Table 1.

Proposed mechanisms of HIV-associated lymphocyte apoptosis

EffectorProposed mechanismTarget cell
HIV Tat Enhanced Fas sensitivity Infected +  
 Enhanced Fas ligand production  uninfected cells  
HIV Nef Activation Infected +  
 Enhanced FasL production  uninfected cells  
 ? Binding to unidentified receptor  
HIV vpr Cell cycle arrest Infected +  
 Direct effect on mitochondrial permeability  uninfected cells  
HIV protease Cleavage of host structural proteins Infected cells  
Activation-induced cell death HIV-associated activation Uninfected cells 
 Increased TRAIL/APO-2L, FasL, or both  
gp 120/160 Inappropriate activation after CD4 ligation Uninfected cells  
 Enhanced Fas susceptibility/FasL production  
 ? Nonapoptotic death by CXCR4  
Autologous cell–mediated killing Enhanced production of cytotoxic ligands by HIV-infected cells Uninfected cells 
EffectorProposed mechanismTarget cell
HIV Tat Enhanced Fas sensitivity Infected +  
 Enhanced Fas ligand production  uninfected cells  
HIV Nef Activation Infected +  
 Enhanced FasL production  uninfected cells  
 ? Binding to unidentified receptor  
HIV vpr Cell cycle arrest Infected +  
 Direct effect on mitochondrial permeability  uninfected cells  
HIV protease Cleavage of host structural proteins Infected cells  
Activation-induced cell death HIV-associated activation Uninfected cells 
 Increased TRAIL/APO-2L, FasL, or both  
gp 120/160 Inappropriate activation after CD4 ligation Uninfected cells  
 Enhanced Fas susceptibility/FasL production  
 ? Nonapoptotic death by CXCR4  
Autologous cell–mediated killing Enhanced production of cytotoxic ligands by HIV-infected cells Uninfected cells 
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