Interferon-α producing dendritic cells impair viremia control in simian immunodeficiency virus-infected rhesus macaques

Abstract Dendritic cells (DCs) are potent antigen-presenting cells that orchestrate innate and adaptive immune responses. Interferon (IFN)-α, a cytokine produced by DCs, has both protective and detrimental activities in viral infection. Here we assessed the phenotypes and IFN-α production of mucosal and circulatory DCs in simian immunodeficiency virus (SIV)-infected rhesus macaques during acute and chronic infection to determine their contribution to viremia control. Macaques were initially vaccinated with replicating adenovirus-SIV recombinants, boosted with SIV envelope, and exposed to SIV intravaginally. Those that became infected were divided into high (HVL) and low viral load (LVL) groups based on plasma viremia at 12 weeks post-infection. HVL macaques had ≥ 7.98×104 SIV RNA copies/ml plasma; LVL animals had ≤ 1.17×104. Immunizations increased rectal plasmacytoid DCs (pDCs, CD123+, p=0.0039 in HVL), but SIV infection induced loss of rectal pDCs in the acute (p=0.0039) and chronic phases (p=0.0078). Blood myeloid DCs (mDCs, CD11c+) were increased in the chronic phase (p=0.0195). No differences in HVL and LVL DC frequencies were seen during SIV infection. But higher blood IFN-α+pDCs and mDCs in the acute phase were observed in HVL compared to LVL animals (p=0.042 in both pDCs and mDCs), suggesting blood IFN-α might contribute to SIV persistence and interrupt viremia control. Chronic IFN-α+ rectal pDCs (p=0.015) and acute IFN-α+ blood pDCs (p=0.032) and mDCs (p=0.0058) positively correlated with peak plasma VLs implying IFN-α lessened viral control in SIV infection. Our data suggest that elevated IFN-α+ DC frequencies in acute SIV infection impair SIV viremia control and help maintain higher VLs in SIV-infected rhesus macaques.