Early recovery of CD4 T lymphocytes in children on highly active antiretroviral therapy. Dutch study group for children with HIV infections

Autor: Cohen Stuart, J.W., Slieker, W.A., Rijkers, G.T., Noest, A.J., Boucher, C.A.B., Suur, M.H., Boer, R.J. de, Geelen, S.P., Scherpbier, H.J., Hartwig, N.G., Hooijkaas, H., Roos, M.T., Graeff-Meeder, B. de, Groot, R. de
Jazyk: angličtina
Rok vydání: 1998
Předmět:
Zdroj: AIDS, 12(16), 2155. Lippincott Williams & Wilkins
Popis: Regeneration of CD4+ T lymphocytes has been shown to be thymus-dependent in bone marrow transplant recipients and after intensive chemotherapy. The rate of CD4+ T cell regeneration is correlated positively with enlargement of the thymus, as shown on radiographs, and higher rates of CD4+ T lymphocyte regeneration were observed in children as compared with adults, consistent with thymic function diminishing with age. We hypothesized that in HIV infected patients CD4+ T cell recovery during highly active antiretroviral therapy (HAART) may also be thymus dependent. Therefore, repopulation of naive (CD45RA+), memory (CD45RO+) and total CD4+ T lymphocytes and total CD8+ T lymphocytes in peripheral blood was assessed in 13 HIV infected children during the initial 3 months of HAART. RESULTS: Significantly higher recovery rates of naive, memory and total CD4+ T cells were observed in children below the age of 3 years as compared with older children. Kinetics of total CD8+ T cells showed no relation to age. Moreover, recovery rates of naive CD4+ T cells in patients below 3 years of age were 10-40 fold higher as compared with previously reported naive CD4+ T cell recovery rates in adults on HAART. CONCLUSIONS: High recovery rates of naive, memory and total CD4+ T cells can be achieved in children below 3 years of age. Changes in CD8 counts did not correlate with age. These results indicate that regeneration of CD4+ T cells during HAART may be a thymus-dependent process.
Databáze: OpenAIRE