Persistent Expansion, in a Human Immunodeficiency Virus-Infected Person, of Vβ-Restricted CD4+CD8+ T Lymphocytes that Express Cytotoxicity-Associated Molecules and Are Committed to Produce Interferon-γand Tumor Necrosis Factor-α

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The present study describes the persistent expansion of a subpopulation of circulating doublepositive CD4+CD8+ T cells in a human immunodeficiency virus (HIV)-infected person over 8 years. The percentage of double-positive cells was remarkably stable with time and was not related to HIV plasma virus load. CD4+CD8+ cells exhibited phenotypic characteristics of activated memory T lymphocytes. Analysis of Vβ usage by the T cell receptors of these cells indicated restricted expression to the Vβ14 and Vβ17 families. Most CD4+CD8+ cells constitutively expressed cytotoxicity-associated molecules (C1.7 and perforin) and were selectively committed to produce interferony and tumor necrosis factor-α, cytokines involved in cytotoxic function. The kinetics of changes in the relative proportion of single-positive CD4+ and double-positive CD4+CD8+ T cell subsets and a similar bias in Vβ usage by these subsets suggest that CD4+CD8+ lymphocytes originate from peripheral expansion of mature CD4+ T cells.

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