[Cytokine therapies in HIV infection]

Med Sci (Paris). 2006 Aug-Sep;22(8-9):751-4. doi: 10.1051/medsci/20062289751.
[Article in French]

Abstract

The theoretical objectives of cytokine therapies in HIV infection are to impact T cell homeostasis and/or to improve immune functions or the mobilization of the HIV reservoir. Among cytokines, IL-2 and IL-7 are promising agents under clinical evaluation. Intermittent administration of IL-2 is by far the furthest studied strategy in HIV infection. This cytokine increases CD4 T lymphocytes in HIV-infected individuals. Recent clinical data showed that this effect is sustained over years. IL-2 therapy induces a peripheral expansion of T cells as a consequence of prolonged survival of T cells and decreased immune activation. These effects suggest that a cytokine therapy may interfere with critical factors of HIV disease. Recent data provide arguments that IL-2 therapy improves immune functions in HIV-infected patients. Whether these effects may be translated into clinical benefits is under evaluation in ongoing phase III studies. The potential interest of IL-7 in the treatment of HIV-infection is based on its crucial role on T cell homeostasis both in thymic output and peripheral T proliferation and survival. Although no data in human are still available, recent studies provide arguments to assess this cytokine in HIV infection. Phase I studies are ongoing or planned.

Publication types

  • English Abstract
  • Review

MeSH terms

  • CD4-Positive T-Lymphocytes / immunology
  • Cytokines / therapeutic use*
  • HIV Infections / drug therapy
  • HIV Infections / immunology*
  • Humans
  • Interleukin-7 / therapeutic use
  • T-Lymphocytes / immunology*

Substances

  • Cytokines
  • Interleukin-7