Hypertension

CD4 + T Cells Expressing Viral Proteins Induce HIV-Associated Endothelial Dysfunction and Hypertension Through Interleukin 1α–Mediated Increases in Endothelial NADPH Oxidase 1

CirculationPublished Mechanistic study

Authors' conclusion

We provide the first evidence that CD4+ T cells expressing HIV viral proteins induced hypertension through IL-1α-mediated increases in vascular NOX1, which impairs endothelial function in males and females.

Study context

Population
Tg26 mice and WT mice; aorta specimens discarded from people living with HIVmale and female mice
Comparison
Tg26 vs WT
Outcome
Endothelium-dependent relaxation and BP
Methodological detailsTg26 mouse model of HIV, bone marrow transplantation, adoptive transfer of CD4+ T cells, human aorta specimens, male and female mice
  • Tg26 mouse model of HIV
  • Bone marrow transplantation
  • Adoptive transfer of CD4+ T cells
  • Human aorta specimens
  • Male and female mice

Main finding

As reported in the abstract

Endothelium-dependent relaxation and BP with CD4+ T cells expressing viral proteins
  • Intact Tg26 mice and mice receiving bone marrow transplantation (BMT) (Tg26→WT) or CD4+ T cells from Tg26 mice display impaired endothelium-dependent relaxation and hypertension
  • BMT from WT mice into Tg26 mice, inhibition of T cell activation, and CD4+ T cell depletion restored endothelial function and BP in Tg26 mice
  • Exposure of WT aortas to Tg26 CD4+ T cells impaired endothelium-dependent relaxation, blocked by IL-1α-neutralizing antibody

Further findings

Cytokine profiling

Tg26 mice, Tg26→WT and Tg26 CD4+ T cells consistently exhibit high IL-1α levels with no significant increase in other cytokines
BMT from WT mice into Tg26 mice reduced IL-1α levels

IL-1α neutralisation

Reduced BP and restored endothelial function in Tg26 mice

Vascular NOX1

Tg26 and Tg26→WT aorta exhibit high NOX1 expression
IL-1α exposure increased NOX1 in human microvascular endothelial cells
NOX1 blockade restored endothelial function in Tg26 and Tg26→WT arteries
NOX1 deficiency protected against Tg26 BMT-induced impaired endothelium-dependent relaxation and hypertension

NOX1 in human aorta

Aortas from people living with HIV exhibit high NOX1 levels
Exposure of human aorta to Tg26 T cells increased NOX1 expression

Original publication

CD4 + T Cells Expressing Viral Proteins Induce HIV-Associated Endothelial Dysfunction and Hypertension Through Interleukin 1α–Mediated Increases in Endothelial NADPH Oxidase 1. Circulation. Published 5 February 2025. doi:10.1161/circulationaha.124.070538

Summarised from the published abstract; every number is checked against it

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