Integrative Analysis of Immunological Data to Explore Chronic Immune T-Cell Activation in Successfully Treated HIV Patients
Identifieur interne : 000969 ( Main/Exploration ); précédent : 000968; suivant : 000970Integrative Analysis of Immunological Data to Explore Chronic Immune T-Cell Activation in Successfully Treated HIV Patients
Auteurs : Marie-Quitterie Picat [France] ; Isabelle Pellegrin [France] ; Juliette Bitard [France] ; Linda Wittkop [France] ; Cécile Proust-Lima [France] ; Benoît Liquet [France, Australie] ; Jean-François Moreau [France] ; Fabrice Bonnet [France] ; Patrick Blanco [France] ; Rodolphe Thiébaut [France]Source :
- PLoS ONE [ 1932-6203 ] ; 2017.
Descripteurs français
- KwdFr :
- ARN ribosomique 16S (métabolisme), Activation des lymphocytes, Adulte, Adulte d'âge moyen, Algorithmes, Analyse multivariée, Antigènes CD38 (métabolisme), Antigènes HLA-DR (métabolisme), Antirétroviraux (usage thérapeutique), Auto-immunité (immunologie), Cytomegalovirus, Facteurs de risque, Femelle, France, Humains, Infections à VIH (), Infections à VIH (immunologie), Interféron alpha (immunologie), Lymphocytes T (immunologie), Lymphocytes T CD4+ (immunologie), Lymphocytes T CD8+ (immunologie), Maladie chronique, Modèles statistiques, Mâle, Études de cohortes, Études transversales.
- MESH :
- immunologie : Auto-immunité, Infections à VIH, Interféron alpha, Lymphocytes T, Lymphocytes T CD4+, Lymphocytes T CD8+.
- métabolisme : ARN ribosomique 16S, Antigènes CD38, Antigènes HLA-DR.
- usage thérapeutique : Antirétroviraux.
- Activation des lymphocytes, Adulte, Adulte d'âge moyen, Algorithmes, Analyse multivariée, Cytomegalovirus, Facteurs de risque, Femelle, France, Humains, Infections à VIH, Maladie chronique, Modèles statistiques, Mâle, Études de cohortes, Études transversales.
English descriptors
- KwdEn :
- Adult, Algorithms, Anti-Retroviral Agents (therapeutic use), Antigens, CD38 (metabolism), Autoimmunity (immunology), CD4-Positive T-Lymphocytes (immunology), CD8-Positive T-Lymphocytes (immunology), Chronic Disease, Cohort Studies, Cross-Sectional Studies, Cytomegalovirus, Female, France, HIV Infections (immunology), HIV Infections (therapy), HLA-DR Antigens (metabolism), Humans, Interferon-alpha (immunology), Lymphocyte Activation, Male, Middle Aged, Models, Statistical, Multivariate Analysis, RNA, Ribosomal, 16S (metabolism), Risk Factors, T-Lymphocytes (immunology).
- MESH :
- chemical , immunology : Interferon-alpha.
- chemical , metabolism : Antigens, CD38, HLA-DR Antigens, RNA, Ribosomal, 16S.
- chemical , therapeutic use : Anti-Retroviral Agents.
- immunology : Autoimmunity, CD4-Positive T-Lymphocytes, CD8-Positive T-Lymphocytes, HIV Infections, T-Lymphocytes.
- therapy : HIV Infections.
- Adult, Algorithms, Chronic Disease, Cohort Studies, Cross-Sectional Studies, Cytomegalovirus, Female, France, Humans, Lymphocyte Activation, Male, Middle Aged, Models, Statistical, Multivariate Analysis, Risk Factors.
Abstract
To unravel the complex relationships between cytomegalovirus-induced-, autoimmune-induced responses, microbial translocation and chronic immune activation (CIA) in successfully treated HIV-infected patients and to explore the mediating role of alpha-interferon in these processes.
Cross-sectional study nested in the ANRS CO3 Aquitaine Cohort, a prospective hospital-based cohort of HIV-1-infected patients in South-Western France.
Patients initiated antiretroviral therapy between 2005 and 2008 and were treated with sustained virological suppression for at least two years. CIA was defined by the percentage of HLA-DR+/CD38+ among CD8+T-cells. Integrative analyses were performed using structural equation modelling (SEM).
