Isolated immune complexes from sera of 49 out of 67 human immunodefici
ency virus-l-positive (HIV-1(+)) patients (CIC-HIV+), composed of anti
-HIV-HIV-Ag, could induce apoptosis on normal phytohaemagglutinin (PHA
)-activated lymphocytes. DNA degradation was detected by propidium iod
ide staining. This activity is directed against CD4(+) lymphocytes as
demonstrated by double binding of CIC-HIV+ and anti-CD4 on apoptotic c
ells. Expression of Fas antigen is prior to apoptotic phenomena. CIC-H
IV+ apoptosis inducers belong mainly to asymptomatic HIV-infected pati
ents, indicating that immune complexes from these patients can destroy
CD4(+) lymphocytes.