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Lack of good correlation of serum CC-chemokine levels with human immunodeficiency virus-1 disease stage and response to treatment.

Abstract
Three CC-chemokines-MIP-1alpha (CCL3), MIP-1beta (CCL4), and RANTES (CCL5)-are natural ligands for the human immunodeficiency virus-1 (HIV-1) coreceptor CCR5. To determine correlations between CC-chemokines and HIV-1 disease stage or response to treatment, we examined serum levels of MIP-1alpha, MIP-1beta, and RANTES in 60 infected patients during 18 months while they were taking highly active antiretroviral therapy (HAART). Our results demonstrate that serum levels of MIP-1alpha and RANTES were increased in HIV-1-infected individuals compared with those in healthy controls. We found no significant differences among 4 clinical stages of HIV-1 infection in the serum levels of three CC-chemokines. Longitudinal HAART analyses revealed a pronounced decline in serum MIP-1alpha levels over time. We found no difference in this decline between HAART responders and nonresponders. These findings indicate that production of MIP-1alpha and RANTES changes during HIV-1 infection and treatment; however, our results suggest that serum levels of CC-chemokines should not be used as biomarkers for HIV-1 disease stage or response to treatment.
AuthorsPing Ye, Powel Kazanjian, Steven L Kunkel, Denise E Kirschner
JournalThe Journal of laboratory and clinical medicine (J Lab Clin Med) Vol. 143 Issue 5 Pg. 310-9 (May 2004) ISSN: 0022-2143 [Print] United States
PMID15122175 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Chemokine CCL3
  • Chemokine CCL4
  • Chemokine CCL5
  • Macrophage Inflammatory Proteins
Topics
  • Adult
  • Antiretroviral Therapy, Highly Active
  • CD4 Lymphocyte Count
  • CD8-Positive T-Lymphocytes
  • Chemokine CCL3
  • Chemokine CCL4
  • Chemokine CCL5 (blood)
  • HIV Infections (blood, drug therapy, pathology)
  • HIV-1 (isolation & purification)
  • Humans
  • Macrophage Inflammatory Proteins (blood)
  • Male
  • Middle Aged
  • Treatment Outcome
  • Viral Load
  • Viremia

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