕西 西安
关键词: HIV感染T细胞功能障碍治疗前景HIV Infection T Cell Dysfunction Treatment Prospect
摘要: 人类免疫缺陷病毒(Human Immunodeficiency Virus, HIV)感染通过特异性破坏CD4+ T淋巴细胞,导致获得性免疫缺陷综合征(AIDS),构成严峻的公共卫生威胁。HIV属于逆转录病毒,其独特的机制在于将自身的遗传信息从RNA形式转化为互补DNA,随后潜入并影响宿主细胞——主要是CD4+ T淋巴细胞的染色体中。这种整合不仅使病毒能够利用宿主细胞的转录机制进行长期潜伏和持续复制,更直接导致被感染的免疫细胞功能受损或凋亡。因此,从分子层面深入阐明HIV与宿主细胞的相互作用不仅是揭示艾滋病发病机制的科学基础,更是开发有效疫苗、新型治疗药物乃至实现功能性治愈策略的关键所在。
Abstract: Human immunodeficiency virus (HIV) infection causes acquired immunodeficiency syndrome (AIDS) by specifically destroying CD4+ T lymphocytes, posing a serious public health threat. HIV is a retrovirus whose unique mechanism is to convert its genetic information from RNA into complementary DNA, which then sneaks into and affects the chromosomes of host cells, mainly CD4+ T lymphocytes. This integration not only allows the virus to use the host cell’s transcription mechanism for long-term latent and continuous replication, but also directly leads to impaired function or apoptosis of infected immune cells. Therefore, in-depth elucidation of the interaction between HIV and host cells at the molecular level is not only the scientific basis for revealing the pathogenesis of AIDS, but also the key to the development of effective vaccines, new therapeutic drugs and even functional cure strategies.
文章引用:王宣人, 窦家琪, 金泽, 赵伊卓. HIV感染中的T细胞功能障碍及其治疗前景[J]. 临床医学进展, 2025, 15(10): 2210-2217. https://doi.org/10.12677/acm.2025.15103003

参考文献

[1] 中华医学会感染病学分会艾滋病学组. 艾滋病诊疗指南第三版(2015版) [J]. 中华临床感染病杂志, 2015, 8(5): 385-401.
[2] Fletcher, C.V., Staskus, K., Wietgrefe, S.W., Rothenberger, M., Reilly, C., Chipman, J.G., et al. (2014) Persistent HIV-1 Replication Is Associated with Lower Antiretroviral Drug Concentrations in Lymphatic Tissues. Proceedings of the National Academy of Sciences, 111, 2307-2312. [Google Scholar] [CrossRef] [PubMed]
[3] Clapham, P.R. and McKnight, Á. (2001) HIV-1 Receptors and Cell Tropism. British Medical Bulletin, 58, 43-59. [Google Scholar] [CrossRef] [PubMed]
[4] Calado, M., Pires, D., Conceição, C., Ferreira, R., Santos-Costa, Q., Anes, E., et al. (2023) Cell-to-Cell Transmission of HIV-1 and HIV-2 from Infected Macrophages and Dendritic Cells to CD4+ T Lymphocytes. Viruses, 15, Article 1030. [Google Scholar] [CrossRef] [PubMed]
[5] Toccafondi, E., Lener, D. and Negroni, M. (2021) HIV-1 Capsid Core: A Bullet to the Heart of the Target Cell. Frontiers in Microbiology, 12, Article ID: 652486. [Google Scholar] [CrossRef] [PubMed]
[6] Zhu, J. and Paul, W.E. (2008) CD4 T Cells: Fates, Functions, and Faults. Blood, 112, 1557-1569. [Google Scholar] [CrossRef] [PubMed]
[7] Tedeschi, V., Paldino, G., Kunkl, M., Paroli, M., Sorrentino, R., Tuosto, L., et al. (2022) CD8+ T Cell Senescence: Lights and Shadows in Viral Infections, Autoimmune Disorders and Cancer. International Journal of Molecular Sciences, 23, Article 3374. [Google Scholar] [CrossRef] [PubMed]
