Increased production of IL-7 accompanies HIV-l-mediated T-cell depletion: implications for T-cell homeostasis

We hypothesized that HIV-1-mediated T-cell loss might induce the production of factors that are capable of stimulating lymphocyte development and expa nsion. Here we perform cross-sectional (n = 168) and longitudinal (n = 11) analyses showing that increased circulating levels of interleukin (IL)-7 ar e strongly associated with CD4+ T lymphopenia in HIV-1 disease. Using immun ohistochemistry with quantitative image analysis, we demonstrate that IL-7 is produced by dendritic-like cells within peripheral lymphoid tissues and that IL-7 production by these cells is greatly increased in lymphocyte-depl eted tissues. We propose that IL-7 production increases as part of a homeos tatic response to T-cell depletion.