The main analysis was performed in 57 HLA-A*0201 positive patients, due to availability of percentages of actin-, vimentin-, lamin-specific CD8+T-cells (HLA-A2-restricted tests) to further characterize autoimmune response. Cytomegalovirus-induced response was assessed by Quantiferon and pp-65 ELISPOT. SEM revealed a direct effect of cytomegalovirus-induced response on CIA (standardized estimate βstd = 0.56, p-value = 0.0004). The effect of autoimmune-induced response on CIA was indirect through alpha-interferon pathway, assessed by expression levels of 5 alpha-interferon-stimulated genes ADAR, ISG15, IFIT1, Mx1 and OAS1 (effect of autoimmune response on alpha-interferon: βstd = 0.36, p-value = 0.0401; effect of alpha-interferon on CIA: βstd = 0.39, p-value = 0.0044). There was no direct effect of autoimmune-induced response on CIA (p-value = 0.3169). Microbial translocation as measured by 16SrDNA and sCD14 in plasma was not associated with CIA. Results were consistent in 142 patients in whom cytomegalovirus and auto-immunity responses were measured by Quantiferon and anti-nuclear antibodies, respectively. All analyses performed in HLA-A*0201 positive patients and in the overall population revealed a significant effect of IFN-α latent variable on CIA.
The role of cytomegalovirus-induced response on CIA was confirmed as well as the involvement of alpha-interferon on CIA. The indirect effect of auto-immunity response on CIA revealed through the alpha-interferon pathway requires further investigation to confirm the potential role of auto-immunity for CIA in HIV-infected patients.
Url:
DOI: 10.1371/journal.pone.0169164
PubMed: 28046052
PubMed Central: 5207686
Affiliations:
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Le document en format XML
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<country xml:lang="fr">France</country>
<wicri:regionArea>Centre INSERM U1219 Bordeaux Population Health, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff002"><addr-line>Univ. Bordeaux, ISPED, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Univ. Bordeaux, ISPED, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff003"><addr-line>Service d’Information Médicale, USMR, CHU de Bordeaux - Pôle de Santé Publique, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d’Information Médicale, USMR, CHU de Bordeaux - Pôle de Santé Publique, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff004"><addr-line>INRIA, Team SISTM, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INRIA, Team SISTM, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Vaccine Research Institute-VRI, Hôpital Henri Mondor, Créteil, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Vaccine Research Institute-VRI, Hôpital Henri Mondor, Créteil</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Créteil</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Pellegrin, Isabelle" sort="Pellegrin, Isabelle" uniqKey="Pellegrin I" first="Isabelle" last="Pellegrin">Isabelle Pellegrin</name>
<affiliation wicri:level="3"><nlm:aff id="aff006"><addr-line>Laboratoire d’Immunologie-Immunogénétique, Pôle de Biologie, CHU Bordeaux, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Laboratoire d’Immunologie-Immunogénétique, Pôle de Biologie, CHU Bordeaux, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bitard, Juliette" sort="Bitard, Juliette" uniqKey="Bitard J" first="Juliette" last="Bitard">Juliette Bitard</name>
<affiliation wicri:level="3"><nlm:aff id="aff006"><addr-line>Laboratoire d’Immunologie-Immunogénétique, Pôle de Biologie, CHU Bordeaux, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Laboratoire d’Immunologie-Immunogénétique, Pôle de Biologie, CHU Bordeaux, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Wittkop, Linda" sort="Wittkop, Linda" uniqKey="Wittkop L" first="Linda" last="Wittkop">Linda Wittkop</name>
<affiliation wicri:level="3"><nlm:aff id="aff001"><addr-line>Centre INSERM U1219 Bordeaux Population Health, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Centre INSERM U1219 Bordeaux Population Health, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff002"><addr-line>Univ. Bordeaux, ISPED, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Univ. Bordeaux, ISPED, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff003"><addr-line>Service d’Information Médicale, USMR, CHU de Bordeaux - Pôle de Santé Publique, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d’Information Médicale, USMR, CHU de Bordeaux - Pôle de Santé Publique, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff004"><addr-line>INRIA, Team SISTM, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INRIA, Team SISTM, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Proust Lima, Cecile" sort="Proust Lima, Cecile" uniqKey="Proust Lima C" first="Cécile" last="Proust-Lima">Cécile Proust-Lima</name>
