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Journal of Virology, August 2007, p. 8180-8191, Vol. 81, No. 15
0022-538X/07/$08.00+0     doi:10.1128/JVI.00421-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

MyD88-Dependent Immune Activation Mediated by Human Immunodeficiency Virus Type 1-Encoded Toll-Like Receptor Ligands{triangledown}

Angela Meier,1,# Galit Alter,1,# Nicole Frahm,1,2 Harlyn Sidhu,1 Bin Li,1 Aranya Bagchi,2 Nickolas Teigen,1 Hendrik Streeck,1 Hans-Juergen Stellbrink,3 Judith Hellman,2 Jan van Lunzen,4 and Marcus Altfeld1*

Partners AIDS Research Center, Massachusetts General Hospital and Division of AIDS, Harvard Medical School, Boston, Massachusetts,1 Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, Massachusetts,2 IPM Study Center, Hamburg, Germany,3 University Medical Center Hamburg-Eppendorf, Infectious Disease Unit, Hamburg, Germany4

Received 27 February 2007/ Accepted 7 May 2007

Immune activation is a major characteristic of human immunodeficiency virus type 1 (HIV-1) infection and a strong prognostic factor for HIV-1 disease progression. The underlying mechanisms leading to immune activation in viremic HIV-1 infection, however, are not fully understood. Here we show that, following the initiation of highly active antiretroviral therapy, the immediate decline of immune activation is closely associated with the reduction of HIV-1 viremia, which suggests a direct contribution of HIV-1 itself to immune activation. To propose a mechanism, we demonstrate that the single-stranded RNA of HIV-1 encodes multiple uridine-rich Toll-like receptor 7/8 (TLR7/8) ligands that induce strong MyD88-dependent plasmacytoid dendritic cell and monocyte activation, as well as accessory cell-dependent T-cell activation. HIV-1-encoded TLR ligands may, therefore, directly contribute to the immune activation observed during viremic HIV-1 infection. These data provide an initial rationale for inhibiting the TLR pathway to directly reduce the chronic immune activation induced by HIV-1 and the associated immune pathogenesis.


* Corresponding author. Mailing address: Partners AIDS Research Center, Massachusetts General Hospital, 149 13th Street, Boston, MA 02129. Phone: (617) 724-2461. Fax: (617) 724-8586. E-mail: maltfeld{at}partners.org

{triangledown} Published ahead of print on 16 May 2007.

# A.M. and G.A. contributed equally to this work.


Journal of Virology, August 2007, p. 8180-8191, Vol. 81, No. 15
0022-538X/07/$08.00+0     doi:10.1128/JVI.00421-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.




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