Sooty mangabeys, the natural host of simian immunodeficiency virus (SIVsm), generally avoid progressive depletion of CD4+ T cells and
opportunistic infections associated with
infection of humans (HIV) and macaques (SIVmac). The means by which the SIVsm-infected mangabeys maintain CD4+ T-cell levels despite high rates of viral replication is unknown. One
cytokine that has a key role in the regulation of T-cell levels is
interleukin-7 (IL-7). Here, the longitudinal assessment of 6 SIVsm-infected mangabeys identified an early increase in plasma
IL-7 levels at weeks 1 to 5 after
infection. This
IL-7 increase correlated with an early decline in CD4+ T-cell levels (decline of 492-1171 cells/microL) accompanying acute
viremia. Elevated
IL-7 levels were followed by increased T-cell proliferation (Ki67) and maintenance of lower but stable (more than 500 cells/microL) CD4+ T-cell levels in each mangabey through 37 weeks of
infection. These data contrast with our earlier studies in SIVmac-infected macaques, in which the
IL-7 increase was delayed until 20 to 40 weeks after
infection, just before the onset of
simian AIDS. Taken together, these data suggest that timely triggering of
IL-7 is important for stabilizing healthy T-cell levels in mangabeys and that timely administration of exogenous
IL-7 may show benefit during pathogenic SIVmac and
HIV infection.