Abstract
The design of an effective AIDS vaccine has eluded the efforts of the scientific community to the point that alternative approaches to classic vaccine formulations have to be considered. We propose here that HIV vaccine research could greatly benefit from the study of natural simian immunodeficiency virus (SIV) infections of African nonhuman primates. Natural SIV hosts (for example, sooty mangabeys, African green monkeys and mandrills) share many features of HIV infection of humans; however, they usually do not develop immunodeficiency. These natural, nonprogressive SIV infections represent an evolutionary adaptation that allows a peaceful coexistence of primate lentiviruses and the host immune system. This adaptation does not result in reduced viral replication but, rather, involves phenotypic changes to CD4+ T cell subsets, limited immune activation and preserved mucosal immunity, all of which contribute to the avoidance of disease progression and, possibly, to the reduction of vertical SIV transmission. Here we summarize the current understanding of SIV infection of African nonhuman primates and discuss how unraveling these evolutionary adaptations may provide clues for new vaccine designs that might induce effective immune responses without the harmful consequences of excessive immune activation.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Fauci, A.S. et al. HIV vaccine research: the way forward. Science 321, 530–532 (2008).
Blankson, J.N., Persaud, D. & Siliciano, R.F. The challenge of viral reservoirs in HIV-1 infection. Annu. Rev. Med. 53, 557–593 (2002).
Walker, B.D. & Korber, B.T. Immune control of HIV: the obstacles of HLA and viral diversity. Nat. Immunol. 2, 473–475 (2001).
Stebbing, J., Gazzard, B. & Douek, D.C. Where does HIV live? N. Engl. J. Med. 350, 1872–1880 (2004).
VandeWoude, S. & Apetrei, C. Going wild: Lessons from T-lymphotropic naturally occurring lentiviruses. Clin. Microbiol. Rev. 19, 728–762 (2006).
Hahn, B.H., Shaw, G.M., De Cock, K.M. & Sharp, P.M. AIDS as a zoonosis: scientific and public health implications. Science 287, 607–614 (2000).
Paiardini, M., Pandrea, I., Apetrei, C. & Silvestri, G. Lessons learned from the natural hosts of HIV-related viruses. Annu. Rev. Med. 60, 485–495 (2009).
Pandrea, I., Sodora, D.L., Silvestri, G. & Apetrei, C. Into the wild: simian immunodeficiency virus (SIV) infection in natural hosts. Trends Immunol. 29, 419–428 (2008).
Silvestri, G., Paiardini, M., Pandrea, I., Lederman, M.M. & Sodora, D.L. Understanding the benign nature of SIV infection in natural hosts. J. Clin. Invest. 117, 3148–3154 (2007).
Pandrea, I., Silvestri, G. & Apetrei, C. AIDS in African nonhuman primate hosts of SIVs: A new paradigm of SIV infection. Curr. HIV Res. 7, 57–72 (2009).
Keele, B.F. et al. Increased mortality and AIDS-like immunopathology in wild chimpanzees infected with SIVcpz. Nature advance online publication, doi:10.1038/nature08200 (23 July 2009).
Sharp, P.M., Shaw, G.M. & Hahn, B.H. Simian immunodeficiency virus infection of chimpanzees. J. Virol. 79, 3891–3902 (2005).
Diop, O.M. et al. High levels of viral replication during primary simian immunodeficiency virus SIVagm infection are rapidly and strongly controlled in African green monkeys. J. Virol. 74, 7538–7547 (2000).
Onanga, R. et al. Primary simian immunodeficiency virus SIVmnd-2 infection in mandrills (Mandrillus sphinx). J. Virol. 80, 3301–3309 (2006).
Kornfeld, C. et al. Antiinflammatory profiles during primary SIV infection in African green monkeys are associated with protection against AIDS. J. Clin. Invest. 115, 1082–1091 (2005).
Gordon, S.N. et al. Severe depletion of mucosal CD4+ T cells in AIDS-free SIV-infected sooty mangabeys. J. Immunol. 179, 3026–3034 (2007).
