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CD4+ T cell depletion in an untreated HIV type 1-infected human leukocyte antigen-B*5801-positive patient with an undetectable viral load.一名未经治疗的1型人类免疫缺陷病毒(HIV)感染、人类白细胞抗原-B*5801阳性且病毒载量检测不到的患者体内CD4+ T细胞耗竭。
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2
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3
CD4 T cell depletion is linked directly to immune activation in the pathogenesis of HIV-1 and HIV-2 but only indirectly to the viral load.在HIV-1和HIV-2发病机制中,CD4 T细胞耗竭与免疫激活直接相关,但仅与病毒载量间接相关。
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本文引用的文献

1
Low immune activation despite high levels of pathogenic human immunodeficiency virus type 1 results in long-term asymptomatic disease.尽管致病性人类免疫缺陷病毒1型水平很高,但免疫激活水平较低会导致长期无症状疾病。
J Virol. 2007 Aug;81(16):8838-42. doi: 10.1128/JVI.02663-06. Epub 2007 May 30.
2
HIV controllers exhibit potent CD8 T cell capacity to suppress HIV infection ex vivo and peculiar cytotoxic T lymphocyte activation phenotype.HIV 控制者在体外表现出强大的 CD8 T 细胞抑制 HIV 感染的能力以及独特的细胞毒性 T 淋巴细胞激活表型。
Proc Natl Acad Sci U S A. 2007 Apr 17;104(16):6776-81. doi: 10.1073/pnas.0611244104. Epub 2007 Apr 11.
3
Isolation and characterization of replication-competent human immunodeficiency virus type 1 from a subset of elite suppressors.从一部分精英抑制者中分离并鉴定具有复制能力的1型人类免疫缺陷病毒。
J Virol. 2007 Mar;81(5):2508-18. doi: 10.1128/JVI.02165-06. Epub 2006 Dec 6.
4
Microbial translocation is a cause of systemic immune activation in chronic HIV infection.微生物易位是慢性HIV感染中全身免疫激活的一个原因。
Nat Med. 2006 Dec;12(12):1365-71. doi: 10.1038/nm1511. Epub 2006 Nov 19.
5
Maintenance of viral suppression in HIV-1-infected HLA-B*57+ elite suppressors despite CTL escape mutations.尽管存在CTL逃逸突变,但HIV-1感染的HLA-B*57+精英抑制者仍能维持病毒抑制状态。
J Exp Med. 2006 May 15;203(5):1357-69. doi: 10.1084/jem.20052319. Epub 2006 May 8.
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Dominant influence of HLA-B in mediating the potential co-evolution of HIV and HLA.HLA - B在介导HIV与HLA潜在共同进化中的主导作用。
Nature. 2004 Dec 9;432(7018):769-75. doi: 10.1038/nature03113.
7
Comprehensive epitope analysis of human immunodeficiency virus type 1 (HIV-1)-specific T-cell responses directed against the entire expressed HIV-1 genome demonstrate broadly directed responses, but no correlation to viral load.针对整个表达的人类免疫缺陷病毒1型(HIV-1)基因组的HIV-1特异性T细胞反应的综合表位分析显示出广泛的反应,但与病毒载量无关。
J Virol. 2003 Feb;77(3):2081-92. doi: 10.1128/jvi.77.3.2081-2092.2003.
8
CD4 T cell depletion is linked directly to immune activation in the pathogenesis of HIV-1 and HIV-2 but only indirectly to the viral load.在HIV-1和HIV-2发病机制中,CD4 T细胞耗竭与免疫激活直接相关,但仅与病毒载量间接相关。
J Immunol. 2002 Sep 15;169(6):3400-6. doi: 10.4049/jimmunol.169.6.3400.
9
Decay kinetics of human immunodeficiency virus-specific CD8+ T cells in peripheral blood after initiation of highly active antiretroviral therapy.高效抗逆转录病毒治疗开始后外周血中人类免疫缺陷病毒特异性CD8 + T细胞的衰变动力学。
J Virol. 2001 Jul;75(14):6508-16. doi: 10.1128/JVI.75.14.6508-6516.2001.
10
HLA B*5701 is highly associated with restriction of virus replication in a subgroup of HIV-infected long term nonprogressors.HLA B*5701与HIV感染的长期非进展者亚组中病毒复制的受限高度相关。
Proc Natl Acad Sci U S A. 2000 Mar 14;97(6):2709-14. doi: 10.1073/pnas.050567397.

一名未经治疗的1型人类免疫缺陷病毒(HIV)感染、人类白细胞抗原-B*5801阳性且病毒载量检测不到的患者体内CD4+ T细胞耗竭。

CD4+ T cell depletion in an untreated HIV type 1-infected human leukocyte antigen-B*5801-positive patient with an undetectable viral load.

作者信息

Andrade Adriana, Bailey Justin R, Xu Jie, Philp Frances H, Quinn Thomas C, Williams Thomas M, Ray Stuart C, Thomas David L, Blankson Joel N

机构信息

Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA.

出版信息

Clin Infect Dis. 2008 Apr 15;46(8):e78-82. doi: 10.1086/529387.

DOI:10.1086/529387
PMID:18444844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2664682/
Abstract

We report a case of a patient infected with human immunodeficiency virus type 1 (HIV-1) for 20 years who has experienced CD4(+) T cell depletion in spite of maintaining undetectable viral loads. Our data suggest that immune activation can cause CD4(+) T cell depletion even when HIV-1 replication appears to be controlled by host factors.

摘要

我们报告了一例感染人类免疫缺陷病毒1型(HIV-1)达20年的患者,尽管其病毒载量一直检测不到,但仍出现了CD4(+) T细胞耗竭的情况。我们的数据表明,即使HIV-1复制似乎受到宿主因素的控制,免疫激活仍可导致CD4(+) T细胞耗竭。