Abstract
Cerebrospinal fluid (CSF) drains via the lymphatic drainage pathway. This lymphatic pathway connects the central nervous system (CNS) to the cervical lymph node (CLN). As the CSF drains to CLN via the dural and nasal lymphatics, T cells and antigen presenting cells pass along the channels from the subarachnoid space through the cribriform plate. Human immunodeficiency virus (HIV) may also egress from the CNS along this pathway. As a result, HIV egressing from the CNS may accumulate within the CLN. Towards this objective, we analyzed CLNs isolated from rhesus macaques that were chronically-infected with simian immunodeficiency virus (SIV). We detected significant accumulation of SIV within the CLNs. SIV virion trapping was observed on follicular dendritic cells (FDCs) localized within the follicular regions of CLNs. In addition, SIV antigens formed immune complexes when FDCs interacted with B cells within the germinal centers. Subsequent interaction of these B cells with CD4+ T follicular helper cells (TFHs) resulted in infection of the latter. Of note, 73% to 90% of the TFHs cells within CLNs were positive for SIV p27 antigen. As such, it appears that not only do the FDCs retain SIV they also transmit them (via B cells) to TFHs within these CLNs. This interaction results in infection of TFHs in the CLNs. Based on these observations, we infer that FDCs within the CLNs have a novel role in SIV entrapment with implications for viral trafficking.
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Funding
These studies have been funded in part with NINDS R01 NS097147 to PJ and NIAID R01 AI113883; R21 AI114415; and R21 MH11345501 to SB.
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Supplementary Fig. 1
(A) Representative figure from center of BCF showing antigen-harboring FDCs. The center was relatively devoid of CD20+B cells (green) and had plenty of CD35+FDCs (yellow), which showed the colocalization with p27 (red) inside the BCF. There were relatively fewer PD-1hi expressing TFH cells (blue) also. (B) The numbers of TFH cells were more towards the peripheral regions of BCF. This is significant considering the ability of TFH cells to migrate from lymph nodes into circulation. (PDF 1316 kb)
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Dave, R.S., Sharma, R.K., Muir, R.R. et al. FDC:TFH Interactions within Cervical Lymph Nodes of SIV-Infected Rhesus Macaques. J Neuroimmune Pharmacol 13, 204–218 (2018). https://doi.org/10.1007/s11481-017-9775-0
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DOI: https://doi.org/10.1007/s11481-017-9775-0