Chronic infection with human immunodeficiency virus (HIV) can cause progressive loss of immune cell function, or exhaustion, which impairs control of virus replication. However, little is known about the development and maintenance, as well as heterogeneity of immune cell exhaustion. Here, we investigated the effects of HIV infection on immune cell exhaustion at the transcriptomic level by analyzing single-cell RNA sequencing of peripheral blood mononuclear cells from two healthy subjects (15,121 cells) and six HIV-infected donors (28,610 cells). We identified nine immune cell clusters and eight T cell subclusters according to their unique gene expression programs; three of these (exhausted CD4 + and CD8 + T cells and interferonresponsive CD8 + T cells) were detected only in samples from HIV-infected donors. An inhibitory receptor KLRG1 was identified in the exhausted T cell populations and further characterized in HIV infected individuals. We identified a novel HIV-1 specific exhausted CD8 + T cell population expressing KLRG1, TIGIT, and T-bet dim Eomes hi markers. Ex-vivo antibody blockade of KLRG1 restored the function of HIV-specific exhausted CD8 + T cells demonstrating the contribution of KLRG1 + population to T cell exhaustion and providing a novel target for developing immunotherapy to treat HIV chronic infection. Analysis of gene signatures also revealed impairment of B cell and NK cell function in HIVinfected donors. These data provide a comprehensive analysis of gene signatures associated with immune cell exhaustion during HIV infection, which could be useful in understanding exhaustion mechanisms and developing new cure therapies. We thank Drs. Doug Richman, Mario Stevenson, and Jon Karn for helpful discussions, Kristen Jepsen at the IGM Genomics Center for help with scRNA-seq, Celsa Spina of UCSD CFAR for flow analysis and members of the Rana lab for helpful discussions and advice. We also thank Dr. Song Chen for advice and help in sample preparation and data analysis.