The potential role of 4-1BB in human immunodeficiency virus (HIV-1)-in
fected T cells was investigated with HIV-1-infected subjects, 4-1BB ex
pression was readily inducible on PHA stimulation of T cells from HIV-
1-infected individuals, The level of 4-1BB expression and the percenta
ge of 4-1BB-expressing T cells were higher in HIV-1(+) individuals tha
n in the HIV-1(-) controls (p < 0.01), The difference in 4-1BB express
ion was more significant in CD8(+) T cells and the high level of 4-1BB
expression was correlated with low CD4(+) T cell counts (r = -0.63, p
< 0.05). 4-1BB signal cooperated with CD28 for proper HIV-1(+) CD4(+)
T cell proliferation, In addition, cross-linking 4-1BB with agonistic
monoclonal antibody enhanced HIV-1 replication both in primary stimul
ation and secondary restimulation of CD4(+) T cells from HIV-1(+) indi
viduals. To test whether 4-1BB cross-linking signals an activation of
HIV-1, J8-1, a 4-1BB(+) Jurkat subline, was transiently transfected wi
th pHIV-1-LTR-CAT plasmid and stimulated through 4-1BB, Combined stimu
lation of 4-1BB and CD3 resulted in an enhanced CAT activity compared
with CD3 stimulation alone, Thus, 4-1BB may be involved in the activat
ion of HIV-1 replication from latently infected CD4(+) T cells.