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丙型肝炎病毒/1型人类免疫缺陷病毒合并感染与低1型人类免疫缺陷病毒病毒载量及高CD4 T淋巴细胞计数相关。

GBV-C/HIV-1 coinfection is associated with low HIV-1 viral load and high CD4 T lymphocyte count.

作者信息

de Miranda Bárbara Katharine Barbosa, de Sá Keyla Santos Guedes, da Silva Andrea Nazaré Rangel, Feitosa Rosimar Neris Martins, Cayres-Vallinoto Izaura Maria Vieira, Ishak Ricardo, Vallinoto Antonio Carlos Rosário

机构信息

Virus Laboratory, Institute of Biological Sciences, Federal University of Pará (Universidade Federal do Pará), Belem, Para, Brazil.

出版信息

Arch Virol. 2017 Nov;162(11):3431-3438. doi: 10.1007/s00705-017-3514-y. Epub 2017 Aug 5.

Abstract

GB virus C (GBV-C) is a lymphotropic virus with a low level or non-existent replication in the liver. The interaction between HIV-1 and GBV-C apparently reduces the progression of HIV-1 infection to AIDS and improves the quality of life of HIV-1 infected individuals. A cross-sectional study was established to determine the possible effect of HIV-1/GBV-C coinfection on HIV-1 viral load and CD4 T lymphocyte counts. Samples from 313 HIV-1 infected persons from the Virus Laboratory of the Federal University of Pará as well as demographic and clinical information were obtained from medical records. This study used a nested PCR method to determine GBV-C viremia. The prevalence of HIV-1/GBV-C coinfection was 17%. There were no significant differences in the distribution according to age, sex or ethnicity between the groups. The differences in HIV-1 viral load and CD4 T lymphocyte count between the HIV-1 and HIV-1/GBV-C groups were highly significant, indicating that coinfection results in lower viral loads and higher CD4 T lymphocyte counts compared to HIV-1 mono-infection. The results indicate a protective effect among coinfected individuals.

摘要

GB病毒C(GBV-C)是一种嗜淋巴细胞病毒,在肝脏中复制水平较低或不存在复制。HIV-1与GBV-C之间的相互作用显然会减缓HIV-1感染向艾滋病的进展,并改善HIV-1感染者的生活质量。开展了一项横断面研究,以确定HIV-1/GBV-C合并感染对HIV-1病毒载量和CD4 T淋巴细胞计数的可能影响。从帕拉联邦大学病毒实验室的313名HIV-1感染者中采集样本,并从病历中获取人口统计学和临床信息。本研究采用巢式PCR方法测定GBV-C病毒血症。HIV-1/GBV-C合并感染的患病率为17%。两组之间在年龄、性别或种族分布上无显著差异。HIV-1组与HIV-1/GBV-C组之间的HIV-1病毒载量和CD4 T淋巴细胞计数差异非常显著,表明与HIV-1单一感染相比,合并感染导致病毒载量更低,CD4 T淋巴细胞计数更高。结果表明合并感染个体中有保护作用。

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