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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1989-2-24
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pubmed:abstractText |
Successive interval slopes of CD4+ cells each constructed from levels at three consecutive 6 month visits were compared over 3 years of follow-up among 565 persistently HIV-1 antibody-positive, 326 persistently antibody-negative, and 51 seroconverting homosexual men who had at least 500 CD4+ cells/mm3 at baseline and completed the first three 6 month visits. "Change" was defined as a difference between two successive interval slopes. Sixty-two percent of seroconverters meeting these criteria experienced a shift in one or more of their successive CD4+ interval slopes, the majority (56%) from a level slope to a negative slope (decreasing numbers of CD4+ cells), a significantly greater proportion than that observed among seronegatives (30%, p less than 0.0001). Fifty-eight percent of the seropositives maintained level interval slopes over the 3 years of follow-up. The majority (59%) of those men experiencing a shift went from a level to a negative interval slope, a significantly greater proportion than observed among seronegatives (30%, p less than 0.0001). The observed patterns of change in interval slopes are consistent with the laboratory observation that CD4+ cells must be activated to replicate HIV-1. The use of the interval slope strategy provides a method to identify a temporal focal point at which to examine possible codeterminants that trigger the production of HIV-1 and the subsequent decline in CD4+ cells.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0894-9255
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
1
|
pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
390-5
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2905742-AIDS Serodiagnosis,
pubmed-meshheading:2905742-Acquired Immunodeficiency Syndrome,
pubmed-meshheading:2905742-CD4-Positive T-Lymphocytes,
pubmed-meshheading:2905742-HIV Seropositivity,
pubmed-meshheading:2905742-Humans,
pubmed-meshheading:2905742-Immunity, Cellular,
pubmed-meshheading:2905742-Leukocyte Count,
pubmed-meshheading:2905742-Male,
pubmed-meshheading:2905742-Multicenter Studies as Topic,
pubmed-meshheading:2905742-Time Factors
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pubmed:year |
1988
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pubmed:articleTitle |
Patterns of CD4+ cell changes after HIV-1 infection indicate the existence of a codeterminant of AIDS.
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pubmed:affiliation |
Multicenter AIDS Cohort Study, National Institute of Allergy and Infectious Disease, Bethesda, Maryland.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Multicenter Study
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