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[长期不进展者和获得性免疫缺陷综合征患者中针对人类免疫缺陷病毒1型gag的特异性CD8 + T细胞反应]

[Human immunodeficiency virus-1 gag specific CD8+ T cell responses in long-term nonprogressors and acquired immunodeficiency syndrome patients].

作者信息

Zhang Hong-wei, Qiu Zhi-feng, Li Tai-sheng

机构信息

Department of Infectious Diseases, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.

出版信息

Zhonghua Nei Ke Za Zhi. 2004 Dec;43(12):911-4.

Abstract

OBJECTIVE

To investigate the human immunodeficiency virus (HIV)-1 gag specific CD(8)(+) T cell responses in long-term nonprogressors (LTNP) and acquired immunodeficiency syndrome (AIDS) patients in China.

METHODS

7 LTNP and 9 AIDS patients were included in this study. 11 peptide pools derived from 125 overlapping peptides spanning the full-length of HXB2 gag were used as antigens. HIV-1 specific CD(8)(+) T cell responses in these patients were examined by interferon gamma ELISPOT assay, and investigated the relationship between HIV-1 gag specific CD(8)(+) T cell responses and CD(+) T cell counts and the relationship between specific CD(8)(+) T cell responses and viral loads.

RESULTS

HXB2 could induce HIV-1 specific CD(8)(+) T cell responses in Chinese HIV/AIDS patients. The strengths of HIV-1 gag specific CD(8)(+) T cell responses in LTNP and AIDS groups were (1212 +/- 796) SFC/10(6) PBMC and (182 +/- 203) SFC/10(6) PBMC, respectively. The breadths of HIV-1 gag specific CD(8)(+) T cell responses of LTNP group and AIDS group were 3.0 +/- 0.8 and 0.8 +/- 0.7, respectively. The values of these two parometers in LTNP group were significantly higher than that in AIDS group (P < 0.01). There was a positive relationship between the strength or the breadth of HIV-1 specific CD(8)(+) T cell responses and CD(4)(+) T cell counts, whereas there was a negative relationship between strength or breadth of CD(8)(+) T cell responses and viral loads.

CONCLUSIONS

There was a cross-reactivity between dominant HIV strain in Europe and America and those in China. HIV-1 gag specific CD(8)(+) T cell responses may play a protection role during disease progression.

摘要

目的

研究中国长期不进展者(LTNP)和获得性免疫缺陷综合征(AIDS)患者中人类免疫缺陷病毒1型(HIV-1)gag特异性CD8+T细胞反应。

方法

本研究纳入7例LTNP和9例AIDS患者。使用来自覆盖HXB2 gag全长的125个重叠肽段的11个肽池作为抗原。通过干扰素γ ELISPOT试验检测这些患者中HIV-1特异性CD8+T细胞反应,并研究HIV-1 gag特异性CD8+T细胞反应与CD4+T细胞计数之间的关系以及特异性CD8+T细胞反应与病毒载量之间的关系。

结果

HXB2可诱导中国HIV/AIDS患者产生HIV-1特异性CD8+T细胞反应。LTNP组和AIDS组中HIV-1 gag特异性CD8+T细胞反应强度分别为(1212±796)斑点形成细胞(SFC)/106外周血单个核细胞(PBMC)和(182±203)SFC/106 PBMC。LTNP组和AIDS组中HIV-1 gag特异性CD8+T细胞反应广度分别为3.0±0.8和0.8±0.7。LTNP组这两个参数值均显著高于AIDS组(P<0.01)。HIV-1特异性CD8+T细胞反应的强度或广度与CD4+T细胞计数呈正相关,而CD8+T细胞反应的强度或广度与病毒载量呈负相关。

结论

欧美优势HIV毒株与中国的毒株之间存在交叉反应性。HIV-1 gag特异性CD8+T细胞反应可能在疾病进展过程中发挥保护作用。

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