Despite intensive investigation the immune responses necessary for control of, and protection against HIV infection remain unknown. While potent adaptive T and B cell responses are mounted against HIV and SIV, they do not emerge until after massive virus dissemination and CD4+ T cell loss has already occurred. HIV/SIV infections also break down the integrity of the gastrointestinal mucosa and lead to chronic immune activation that drives disease progression. Recent data from our laboratory and others have identified the macaque counterpart to Type 3 mucosae-restricted innate lymphoid cells (ILCs), distinguishable by high expression of NKp44 and ROR?t. Although ILCs play key roles in mucosal defense and homeostasis, the full functional repertoires of these cells remain to be elucidated, and whether these cells could mount antiviral immune responses against lentiviruses remains unclear, in part because these cells remain very poorly characterized. Interestingly, ILCs are depleted very early from the gastrointestinal tract following SIV infection and ILCs, which are normally noncytolytic, dramatically upregulate cytotoxic functions during infection. This could suggest subversion of ILCs by the virus may facilitate transmission and disease progression. In this new proposal we will address major deficits to this new field of study by utilizing a new anti-NKp44 ILC-depleting antibody. We will evaluate the overarching hypothesis that NKp44+ ILCs modulate gut homeostasis and immune activation, and depletion will exacerbate SIV transmission and dissemination. We will evaluate this hypothesis with two focused Specific Aims: (1) Define the kinetics, activation, and detailed immunologic effects of anti-NKp44 administration in normal rhesus macaques; and (2) Investigate the effects of ILC depletion on SIV transmission, dissemination, and disease following challenge.

Public Health Relevance

A recently identified subpopulation of mucosa-restricted cells, termed innate lymphoid cells (ILCs), plays a critical role in maintaining homeostasis in the gastrointestinal tract and is also thought to have antiviral and antifungal properties. Others and we have shown SIV infection of rhesus macaques can deplete ILCs in the gastrointestinal tract but the mechanisms and full biologic effects are unclear. Furthermore, it is unknown if ILCs could have any role in HIV/SIV transmission. To address these deficits we propose in vivo depletions of ILCs using a newly developed reagent, coupled with SIV challenges. Given the important role of ILCs in maintaining gut homeostasis these findings could have significant implications for the understanding and treatment of HIV-induced disease.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21AI120795-01
Application #
8992724
Study Section
AIDS Immunology and Pathogenesis Study Section (AIP)
Program Officer
Lawrence, Diane M
Project Start
2015-07-01
Project End
2017-06-30
Budget Start
2015-07-01
Budget End
2016-06-30
Support Year
1
Fiscal Year
2015
Total Cost
Indirect Cost
Name
Beth Israel Deaconess Medical Center
Department
Type
DUNS #
071723621
City
Boston
State
MA
Country
United States
Zip Code
Shah, Spandan V; Manickam, Cordelia; Ram, Daniel R et al. (2017) Innate Lymphoid Cells in HIV/SIV Infections. Front Immunol 8:1818
Manuzak, Jennifer A; Hensley-McBain, Tiffany; Zevin, Alexander S et al. (2016) Enhancement of Microbiota in Healthy Macaques Results in Beneficial Modulation of Mucosal and Systemic Immune Function. J Immunol 196:2401-9