Review Article

Thirty Years with HIV Infection—Nonprogression Is Still Puzzling: Lessons to Be Learned from Controllers and Long-Term Nonprogressors

Table 2

Immunological distinctions between progressors and non-progressors.

Controller LTNP Progressor

Production of T cells Thymic output preserved Thymus output? Thymic output
Haematopoiesis preserved Haematopoiesis? Haematopoiesis exhausted

IL-7/IL-7RIL-7 NormalIL-7 ↑IL-7 ↑
IL-7R NormalIL-7R IL-7R

Destruction of T cellsImmune activation ↑Immune activation ↑↑Immune activation ↑↑↑
Turnover/apoptosis ↑ Turnover/apoptosis? Turnover/apoptosis ↑↑
Microbial translocation ↑ ? Microbial translocation↑↑↑Microbial translocation

Secondary lymphoid tissuePreserved architecture?Damaged architecture

Pro- and anti-inflammatory cellsTregs? Tregs↑↑Tregs
↑Th17↑Th17Th17

HIV-specific immune responseStrong?Blunted

Viral reservoirLow?High

↑/: Indicates slightly, ↑↑/↓↓: moderate, ↑↑↑/↓↓ : highly different from HIV-negative individuals.
LTNP: long-term non-progressors, Tregs: regulatory T cells.
?: Indicates unknown.