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IL-15 reprogramming compensates for NK cell mitochondrial dysfunction in HIV-1 infection
Elia Moreno-Cubero, Aljawharah Alrubayyi, Stefan Balint, Ane Ogbe, Upkar S. Gill, Rebecca Matthews, Sabine Kinloch, Fiona Burns, Sarah L. Rowland-Jones, Persephone Borrow, Anna Schurich, Michael Dustin, Dimitra Peppa
Elia Moreno-Cubero, Aljawharah Alrubayyi, Stefan Balint, Ane Ogbe, Upkar S. Gill, Rebecca Matthews, Sabine Kinloch, Fiona Burns, Sarah L. Rowland-Jones, Persephone Borrow, Anna Schurich, Michael Dustin, Dimitra Peppa
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Research Article AIDS/HIV Immunology

IL-15 reprogramming compensates for NK cell mitochondrial dysfunction in HIV-1 infection

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Abstract

Dynamic regulation of cellular metabolism is important for maintaining homeostasis and can directly influence immune cell function and differentiation, including NK cell responses. Persistent HIV-1 infection leads to a state of chronic immune activation, NK cell subset redistribution, and progressive NK cell dysregulation. In this study, we examined the metabolic processes that characterize NK cell subsets in HIV-1 infection, including adaptive NK cell subpopulations expressing the activating receptor NKG2C, which expand during chronic infection. These adaptive NK cells exhibit an enhanced metabolic profile in HIV-1– individuals infected with human cytomegalovirus (HCMV). However, the bioenergetic advantage of adaptive CD57+NKG2C+ NK cells is diminished during chronic HIV-1 infection, where NK cells uniformly display reduced oxidative phosphorylation (OXPHOS). Defective OXPHOS was accompanied by increased mitochondrial depolarization, structural alterations, and increased DRP-1 levels promoting fission, suggesting that mitochondrial defects are restricting the metabolic plasticity of NK cell subsets in HIV-1 infection. The metabolic requirement for the NK cell response to receptor stimulation was alleviated upon IL-15 pretreatment, which enhanced mammalian target of rapamycin complex 1 (mTORC1) activity. IL-15 priming enhanced NK cell functionality to anti-CD16 stimulation in HIV-1 infection, representing an effective strategy for pharmacologically boosting NK cell responses.

Authors

Elia Moreno-Cubero, Aljawharah Alrubayyi, Stefan Balint, Ane Ogbe, Upkar S. Gill, Rebecca Matthews, Sabine Kinloch, Fiona Burns, Sarah L. Rowland-Jones, Persephone Borrow, Anna Schurich, Michael Dustin, Dimitra Peppa

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Figure 1

Analysis of the basal metabolic profile of NK cells in control (CTR) and HIV-1+ donors.

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Analysis of the basal metabolic profile of NK cells in control (CTR) and...
(A) Representative example of flow cytometry plots showing canonical (NKG2C–CD57+) and adaptive (NKG2C+CD57+) NK cell subsets. (B) Summary data showing the frequencies of adaptive NK cells (CD56dimCD57+NKG2C+) in HIV-1– (CTR) and HIV-1+ (HIV) donors. (C) Real-time analysis of aerobic glycolysis (determined from the extracellular acidification rate [ECAR]) in purified NK cells. (D–F) basal ECAR, maximal ECAR, and glycolytic reserve in isolated NK cells from n = 6 HCMV+ HIV-1– CTR and n = 8 patients positive for HIV-1. (G) Real-time analysis of oxygen consumption rate (OCR) in isolated NK cells from both study groups. (H–J) Basal OCR, maximal OCR (OCR max), and spare respiratory capacity (SRC). Data are shown as mean ± SEM. (K) Summary of the total rate of ATP production by NK cells in CTR and HIV-1+ donors. (L and M) Correlation between maximal OCR and ex vivo percentage of adaptive CD57+NKG2C+CD56dim NK cells (L) and proportion of CD57+NKG2C+CD56dimIFN-γ+ cells after CD16 triggering (M). The nonparametric Spearman test was used for correlation analysis. Sample triplicates were used for Seahorse assays. Significance determined by 2-tailed Mann-Whitney U test; *P < 0.05, **P < 0.01.

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