In order to investigate the correlation among
cytokine production and antiretroviral
therapy (ART), viral load, CD4(+) and CD8(+) T lymphocytes, 55 human immunodeficiency virus (HIV)-1-infected children on ART or not, and 16 uninfected controls were studied. Peripheral blood mononuclear cells (PBMCs) of HIV-1-infected children and controls were cultured and spontaneous and
mitogen-stimulated
cytokines production was quantified in the supernatants. Viral load was quantified using standard molecular assay. CD4 and CD8 T-lymphocyte counts were determined by flow cytometry.
Cytokine production by
mitogen-stimulated PBMCs showed different profiles in HIV-1 children whether treated or not. The tumour
necrosis factor (
TNF)-alpha production was higher and the
interleukin (IL)-10 production was lower in the HIV-1-untreated group than in the HIV-1-treated children and controls. The
IL-2 production was reduced and the
RANTES production was higher in both HIV-1 groups compared with the controls. The
interferon (IFN)-gamma and the
IL-5 production was significantly reduced in the HIV-1-treated children compared to the controls. Interestingly, the analysis of the correlation of HIV-1 phenotype with
cytokine production indicated an increased
RANTES production in relation to nonsyncytium-inducing viral phenotype with slow/low replication profile, whereas decreased
IL-10 levels was associated to syncytium-inducing (SI) strains and rapid/high replication. Our findings suggest that AVT changes on the
cytokine and
chemokine production play an important role in the HIV pathogenesis.