<affiliation wicri:level="3"><nlm:aff id="aff001"><addr-line>Centre INSERM U1219 Bordeaux Population Health, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Centre INSERM U1219 Bordeaux Population Health, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff002"><addr-line>Univ. Bordeaux, ISPED, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Univ. Bordeaux, ISPED, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Liquet, Benoit" sort="Liquet, Benoit" uniqKey="Liquet B" first="Benoît" last="Liquet">Benoît Liquet</name>
<affiliation wicri:level="3"><nlm:aff id="aff007"><addr-line>Laboratoire de Mathématiques et de leurs Applications, Université de Pau et des Pays de l’Adour, UMR CNRS 5142, Pau, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Laboratoire de Mathématiques et de leurs Applications, Université de Pau et des Pays de l’Adour, UMR CNRS 5142, Pau</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Pau</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="aff008"><addr-line>ARC Centre of Excellence for Mathematical and Statistical Frontiers, Queensland University of Technology (QUT), Brisbane, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>ARC Centre of Excellence for Mathematical and Statistical Frontiers, Queensland University of Technology (QUT), Brisbane</wicri:regionArea>
<wicri:noRegion>Brisbane</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Moreau, Jean Francois" sort="Moreau, Jean Francois" uniqKey="Moreau J" first="Jean-François" last="Moreau">Jean-François Moreau</name>
<affiliation wicri:level="3"><nlm:aff id="aff006"><addr-line>Laboratoire d’Immunologie-Immunogénétique, Pôle de Biologie, CHU Bordeaux, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Laboratoire d’Immunologie-Immunogénétique, Pôle de Biologie, CHU Bordeaux, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff009"><addr-line>Univ. Bordeaux, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Univ. Bordeaux, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff010"><addr-line>CNRS, UMR 5164, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>CNRS, UMR 5164, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bonnet, Fabrice" sort="Bonnet, Fabrice" uniqKey="Bonnet F" first="Fabrice" last="Bonnet">Fabrice Bonnet</name>
<affiliation wicri:level="3"><nlm:aff id="aff001"><addr-line>Centre INSERM U1219 Bordeaux Population Health, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Centre INSERM U1219 Bordeaux Population Health, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff009"><addr-line>Univ. Bordeaux, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Univ. Bordeaux, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff011"><addr-line>Service de Médecine Interne et maladies Infectieuses, CHU de Bordeaux, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de Médecine Interne et maladies Infectieuses, CHU de Bordeaux, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Blanco, Patrick" sort="Blanco, Patrick" uniqKey="Blanco P" first="Patrick" last="Blanco">Patrick Blanco</name>
<affiliation wicri:level="3"><nlm:aff id="aff006"><addr-line>Laboratoire d’Immunologie-Immunogénétique, Pôle de Biologie, CHU Bordeaux, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Laboratoire d’Immunologie-Immunogénétique, Pôle de Biologie, CHU Bordeaux, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff009"><addr-line>Univ. Bordeaux, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Univ. Bordeaux, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff010"><addr-line>CNRS, UMR 5164, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>CNRS, UMR 5164, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Thiebaut, Rodolphe" sort="Thiebaut, Rodolphe" uniqKey="Thiebaut R" first="Rodolphe" last="Thiébaut">Rodolphe Thiébaut</name>
<affiliation wicri:level="3"><nlm:aff id="aff001"><addr-line>Centre INSERM U1219 Bordeaux Population Health, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Centre INSERM U1219 Bordeaux Population Health, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff002"><addr-line>Univ. Bordeaux, ISPED, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Univ. Bordeaux, ISPED, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff003"><addr-line>Service d’Information Médicale, USMR, CHU de Bordeaux - Pôle de Santé Publique, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d’Information Médicale, USMR, CHU de Bordeaux - Pôle de Santé Publique, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff004"><addr-line>INRIA, Team SISTM, Bordeaux, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INRIA, Team SISTM, Bordeaux</wicri:regionArea>
<placeName><region type="region">Nouvelle-Aquitaine</region>
<region type="old region">Aquitaine</region>
<settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Vaccine Research Institute-VRI, Hôpital Henri Mondor, Créteil, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Vaccine Research Institute-VRI, Hôpital Henri Mondor, Créteil</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Créteil</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">PLoS ONE</title>
<idno type="eISSN">1932-6203</idno>
<imprint><date when="2017">2017</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Algorithms</term>
<term>Anti-Retroviral Agents (therapeutic use)</term>
<term>Antigens, CD38 (metabolism)</term>
<term>Autoimmunity (immunology)</term>
<term>CD4-Positive T-Lymphocytes (immunology)</term>
<term>CD8-Positive T-Lymphocytes (immunology)</term>
<term>Chronic Disease</term>
<term>Cohort Studies</term>
<term>Cross-Sectional Studies</term>
<term>Cytomegalovirus</term>
<term>Female</term>
<term>France</term>
<term>HIV Infections (immunology)</term>
<term>HIV Infections (therapy)</term>
<term>HLA-DR Antigens (metabolism)</term>
<term>Humans</term>
<term>Interferon-alpha (immunology)</term>
<term>Lymphocyte Activation</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Models, Statistical</term>
<term>Multivariate Analysis</term>
<term>RNA, Ribosomal, 16S (metabolism)</term>
<term>Risk Factors</term>
<term>T-Lymphocytes (immunology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>ARN ribosomique 16S (métabolisme)</term>
<term>Activation des lymphocytes</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Algorithmes</term>
<term>Analyse multivariée</term>
<term>Antigènes CD38 (métabolisme)</term>
<term>Antigènes HLA-DR (métabolisme)</term>
<term>Antirétroviraux (usage thérapeutique)</term>
<term>Auto-immunité (immunologie)</term>
<term>Cytomegalovirus</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>France</term>
<term>Humains</term>
<term>Infections à VIH ()</term>
<term>Infections à VIH (immunologie)</term>
<term>Interféron alpha (immunologie)</term>
<term>Lymphocytes T (immunologie)</term>
<term>Lymphocytes T CD4+ (immunologie)</term>
<term>Lymphocytes T CD8+ (immunologie)</term>
<term>Maladie chronique</term>
<term>Modèles statistiques</term>
<term>Mâle</term>
<term>Études de cohortes</term>
<term>Études transversales</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="immunology" xml:lang="en"><term>Interferon-alpha</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Antigens, CD38</term>
<term>HLA-DR Antigens</term>
<term>RNA, Ribosomal, 16S</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Retroviral Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Auto-immunité</term>
<term>Infections à VIH</term>
<term>Interféron alpha</term>
<term>Lymphocytes T</term>
<term>Lymphocytes T CD4+</term>
<term>Lymphocytes T CD8+</term>
</keywords>
<keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Autoimmunity</term>
<term>CD4-Positive T-Lymphocytes</term>
<term>CD8-Positive T-Lymphocytes</term>
<term>HIV Infections</term>
<term>T-Lymphocytes</term>
</keywords>
<keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>ARN ribosomique 16S</term>
<term>Antigènes CD38</term>
<term>Antigènes HLA-DR</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>HIV Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antirétroviraux</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Algorithms</term>
<term>Chronic Disease</term>
<term>Cohort Studies</term>
<term>Cross-Sectional Studies</term>
<term>Cytomegalovirus</term>
<term>Female</term>
<term>France</term>
<term>Humans</term>
<term>Lymphocyte Activation</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Models, Statistical</term>
<term>Multivariate Analysis</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Activation des lymphocytes</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Algorithmes</term>
<term>Analyse multivariée</term>
<term>Cytomegalovirus</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>France</term>
<term>Humains</term>
<term>Infections à VIH</term>
<term>Maladie chronique</term>
<term>Modèles statistiques</term>
<term>Mâle</term>
<term>Études de cohortes</term>
<term>Études transversales</term>
</keywords>
</textClass>
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</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Objectives</title>
<p>To unravel the complex relationships between cytomegalovirus-induced-, autoimmune-induced responses, microbial translocation and chronic immune activation (CIA) in successfully treated HIV-infected patients and to explore the mediating role of alpha-interferon in these processes.</p>
</sec>
<sec id="sec002"><title>Design</title>
<p>Cross-sectional study nested in the ANRS CO3 Aquitaine Cohort, a prospective hospital-based cohort of HIV-1-infected patients in South-Western France.</p>
</sec>
<sec id="sec003"><title>Methods</title>
