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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
1989-9-13
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pubmed:abstractText |
We assessed the value of urinary neopterin concentrations for prognosis of disease progression in HIV-1-infected patients. Sixty-eight anti-HIV-1 seropositive homosexuals with lymphadenopathy syndrome were tested for urinary neopterin and T-cell subset counts in 1982-83, and the incidence rate at which they developed acquired immunodeficiency syndrome (AIDS) between then and May 1988 was evaluated. Overall, 21 of 68 (30.9%) cases progressed to AIDS, with a yearly progression rate of 4-9%. The predictive value of urinary neopterin concentrations was higher (P = 0.0042) than that of CD4+ T-cell counts (P = 0.015) or the CD4+/CD8+ T-cell ratio (P = 0.022). Counts of CD8+ T-cells failed to show predictive significance (P = 0.29). Similarly, multivariate-regression analysis indicated that neopterin concentrations and CD4+ T-cell numbers were significant copredictors. Produced by human macrophages activated by interferon gamma, neopterin is thus a marker of macrophage activation via T cells. We conclude that these data demonstrate a correlation between the amount of T-cell-macrophage activation, as measured by urinary neopterin concentrations, and the progression of the disease.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0009-9147
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
35
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1746-9
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2635886-AIDS-Related Complex,
pubmed-meshheading:2635886-Acquired Immunodeficiency Syndrome,
pubmed-meshheading:2635886-Biological Markers,
pubmed-meshheading:2635886-Biopterin,
pubmed-meshheading:2635886-Chromatography, High Pressure Liquid,
pubmed-meshheading:2635886-HIV-1,
pubmed-meshheading:2635886-Homosexuality,
pubmed-meshheading:2635886-Humans,
pubmed-meshheading:2635886-Male,
pubmed-meshheading:2635886-Neopterin,
pubmed-meshheading:2635886-Prognosis,
pubmed-meshheading:2635886-T-Lymphocytes
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pubmed:year |
1989
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pubmed:articleTitle |
Neopterin as a predictive marker for disease progression in human immunodeficiency virus type 1 infection.
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pubmed:affiliation |
Institute of Medical Chemistry and Biochemistry, University of Innsbruck, Austria.
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pubmed:publicationType |
Journal Article
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