Pandrea, I.V. et al. Acute loss of intestinal CD4+ T cells is not predictive of SIV virulence. J. Immunol. 179, 3035–3046 (2007).
Meythaler, M. et al. Differential CD4+ T-lymphocyte apoptosis and bystander T-cell activation in rhesus macaques and sooty mangabeys during acute simian immunodeficiency virus infection. J. Virol. 83, 572–583 (2009).
Lederer, S. et al. Transcriptional profiling in pathogenic and non-pathogenic SIV infections reveals significant distinctions in kinetics and tissue compartmentalization. PLoS Pathog. 5, e1000296 (2009).
Rey-Cuillé, M.A. et al. Simian immunodeficiency virus replicates to high levels in sooty mangabeys without inducing disease. J. Virol. 72, 3872–3886 (1998).
Goldstein, S. et al. Wide range of viral load in healthy African green monkeys naturally infected with simian immunodeficiency virus. J. Virol. 74, 11744–11753 (2000).
Broussard, S.R. et al. Simian immunodeficiency virus replicates to high levels in naturally infected African green monkeys without inducing immunologic or neurologic disease. J. Virol. 75, 2262–2275 (2001).
Pandrea, I. et al. High levels of SIVmnd-1 replication in chronically infected Mandrillus sphinx. Virology 317, 119–127 (2003).
Silvestri, G. et al. Nonpathogenic SIV infection of sooty mangabeys is characterized by limited bystander immunopathology despite chronic high-level viremia. Immunity 18, 441–452 (2003).
Gordon, S.N. et al. Short-lived infected cells support the bulk of virus replication in naturally SIV-infected sooty mangabeys: implications for AIDS pathogenesis. J. Virol. 82, 3725–3735 (2008).
Pandrea, I. et al. Simian immunodeficiency virus SIVagm dynamics in African green monkeys. J. Virol. 82, 3713–3724 (2008).
Dunham, R. et al. The AIDS-resistance of naturally SIV-infected sooty mangabeys is independent of cellular immunity to the virus. Blood 108, 209–217 (2006).
Zahn, R.C. et al. Simian Immunodeficiency Virus (SIV)-specific CD8+ T cell responses in chronically SIVagm-infected vervet African green monkeys. J. Virol. 82, 11577–11588 (2008).
Lozano Reina, J.M. et al. Gag p27-specific B- and T-cell responses in simian immunodeficiency virus SIVagm-infected African green monkeys. J. Virol. 83, 2770–2777 (2009).
Wang, Z., Metcalf, B., Ribeiro, R.M., McClure, H. & Kaur, A. TH-1-type cytotoxic CD8+ T-lymphocyte responses to simian immunodeficiency virus (SIV) are a consistent feature of natural SIV infection in sooty mangabeys. J. Virol. 80, 2771–2783 (2006).
Chakrabarti, L.A. et al. Normal T-cell turnover in sooty mangabeys harboring active simian immunodeficiency virus infection. J. Virol. 74, 1209–1223 (2000).
Brenchley, J.M. et al. Differential TH17 CD4 T-cell depletion in pathogenic and nonpathogenic lentiviral infections. Blood 112, 2826–2835 (2008).
Brenchley, J.M. et al. Microbial translocation is a cause of systemic immune activation in chronic HIV infection. Nat. Med. 12, 1365–1371 (2006).
Kaur, A. et al. Dynamics of T- and B-lymphocyte turnover in a natural host of simian immunodeficiency virus. J. Virol. 82, 1084–1093 (2008).
Letvin, N.L. Correlates of immune protection and the development of a human immunodeficiency virus vaccine. Immunity 27, 366–369 (2007).
Barry, A.P. et al. Depletion of CD8+ cells in sooty mangabey monkeys naturally infected with simian immunodeficiency virus reveals limited role for immune control of virus replication in a natural host species. J. Immunol. 178, 8002–8012 (2007).
Milush, J.M. et al. Virally-induced CD4+ T cell depletion is not sufficient to induce AIDS in a natural host. J. Immunol. 179, 3047–3056 (2007).
