rdf:type |
|
lifeskim:mentions |
umls-concept:C0021051,
umls-concept:C0022702,
umls-concept:C0039194,
umls-concept:C0085358,
umls-concept:C0086418,
umls-concept:C0229664,
umls-concept:C0887947,
umls-concept:C1265875,
umls-concept:C1332717,
umls-concept:C1413244,
umls-concept:C1704686,
umls-concept:C1706438,
umls-concept:C2698600,
umls-concept:C2700592
|
pubmed:issue |
14
|
pubmed:dateCreated |
2001-6-19
|
pubmed:abstractText |
We measured the longitudinal responses to 95 HLA class I-restricted human immunodeficiency virus (HIV) epitopes and an immunodominant HLA A2-restricted cytomegalovirus (CMV) epitope in eight treatment-naive HIV-infected individuals, using intracellular cytokine staining. Patients were treated with highly active antiretroviral therapy (HAART) for a median of 78 weeks (range, 34 to 121 weeks). Seven of eight patients maintained an undetectable viral load for the duration of therapy. A rapid decline in HIV-specific CD8(+) T-cell response was observed at initiation of therapy. After an undetectable viral load was achieved, a slower decrease in HIV-specific CD8(+) T-cell response was observed that was well described by first-order kinetics. The median half-life for the rate of decay was 38.8 (20.3 to 68.0) weeks when data were expressed as percentage of peripheral CD8(+) T cells. In most cases, data were similar when expressed as the number of responding CD8(+) T cells per microliter of blood. In subjects who responded to more than one HIV epitope, rates of decline in response to the different epitopes were similar and varied by a factor of 2.2 or less. Discontinuation of treatment resulted in a rapid increase in HIV-specific CD8(+) T cells. Responses to CMV increased 1.6- and 2.8-fold within 16 weeks of initiation of HAART in two of three patients with a measurable CMV response. These data suggest that HAART quickly starts to restore CD8(+) T-cell responses to other chronic viral infections and leads to a slow decrease in HIV-specific CD8(+) T-cell response in HIV-infected patients. The slow decrease in the rate of CD8(+) T-cell response and rapid increase in response to recurrent viral replication suggest that the decrease in CD8(+) T-cell response observed represents a normal memory response to withdrawal of antigen.
|
pubmed:grant |
|
pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-10229228,
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-10400770,
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-10438796,
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-10482568,
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-10491418,
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-10756025,
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-10903781,
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-10982361,
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-11029005,
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-11120778,
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-9488268,
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-9491999,
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-9701254,
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-9847391,
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-9952380,
http://linkedlifedata.com/resource/pubmed/commentcorrection/11413318-9973442
|
pubmed:language |
eng
|
pubmed:journal |
|
pubmed:citationSubset |
IM
|
pubmed:chemical |
|
pubmed:status |
MEDLINE
|
pubmed:month |
Jul
|
pubmed:issn |
0022-538X
|
pubmed:author |
|
pubmed:issnType |
Print
|
pubmed:volume |
75
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
6508-16
|
pubmed:dateRevised |
2009-11-18
|
pubmed:meshHeading |
pubmed-meshheading:11413318-Adult,
pubmed-meshheading:11413318-Anti-HIV Agents,
pubmed-meshheading:11413318-Antiretroviral Therapy, Highly Active,
pubmed-meshheading:11413318-CD8-Positive T-Lymphocytes,
pubmed-meshheading:11413318-Chronic Disease,
pubmed-meshheading:11413318-Cytomegalovirus,
pubmed-meshheading:11413318-Epitopes, T-Lymphocyte,
pubmed-meshheading:11413318-HIV Antigens,
pubmed-meshheading:11413318-HIV Infections,
pubmed-meshheading:11413318-HLA-A2 Antigen,
pubmed-meshheading:11413318-Humans,
pubmed-meshheading:11413318-Lymphocyte Count,
pubmed-meshheading:11413318-Middle Aged,
pubmed-meshheading:11413318-Viral Load
|
pubmed:year |
2001
|
pubmed:articleTitle |
Decay kinetics of human immunodeficiency virus-specific CD8+ T cells in peripheral blood after initiation of highly active antiretroviral therapy.
|
pubmed:affiliation |
Department of Internal Medicine, The University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd., Dallas, TX 75390-9113, USA.
|
pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
|