Beijing Key Laboratory for HIV/AIDS Research, Clinical and Research Center for Infectious Diseases, Beijing You-An Hospital, Capital Medical University, Beijing, China.
Biomedical Information Center, Beijing You-An Hospital, Capital Medical University, Beijing, China.
AIDS Res Hum Retroviruses. 2024 Feb;40(2):101-109. doi: 10.1089/AID.2022.0089. Epub 2023 May 30.
HIV is an immunodeficiency disease with emergence of inadequate corresponding reconstruction therapies. Pyroptosis of CD4T cell is mainly caused by immune activation and inflammation that cannot be reduced by successful antiretroviral therapy (ART) alone. Coinfections because of CD4T cell reconstitution failure can occur. Anti-inflammatory treatment determines the success of immune reconstitution. In our experiment, only a few cytokines could recover to normal level following a 2-year antiretroviral treatment in early ART initiation, which is consistent with current findings about adjuvant HIV anti-inflammatory therapy. Early infection is often accompanied by a more severe inflammatory response. Innate immunity cytokines like granulocyte macrophage-colony stimulating factor, IFN-γ induced protein 10 kDa, and tumor necrosis factor-α exhibited the most elevated levels among all kinds of inflammatory cytokines. The correlation analysis showed at least eight cytokines contributing to the changes of CD4/CD8 ratio.
HIV 是一种免疫缺陷病,出现了相应的重建治疗不足。CD4T 细胞的焦亡主要是由免疫激活和炎症引起的,单纯成功的抗逆转录病毒治疗(ART)无法减轻。由于 CD4T 细胞重建失败可能会发生合并感染。抗炎治疗决定了免疫重建的成功。在我们的实验中,在早期 ART 启动时进行 2 年的抗逆转录病毒治疗后,只有少数细胞因子能够恢复到正常水平,这与目前关于辅助 HIV 抗炎治疗的发现一致。早期感染常伴有更严重的炎症反应。先天免疫细胞因子,如粒细胞巨噬细胞集落刺激因子、IFN-γ 诱导蛋白 10kDa 和肿瘤坏死因子-α,在各种炎症细胞因子中表现出最高水平。相关性分析显示,至少有八种细胞因子导致 CD4/CD8 比值的变化。