Fultz, P.N., Gordon, T.P., Anderson, D.C. & McClure, H.M. Prevalence of natural infection with simian immunodeficiency virus and simian T-cell leukemia virus type I in a breeding colony of sooty mangabey monkeys. AIDS 4, 619–625 (1990).
Otsyula, M.G. et al. Apparent lack of vertical transmission of simian immunodeficiency virus (SIV) in naturally infected African green monkeys, Cercopithecus aethiops. Ann. Trop. Med. Parasitol. 89, 573–576 (1995).
Pandrea, I. et al. Paucity of CD4+CCR5+ T-cells may prevent breastfeeding transmission of SIV in natural non-human primate hosts. J. Virol. 82, 5501–5509 (2008).
Pandrea, I. et al. Paucity of CD4+CCR5+ T cells is a typical feature of natural SIV hosts. Blood 109, 1069–1076 (2007).
Estes, J.D. et al. Early resolution of acute immune activation and induction of PD-1 in SIV-infected sooty mangabeys distinguishes nonpathogenic from pathogenic infection in rhesus macaques. J. Immunol. 180, 6798–6807 (2008).
Mandl, J.N. et al. Divergent TLR7 and TLR9 signaling and type I interferon production distinguish pathogenic and nonpathogenic AIDS virus infections. Nat. Med. 14, 1077–1087 (2008).
Pandrea, I. et al. Experimentally-induced immune activation in natural hosts of SIV induces significant increases in viral replication and CD4+ T cell depletion. J. Immunol. 181, 6687–6691 (2008).
Beaumier, C.M. et al. Downregulation of CD4 by memory CD4+ T cells in vivo renders African green monkeys resistant to progressive SIVagm infection. Nat. Med. 15, aaa–bbb (2009).
Schindler, M. et al. Nef-mediated suppression of T cell activation was lost in a lentiviral lineage that gave rise to HIV-1. Cell 125, 1055–1067 (2006).
Kirchhoff, F. Is the high virulence of HIV-1 an unfortunate coincidence of primate lentiviral evolution? Nat. Rev. Microbiol. 7, 467–476 (2009).
Kosub, D.A. et al. γ/δ T-cell functional responses differ after pathogenic human immunodeficiency virus and nonpathogenic simian immunodeficiency virus infections. J. Virol. 82, 1155–1165 (2008).
Klatt, N.R. et al. Availability of activated CD4+ T cells dictates the level of viremia in naturally SIV-infected sooty mangabeys. J. Clin. Invest. 118, 2039–2049 (2008).
Johnson, P.R., et al. Vector-mediated gene transfer engenders long-lived neutralizing activity and protection against SIV infection in monkeys. Nat Med. 15, aaa–bbb (2009).
Choudhary, S.K. et al. Low immune activation despite high levels of pathogenic human immunodeficiency virus type 1 results in long-term asymptomatic disease. J. Virol. 81, 8838–8842 (2007).
Acknowledgements
We wish to thank A. Bernstein and N. Miller for their helpful discussions.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sodora, D., Allan, J., Apetrei, C. et al. Toward an AIDS vaccine: lessons from natural simian immunodeficiency virus infections of African nonhuman primate hosts. Nat Med 15, 861–865 (2009). https://doi.org/10.1038/nm.2013
Issue date:
DOI: https://doi.org/10.1038/nm.2013
This article is cited by
-
SIV-induced terminally differentiated adaptive NK cells in lymph nodes associated with enhanced MHC-E restricted activity
Nature Communications (2021)
-
Multivariate profiling of African green monkey and rhesus macaque T lymphocytes
Scientific Reports (2019)
-
Macrophage-associated wound healing contributes to African green monkey SIV pathogenesis control
Nature Communications (2019)
-
Nonhuman primate models of human viral infections
Nature Reviews Immunology (2018)
-
Early SIV and HIV infection promotes the LILRB2/MHC-I inhibitory axis in cDCs
Cellular and Molecular Life Sciences (2018)