1995
DOI: 10.1038/nm0295-129
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Apoptosis occurs predominantly in bystander cells and not in productively infected cells of HIV- and SIV-infected lymph nodes

Abstract: Although 13 years have passed since identification of human immunodeficiency virus-1 (HIV-1) as the cause of AIDS, we do not yet know how HIV kills its primary target, the T cell that carries the CD4 antigen. We and others have shown an increase in the percentage of apoptotic cells among circulating CD4+ (and CD8+) T cells of HIV-seropositive individuals and an increase in frequency of apoptosis with disease progression. However, it is not known if this apoptosis occurs in infected or uninfected T cells. We sh… Show more

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Cited by 887 publications
(618 citation statements)
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“…It is generally accepted that apoptosis is considered one of the major mechanisms of CD4 + T cell depletion in HIV-1 infected patients, which generally occurs in bystander cells (Finkel et al, 1995). The mechanisms by which HIV-1 kills uninfected cells remain to be fully Sastry et al, 1996;Westendorp et al, 1995a;Zauli et al, 1996), the molecular and biochemical pathways activated by HIV-1 Tat to induce apoptosis are controversial so far (McCloskey et al, 1997;Zauli et al, 1996).…”
Section: Discussionmentioning
confidence: 99%
“…It is generally accepted that apoptosis is considered one of the major mechanisms of CD4 + T cell depletion in HIV-1 infected patients, which generally occurs in bystander cells (Finkel et al, 1995). The mechanisms by which HIV-1 kills uninfected cells remain to be fully Sastry et al, 1996;Westendorp et al, 1995a;Zauli et al, 1996), the molecular and biochemical pathways activated by HIV-1 Tat to induce apoptosis are controversial so far (McCloskey et al, 1997;Zauli et al, 1996).…”
Section: Discussionmentioning
confidence: 99%
“…Several studies have found that abnormal levels of apoptosis occur both in vitro [41][42][43][44][45][46][47][48][49][50][51] and in vivo 52,53 in CD4 þ and CD8 þ T cells from HIV-1-infected persons. Importantly, the majority of T cells undergoing apoptosis in HIV-infected patients are not infected by the virus; 52,53 this observation led to the definition of 'bystander' apoptosis when referring to apoptosis that is not occurring as a direct cytopathic effect of HIV. Clinical studies have revealed that HIV-1 and HIV-2 differ in their natural course of infection.…”
Section: T-cell Apoptosis and Aidsmentioning
confidence: 99%
“…During early infection, the cell destruction involves primarily CCR5+ effector memory T cells and occurs predominantly in the mucosal tissue, particularly in the intestinal immune system [15,16]. Disordered apoptosis and an increased rate of activation-induced cell death (AICD) lead to destabilization and progressive change of the homeostasis of resting naive and memory T cell populations [14,[17][18][19][20]. It is unclear, and even controversial, which of pro-apoptotic (e.g.…”
Section: Introductionmentioning
confidence: 99%