Reduced frequencies of myeloid and plasmacytoid dendritic cell (DC) subsets (mDCs and pDCs, respectively) have been observed in the peripheral blood of HIV-1-infected individuals throughout the course of disease. Accumulation of DCs in lymph nodes (LNs) may partly account for the decreased numbers observed in blood, but increased DC death may also be a contributing factor. We used multiparameter flow cytometry to evaluate pro-and antiapoptotic markers in blood mDCs and pDCs from untreated HIV-1-infected donors, from a subset of infected donors before and after receiving antiretroviral therapy (ART), and from uninfected control donors. Blood mDCs, but not pDCs, from untreated HIV-1-infected donors expressed lower levels of antiapoptotic Bcl-2 than DCs from uninfected donors. A subset of HIV-1-infected donors had elevated frequencies of proapoptotic caspase-3 ؉ blood mDCs, and positive correlations were observed between caspase-3 ؉ mDC frequencies and plasma viral load and CD8 ؉ T-cell activation levels. Caspase-3 ؉ mDC frequencies, but not mDC Bcl-2 expression, were reduced with viral suppression on ART. Apoptosis markers on DCs in blood and LN samples from a cohort of untreated, HIV-1-infected donors with chronic disease were also evaluated. LN mDCs displayed higher levels of Bcl-2 and lower caspase-3 ؉ frequencies than did matched blood mDCs. Conversely, LN pDCs expressed lower Bcl-2 levels than their blood counterparts. In summary, blood mDCs from untreated HIV-1-infected subjects displayed a proapoptotic profile that was partially reversed with viral suppression, suggesting that DC death may be a factor contributing to blood DC depletion in the setting of chronic, untreated HIV disease.Dendritic cells (DCs) are antigen-presenting cells (APCs) found throughout the body that are central in bridging innate and adaptive immune responses (5, 6). Immature DCs typically detect the presence of microbes through the binding of conserved molecular patterns to pattern recognition receptors (PRRs) such as C-type lectins and Toll-like receptors (TLRs) (32, 55). DCs exposed to microbial products then undergo a regulated maturation process, migrate to lymph nodes (LNs) and stimulate naive T cells and other immune cells to induce appropriate adaptive immune responses (5, 6). Although shown to be the most potent of the APCs in activating naive T cells, DCs have also recently been shown to play a crucial role in reactivating memory T cells (43,95,99) and in maintaining peripheral tolerance to self-antigens (91, 92).Human DCs can be divided into myeloid DC (mDC) and plasmacytoid DC (pDC) subsets that differ in ontogeny, phenotype, and function (19, 50, 51, 53, 54, 61, 77-79, 87, 94). Specifically, pDCs are considered to be involved in antiviral immunity, are capable of sensing viral single-stranded RNA (ssRNA) through TLR7 and bacterial CpG DNA through TLR9, and predominantly produce type I interferons (IFNs). Conversely, mDCs sense both bacterial and viral pattern motifs through a broader range of TLRs (TLR1 to TLR8) and are in...