SUMMARYIn most HIV-1-infected patients, clinical and immunological progression develops within a few years. Few infected people, termed long-term non-progressors (LTNP), remain healthy and immunologically stable for a long time. The factors governing the maintenance of this condition are not well known, but it is conceivable that CD8 lymphocytes, cells that play a central role in controlling in vitro HIV replication, may have a part in vivo in this process. The aim of this study was to characterize the phenotypic profile and the cytokine production of CD8 cells in a group of LTNP patients who had stable CD4 cell counts (>500/mm 3 ) for at least 7 years. Their CD8 absolute numbers were similar to a control group composed of HIV-1 patients who have a progressive decline of their CD4 cell counts. However, our multiparameter immunofluorescence studies show that a clinical and immunologically stable condition is associated with the presence of a CD28 , CD95 strongly positive CD8 population, while disease progression is marked by the CD28 ÿ CD95 CD8 subset. Purified CD8 cells from LTNP retain their ability to produce IL-2, interferon-gamma (IFN-°) and, to a lesser degree, to produce IL-10 and IL-4. In contrast, CD8 cells from progressors are unable to secrete IL-2 and IL-10. Although CD8 cytokine profile does not fit with the proposed T helper (Th)1/Th2 switch in progressive HIV infection, LTNP CD8 T cells maintain their capacity to produce IL-2 and IL-10 (Th0-like), a pattern very similar to that observed in normal HIV healthy controls. We suggest that CD8 cells expressing CD28, CD95 and having a Th0-like profile may be considered to be associated with long-term survival.