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Clinical relevance of cytokine production in HIV-1 infection in children on antiretroviral therapy.

Abstract
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.
AuthorsS Resino, J M Bellón, S Sánchez-Ramón, D Gurbindo, M A Muñóz-Fernandez
JournalScandinavian journal of immunology (Scand J Immunol) Vol. 52 Issue 6 Pg. 634-40 (Dec 2000) ISSN: 0300-9475 [Print] England
PMID11119271 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Anti-HIV Agents
  • Cytokines
Topics
  • Anti-HIV Agents (therapeutic use)
  • CD4-CD8 Ratio
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Cytokines (biosynthesis)
  • HIV Infections (drug therapy)
  • HIV-1
  • Humans
  • Infant
  • Lymphocyte Activation
  • Retrospective Studies
  • Spain
  • Viral Load

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