[8] Fenwick, C., Joo, V., Jacquier, P., Noto, A., Banga, R., Perreau, M., et al. (2019) T‐Cell Exhaustion in HIV Infection. Immunological Reviews, 292, 149-163. [Google Scholar] [CrossRef] [PubMed]
[9] Masenga, S.K., Mweene, B.C., Luwaya, E., Muchaili, L., Chona, M. and Kirabo, A. (2023) HIV-Host Cell Interactions. Cells, 12, Article 1351. [Google Scholar] [CrossRef] [PubMed]
[10] Mzingwane, M.L. and Tiemessen, C.T. (2017) Mechanisms of HIV Persistence in HIV Reservoirs. Reviews in Medical Virology, 27, e1924. [Google Scholar] [CrossRef] [PubMed]
[11] Kalinichenko, S., Komkov, D. and Mazurov, D. (2022) HIV-1 and HTLV-1 Transmission Modes: Mechanisms and Importance for Virus Spread. Viruses, 14, Article No. 152. [Google Scholar] [CrossRef] [PubMed]
[12] Wik, J.A. and Skålhegg, B.S. (2022) T Cell Metabolism in Infection. Frontiers in Immunology, 13, Article ID: 840610. [Google Scholar] [CrossRef] [PubMed]
[13] Jin, X., Zhou, R. and Huang, Y. (2022) Role of Inflammasomes in HIV-1 Infection and Treatment. Trends in Molecular Medicine, 28, 421-434. [Google Scholar] [CrossRef] [PubMed]
[14] Callender, L.A., Carroll, E.C., Bober, E.A., Akbar, A.N., Solito, E. and Henson, S.M. (2020) Mitochondrial Mass Governs the Extent of Human T Cell Senescence. Aging Cell, 19, e13067. [Google Scholar] [CrossRef] [PubMed]
[15] Wherry, E.J. and Kurachi, M. (2015) Molecular and Cellular Insights into T Cell Exhaustion. Nature Reviews Immunology, 15, 486-499. [Google Scholar] [CrossRef] [PubMed]
[16] Douek, D.C., Picker, L.J. and Koup, R.A. (2003) T Cell Dynamics in HIV-1 Infection. Annual Review of Immunology, 21, 265-304. [Google Scholar] [CrossRef] [PubMed]
[17] Brenchley, J.M., Hill, B.J., Ambrozak, D.R., Price, D.A., Guenaga, F.J., Casazza, J.P., et al. (2004) T-Cell Subsets That Harbor Human Immunodeficiency Virus (HIV) in Vivo: Implications for HIV Pathogenesis. Journal of Virology, 78, 1160-1168. [Google Scholar] [CrossRef] [PubMed]
[18] Douek, D.C., Brenchley, J.M., Betts, M.R., Ambrozak, D.R., Hill, B.J., Okamoto, Y., et al. (2002) HIV Preferentially Infects HIV-Specific CD4+ T Cells. Nature, 417, 95-98. [Google Scholar] [CrossRef] [PubMed]
[19] Grossman, Z., Meier-Schellersheim, M., Sousa, A.E., Victorino, R.M.M. and Paul, W.E. (2002) CD4+ T-Cell Depletion in HIV Infection: Are We Closer to Understanding the Cause? Nature Medicine, 8, 319-323. [Google Scholar] [CrossRef] [PubMed]
[20] Paoletti, A., Allouch, A., Caillet, M., Saïdi, H., Subra, F., Nardacci, R., et al. (2019) HIV-1 Envelope Overcomes Nlrp3-Mediated Inhibition of F-Actin Polymerization for Viral Entry. Cell Reports, 28, 3381-3394.e7. [Google Scholar] [CrossRef] [PubMed]
[21] Reis, E.C., Leal, V.N.C., da Silva, L.T., dos Reis, M.M.L., Argañaraz, E.R., Oshiro, T.M., et al. (2019) Antagonistic Role of Il-1β and NLRP3/IL-18 Genetics in Chronic HIV-1 Infection. Clinical Immunology, 209, Article 108266. [Google Scholar] [CrossRef] [PubMed]
