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J Virol, June 1998, p. 5121-5127, Vol. 72, No. 6
0022-538X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Human Immunodeficiency Virus Inhibits Multilineage
Hematopoiesis In Vivo
Prasad S.
Koka,1
John K.
Fraser,1
Yvonne
Bryson,2
Gregory C.
Bristol,1
Grace M.
Aldrovandi,1,
Eric S.
Daar,3 and
Jerome A.
Zack1,*
Division of Hematology-Oncology, Department
of Medicine, UCLA School of Medicine and Jonsson Comprehensive Cancer
Center,1 and
Department of Pediatrics,
UCLA School of Medicine,2 Los Angeles,
California 90095, and
Division of Infectious Diseases,
Cedars-Sinai Medical Center, Los Angeles, California
900483
Received 6 January 1998/Accepted 3 March 1998
Human immunodeficiency virus type 1 (HIV-1)-infected individuals
often exhibit multiple hematopoietic abnormalities reaching far beyond
loss of CD4+ lymphocytes. We used the SCID-hu (Thy/Liv)
mouse (severe combined immunodeficient mouse transplanted with human
fetal thymus and liver tissues), which provides an in vivo system
whereby human pluripotent hematopoietic progenitor cells can be
maintained and undergo T-lymphoid differentiation and wherein HIV-1
infection causes severe depletion of CD4-bearing human thymocytes.
Herein we show that HIV-1 infection rapidly and severely decreases the ex vivo recovery of human progenitor cells capable of differentiation into both erythroid and myeloid lineages. However, the total
CD34+ cell population is not depleted. Combination
antiretroviral therapy administered well after loss of multilineage
progenitor activity reverses this inhibitory effect, establishing a
causal role of viral replication. Taken together, our results suggest
that pluripotent stem cells are not killed by HIV-1; rather, a later
stage important in both myeloid and erythroid differentiation is
affected. In addition, a primary virus isolated from a patient
exhibiting multiple hematopoietic abnormalities preferentially depleted
myeloid and erythroid colony-forming activity rather than CD4-bearing
thymocytes in this system. Thus, HIV-1 infection perturbs multiple
hematopoietic lineages in vivo, which may explain the many
hematopoietic defects found in infected patients.
*
Corresponding author. Mailing address: Division of
Hematology-Oncology, Department of Medicine, 11-934 Factor Building,
UCLA School of Medicine and Jonsson Comprehensive Cancer Center, Los Angeles, CA 90095-1678. Phone: (310) 794-7765. Fax: (310) 825-6192. E-mail: jzack{at}ucla.edu.
Present address: UAB AIDS Center, University of Alabama,
Birmingham, AL 35294.
J Virol, June 1998, p. 5121-5127, Vol. 72, No. 6
0022-538X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
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