Autor: |
Wellons MF; Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA., Ottinger JS, Weinhold KJ, Gryszowka V, Sanders LL, Edwards LJ, Gooding ME, Thomasch JR, Bartlett JA |
Jazyk: |
angličtina |
Zdroj: |
The Journal of infectious diseases [J Infect Dis] 2001 May 15; Vol. 183 (10), pp. 1522-5. Date of Electronic Publication: 2001 Apr 17. |
DOI: |
10.1086/320193 |
Abstrakt: |
A dissociation between plasma human immunodeficiency virus (HIV) RNA levels and CD4(+) cell counts has been reported in patients experiencing viral relapse while receiving antiretroviral therapy. This study compared patients with stable CD4(+) lymphocytes during viral relapse while receiving treatment with patients who had sustained virus suppression. Plasma HIV RNA levels, lymphocyte immunophenotyping, and T cell receptor excision circle (TREC) levels were measured. Naive CD4(+) lymphocyte phenotype and TREC levels were not significantly different in patients with virus suppression or in those who had relapsed. However, CD8(+) lymphocyte activation, including the number and percentage of activated cells and CD38 antibody-binding capacity, was significantly elevated during viral relapse, compared with that in suppressed patients. By multivariable regression analyses, CD8(+) and CD4(+) lymphocyte activation were associated significantly with increasing plasma HIV RNA levels. |
Databáze: |
MEDLINE |
Externí odkaz: |
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