[22] Wang, X., Mbondji-Wonje, C., Zhao, J. and Hewlett, I. (2016) Il-1β and IL-18 Inhibition of HIV-1 Replication in Jurkat Cells and PBMCs. Biochemical and Biophysical Research Communications, 473, 926-930. [Google Scholar] [CrossRef] [PubMed]
[23] Arbore, G., West, E.E., Spolski, R., Robertson, A.A.B., Klos, A., Rheinheimer, C., et al. (2016) T Helper 1 Immunity Requires Complement-Driven NLRP3 Inflammasome Activity in CD4+ T Cells. Science, 352, aad1210. [Google Scholar] [CrossRef] [PubMed]
[24] Cheung, M.S., Theodoropoulou, K., Lugrin, J., Martinon, F., Busso, N. and Hofer, M. (2017) Periodic Fever with Aphthous Stomatitis, Pharyngitis, and Cervical Adenitis Syndrome Is Associated with a CARD8 Variant Unable to Bind the NLRP3 Inflammasome. The Journal of Immunology, 198, 2063-2069. [Google Scholar] [CrossRef] [PubMed]
[25] Johnson, D.C., Taabazuing, C.Y., Okondo, M.C., Chui, A.J., Rao, S.D., Brown, F.C., et al. (2018) DPP8/DPP9 Inhibitor-Induced Pyroptosis for Treatment of Acute Myeloid Leukemia. Nature Medicine, 24, 1151-1156. N., et al. (2011) IFI16 Acts as a Nuclear Pathogen Sensor to Induce the Inflammasome in Response to Kaposi Sarcomaassociated Herpesvirus Infection. Cell Host & Microbe, 9, 363-375. [Google Scholar] [CrossRef
[26] Jin, T., Perry, A., Jiang, J., Smith, P., Curry, J.A., Unterholzner, L., et al. (2012) Structures of the HIN Domain:DNA Complexes Reveal Ligand Binding and Activation Mechanisms of the AIM2 Inflammasome and IFI16 Receptor. Immunity, 36, 561-571. [Google Scholar] [CrossRef] [PubMed]
[27] Hornung, V., Ablasser, A., Charrel-Dennis, M., Bauernfeind, F., Horvath, G., Caffrey, D.R., et al. (2009) AIM2 Recognizes Cytosolic DsDNA and Forms a Caspase-1-Activating Inflammasome with ASC. Nature, 458, 514-518. [Google Scholar] [CrossRef] [PubMed]
[28] Unterholzner, L., Keating, S.E., Baran, M., Horan, K.A., Jensen, S.B., Sharma, S., et al. (2010) IFI16 Is an Innate Immune Sensor for Intracellular DNA. Nature Immunology, 11, 997-1004. [Google Scholar] [CrossRef] [PubMed]
[29] Jakobsen, M.R. and Paludan, S.R. (2014) IFI16: At the Interphase between Innate DNA Sensing and Genome Regulation. Cytokine & Growth Factor Reviews, 25, 649-655. [Google Scholar] [CrossRef] [PubMed]
[30] Jønsson, K.L., Laustsen, A., Krapp, C., Skipper, K.A., Thavachelvam, K., Hotter, D., et al. (2017) IFI16 Is Required for DNA Sensing in Human Macrophages by Promoting Production and Function of Cgamp. Nature Communications, 8, Article No. 14391. [Google Scholar] [CrossRef] [PubMed]
[31] Roy, A., Ghosh, A., Kumar, B. and Chandran, B. (2019) IFI16, a Nuclear Innate Immune DNA Sensor, Mediates Epigenetic Silencing of Herpesvirus Genomes by Its Association with H3K9 Methyltransferases SUV39H1 and GLP. Elife, 8, e49500.
