Quantifying and predicting the effect of exogenous interleukin-7 on CD4+ T cells in HIV-1 infection

PLoS Comput Biol. 2014 May 22;10(5):e1003630. doi: 10.1371/journal.pcbi.1003630. eCollection 2014 May.

Abstract

Exogenous Interleukin-7 (IL-7), in supplement to antiretroviral therapy, leads to a substantial increase of all CD4+ T cell subsets in HIV-1 infected patients. However, the quantitative contribution of the several potential mechanisms of action of IL-7 is unknown. We have performed a mathematical analysis of repeated measurements of total and naive CD4+ T cells and their Ki67 expression from HIV-1 infected patients involved in three phase I/II studies (N = 53 patients). We show that, besides a transient increase of peripheral proliferation, IL-7 exerts additional effects that play a significant role in CD4+ T cell dynamics up to 52 weeks. A decrease of the loss rate of the total CD4+ T cell is the most probable explanation. If this effect could be maintained during repeated administration of IL-7, our simulation study shows that such a strategy may allow maintaining CD4+ T cell counts above 500 cells/µL with 4 cycles or fewer over a period of two years. This in-depth analysis of clinical data revealed the potential for IL-7 to achieve sustained CD4+ T cell restoration with limited IL-7 exposure in HIV-1 infected patients with immune failure despite antiretroviral therapy.

MeSH terms

  • CD4-Positive T-Lymphocytes / immunology*
  • Cells, Cultured
  • Computer Simulation
  • HIV Infections / immunology*
  • HIV Infections / pathology
  • HIV-1 / immunology*
  • Humans
  • Interleukin-7 / immunology*
  • Ki-67 Antigen / immunology
  • Models, Immunological*

Substances

  • IL7 protein, human
  • Interleukin-7
  • Ki-67 Antigen

Grants and funding

The authors received no specific funding for this study.