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INNOSC Theranostics

                                                  and Pharmacological Sciences




                                        SHORT COMMUNICATION
                                        Transcriptomic signature of CD4-expressing

                                        T-cell abundance developed in healthy
                                        peripheral blood predicts strong anti-retroviral

                                        therapeutic response in HIV-1: A retrospective
                                        and proof-of-concept study



                                        Youdinghuan Chen 1,2,3 *

                                        1 National Coalition of Independent Scholars (NCIS), Battleboro, Vermont, United States of America
                                        2 Faculty of Biological and Environmental Informatics, Wilmington University, New Castle, Delaware,
                                        United States of America
                                        3 Department of Science, Mathematics, and Biotechnology, University of California-Berkeley
                                        Extension, Berkeley, California, United States of America




                                        Abstract
                                        CD4-expressing  T-cells (CD4Ts) play a crucial role in maintaining the normal
                                        functioning of the mammalian immune system and overall systemic health. Diseased
                                        individuals, such as those infected with the human immunodeficiency virus type I
                                        (HIV-1), experience progressive and eventual depletion of CD4T leading to uncurable
            *Corresponding author:
            Youdinghuan Chen            conditions and ultimate death if left untreated. Although much is known about the
            (y.david.chen@ncis.org)     role of CD4T-mediated immunity, the understanding of CD4T-related transcriptomic
            Citation: Chen Y. Transcriptomic   patterns remains incomplete.  This proof-of-concept study aims to identify a
            signature of CD4-expressing T-cell   transcriptome-wide gene signature for CD4T abundance by Least Absolute Shrinkage
            abundance developed in healthy   and Selection Operator (LASSO) regression modeling in 340 healthy peripheral blood
            peripheral blood predicts strong
            anti-retroviral therapeutic response   samples.  The optimized LASSO model demonstrated computational robustness
            in HIV-1: A retrospective and   (tenfold average Pearson’s  r = 0.89) and biological relevance evidenced by four
            proof-of-concept study. INNOSC   significant Gene Ontology terms (all odds ratio [OR] ≥ 4.5 and false discovery rate
            Theranostics and Pharmacological
            Sciences. 2024;7(3):2761.   ≤0.05). Subsequently, in an independent cohort with 24 HIV-1-infected men who
            doi: 10.36922/itps.2761     received anti-retroviral therapies, there is a significant, positive association between
            Received: January 17, 2024  the gene signature and a strong anti-retroviral response before (OR = 13.6, P < 0.05)
                                        and after adjusting for subject age, sex, and race (OR = 14.4, P < 0.05). Taken together,
            Accepted: May 16, 2024      the gene expression pattern associated with CD4T abundance is predictable,
            Published Online: July 12, 2024  generalizable, and biologically relevant, shedding new light on the importance of
            Copyright: © 2024 This      CD4T abundance.
            is an Open-Access article
            distributed under the terms
            of the Creative Commons     Keywords: CD4T; Gene signature; HIV-1; Immune cells; Transcriptomics
            AttributionNoncommercial License,
            permitting all non-commercial use,
            distribution, and reproduction in any
            medium, provided the original work
            is properly cited.          1. Introduction
            Publisher’s Note: AccScience   CD4-expressing T lymphocytes (CD4Ts) are crucial players in the human immune
            Publishing remains neutral with   system. The CD4T plays a role in the modulation of antiviral immune responses
            regard to jurisdictional claims in
            published maps and institutional   primarily by enhancing the function of other immune cells. During the initial stages
            affiliations

            Volume 7 Issue 3 (2024)                         1                                doi: 10.36922/itps.2761
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