[32] Alroy, I., Tuvia, S., Greener, T., Gordon, D., Barr, H.M., Taglicht, D., et al. (2005) The Trans-Golgi Network-Associated Human Ubiquitin-Protein Ligase POSH Is Essential for HIV Type 1 Production. Proceedings of the National Academy of Sciences, 102, 1478-1483. [Google Scholar] [CrossRef] [PubMed]
[33] Ghosn, J., Taiwo, B., Seedat, S., Autran, B. and Katlama, C. (2018) HIV. The Lancet, 392, 685-697. [Google Scholar] [CrossRef] [PubMed]
[34] Doitsh, G., Cavrois, M., Lassen, K.G., Zepeda, O., Yang, Z., Santiago, M.L., et al. (2010) Abortive HIV Infection Mediates CD4 T Cell Depletion and Inflammation in Human Lymphoid Tissue. Cell, 143, 789-801. [Google Scholar] [CrossRef] [PubMed]
[35] Langkilde, A., Petersen, J., Klausen, H.H., Henriksen, J.H., Eugen-Olsen, J. and Andersen, O. (2012) Inflammation in HIV-Infected Patients: Impact of HIV, Lifestyle, Body Composition, and Demography—A Cross Sectional Cohort Study. PLOS ONE, 7, e51698. [Google Scholar] [CrossRef] [PubMed]
[36] Luo, X., Herzig, E., Doitsh, G., Grimmett, Z.W., Muñoz-Arias, I. and Greene, W.C. (2019) HIV-2 Depletes CD4 T Cells through Pyroptosis Despite VPX-Dependent Degradation of Samhd1. Journal of Virology, 93, e00666-19. [Google Scholar] [CrossRef] [PubMed]
[37] Li, G., Makar, T., Gerzanich, V., Kalakonda, S., Ivanova, S., Pereira, E.F.R., et al. (2020) HIV-1 Vpr-Induced Proinflammatory Response and Apoptosis Are Mediated through the Sur1-Trpm4 Channel in Astrocytes. mBio, 11, e02939-20. [Google Scholar] [CrossRef] [PubMed]
[38] He, X., Yang, W., Zeng, Z., Wei, Y., Gao, J., Zhang, B., et al. (2020) NLRP3-Dependent Pyroptosis Is Required for HIV-1 Gp120-Induced Neuropathology. Cellular & Molecular Immunology, 17, 283-299. [Google Scholar] [CrossRef] [PubMed]
[39] 周忠霞. 基于HIV-1逆转录酶结构与新策略的抗艾滋病药物的设计、合成与活性评价[D]: [博士学位论文]. 济南: 山东大学, 2020.
[40] Blasi, M., Negri, D., Saunders, K.O., Baker, E.J., Stadtler, H., LaBranche, C., et al. (2020) Immunogenicity, Safety, and Efficacy of Sequential Immunizations with an Siv-Based IDLV Expressing CH505 Envs. npj Vaccines, 5, Article No. 107. [Google Scholar] [CrossRef] [PubMed]
[41] Pardi, N., Hogan, M.J., Naradikian, M.S., Parkhouse, K., Cain, D.W., Jones, L., et al. (2018) Nucleoside-Modified mRNA Vaccines Induce Potent T Follicular Helper and Germinal Center b Cell Responses. Journal of Experimental Medicine, 215, 1571-1588. [Google Scholar] [CrossRef] [PubMed]
[42] Pardi, N., Hogan, M.J., Pelc, R.S., Muramatsu, H., Andersen, H., DeMaso, C.R., et al. (2017) Zika Virus Protection by a Single Low-Dose Nucleoside-Modified mRNA Vaccination. Nature, 543, 248-251. [Google Scholar] [CrossRef] [PubMed]
[43] Saunders, K.O., Pardi, N., Parks, R., Santra, S., Mu, Z., Sutherland, L., et al. (2021) Lipid Nanoparticle Encapsulated Nucleoside-Modified mRNA Vaccines Elicit Polyfunctional HIV-1 Antibodies Comparable to Proteins in Nonhuman Primates. npj Vaccines, 6, Article 50. [Google Scholar] [CrossRef] [PubMed]
[44] Kasturi, S.P., Rasheed, M.A.U., Havenar-Daughton, C., Pham, M., Legere, T., Sher, Z.J. et al. (2020) 3M-052, a Synthetic TLR-7/8 Agonist, Induces Durable HIV-1 Envelope-Specific Plasma Cells and Humoral Immunity in Nonhumanprimates. Science Immunology, 5, eabb1025.
[45] Lederer, K., Castaño, D., Gómez Atria, D., Oguin, T.H., Wang, S., Manzoni, T.B., et al. (2020) SARS-CoV-2 mRNA Vaccines Foster Potent Antigen-Specific Germinal Center Responses Associated with Neutralizing Antibody Generation. Immunity, 53, 1281-1295.e5. [Google Scholar] [CrossRef] [PubMed]
[46] 邓建宁, 邓珊, 黄磊, 王秋东, 林绿, 黎彦君, 肖秋叶. HIV-1感染患者肠道归巢CD4+变化与T淋巴细胞亚型的相关性[J]. 临床和实验医学杂志, 2019, 18(10): 1073-1077.
[47] Haynes, B.F., Wiehe, K., Borrow, P., Saunders, K.O., Korber, B., Wagh, K., et al. (2023) Strategies for HIV-1 Vaccines That Induce Broadly Neutralizing Antibodies. Nature Reviews Immunology, 23, 142-158. [Google Scholar] [CrossRef] [PubMed]