SUMMARY
The CD28 receptor on CD4+ and CD8+ T cells interacts with B7 molecules on antigenâpresenting cells (APC) to generate essential costimulatory signals. The cytolytic potential of CD8+ T cells could be linked to CD28 expression. Since HIV induces dysfunction of both CD4+ and CD8+ T cells, we evaluated CD28 expression and function in both subsets during HIV infection. CD28 expression on CD8+ T cells from HIV+ subjects was strongly reduced in a disease stageârelated fashion. CD28âCD8+ T cells preferentially expressed CD57 and CD11b, but lacked CD26 and ILâ2Rα. The CD8+ T cells from the patients showed a significantly reduced proliferative response to coâstimulation with cellâbound antiâCD3 and B7. Nevertheless, when stimulated with plateâfixed antiâCD3, CD8+ T cells from HIVâinfected subjects proliferated normally, and normal levels of ILâ2Rα nod transferrinâreceptor could be induced on CD28âCD8+ T cells from the patients. In addition, stimulation with plateâfixed antiâCD3 induced proliferative responses in highly purified CD28âCD8+ T cells from both HIVâ and HIV+ persons. Furthermore, the increased cytotoxic activity of peripheral blood mononuclear cells (PBMC) from HIV+ subjects, measured in an antiâCD3 redirected assay, was predominantly exerted by CD28âCD57+ T cells. CD4+ T cells from the patients showed a slight but significant CD28 downâregulation and were slightly hyporesponsive to B7 coâstimulation. Decrease of CD28 on CD8+ T cells from HIV+ subjects is associated with an impaired response to coâstimulation via B7. CD28âCD8+ T cells from seropositives, however, are not completely inert, since they contain in vivo activated CTL and they can be additionally activated through a B7âindependent stimulation.