<p>Patients initiated antiretroviral therapy between 2005 and 2008 and were treated with sustained virological suppression for at least two years. CIA was defined by the percentage of HLA-DR+/CD38+ among CD8+T-cells. Integrative analyses were performed using structural equation modelling (SEM).</p>
</sec>
<sec id="sec004"><title>Results</title>
<p>The main analysis was performed in 57 HLA-A*0201 positive patients, due to availability of percentages of actin-, vimentin-, lamin-specific CD8+T-cells (HLA-A2-restricted tests) to further characterize autoimmune response. Cytomegalovirus-induced response was assessed by Quantiferon and pp-65 ELISPOT. SEM revealed a direct effect of cytomegalovirus-induced response on CIA (standardized estimate βstd = 0.56, p-value = 0.0004). The effect of autoimmune-induced response on CIA was indirect through alpha-interferon pathway, assessed by expression levels of 5 alpha-interferon-stimulated genes ADAR, ISG15, IFIT1, Mx1 and OAS1 (effect of autoimmune response on alpha-interferon: βstd = 0.36, p-value = 0.0401; effect of alpha-interferon on CIA: βstd = 0.39, p-value = 0.0044). There was no direct effect of autoimmune-induced response on CIA (p-value = 0.3169). Microbial translocation as measured by 16SrDNA and sCD14 in plasma was not associated with CIA. Results were consistent in 142 patients in whom cytomegalovirus and auto-immunity responses were measured by Quantiferon and anti-nuclear antibodies, respectively. All analyses performed in HLA-A*0201 positive patients and in the overall population revealed a significant effect of IFN-α latent variable on CIA.</p>
</sec>
<sec id="sec005"><title>Conclusion</title>
<p>The role of cytomegalovirus-induced response on CIA was confirmed as well as the involvement of alpha-interferon on CIA. The indirect effect of auto-immunity response on CIA revealed through the alpha-interferon pathway requires further investigation to confirm the potential role of auto-immunity for CIA in HIV-infected patients.</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Deeks, Sg" uniqKey="Deeks S">SG Deeks</name>
</author>
<author><name sortKey="Kitchen, Cm" uniqKey="Kitchen C">CM Kitchen</name>
</author>
<author><name sortKey="Liu, L" uniqKey="Liu L">L Liu</name>
</author>
<author><name sortKey="Guo, H" uniqKey="Guo H">H Guo</name>
</author>
<author><name sortKey="Gascon, R" uniqKey="Gascon R">R Gascon</name>
</author>
<author><name sortKey="Narvaez, Ab" uniqKey="Narvaez A">AB Narvaez</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Sodora, Dl" uniqKey="Sodora D">DL Sodora</name>
</author>
<author><name sortKey="Silvestri, G" uniqKey="Silvestri G">G Silvestri</name>
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</analytic>
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</author>
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<author><name sortKey="Sieg, Sf" uniqKey="Sieg S">SF Sieg</name>
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</analytic>
</biblStruct>
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</author>
<author><name sortKey="French, Ma" uniqKey="French M">MA French</name>
</author>
</analytic>
</biblStruct>
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</analytic>
</biblStruct>
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</biblStruct>
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</biblStruct>
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</biblStruct>
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</analytic>
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</analytic>
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</div1>
</back>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>France</li>
</country>
<region><li>Aquitaine</li>
<li>Nouvelle-Aquitaine</li>
<li>Île-de-France</li>
</region>
<settlement><li>Bordeaux</li>
<li>Créteil</li>
<li>Pau</li>
</settlement>
</list>
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<name sortKey="Bonnet, Fabrice" sort="Bonnet, Fabrice" uniqKey="Bonnet F" first="Fabrice" last="Bonnet">Fabrice Bonnet</name>
<name sortKey="Liquet, Benoit" sort="Liquet, Benoit" uniqKey="Liquet B" first="Benoît" last="Liquet">Benoît Liquet</name>
<name sortKey="Moreau, Jean Francois" sort="Moreau, Jean Francois" uniqKey="Moreau J" first="Jean-François" last="Moreau">Jean-François Moreau</name>
<name sortKey="Moreau, Jean Francois" sort="Moreau, Jean Francois" uniqKey="Moreau J" first="Jean-François" last="Moreau">Jean-François Moreau</name>
<name sortKey="Moreau, Jean Francois" sort="Moreau, Jean Francois" uniqKey="Moreau J" first="Jean-François" last="Moreau">Jean-François Moreau</name>
<name sortKey="Pellegrin, Isabelle" sort="Pellegrin, Isabelle" uniqKey="Pellegrin I" first="Isabelle" last="Pellegrin">Isabelle Pellegrin</name>
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<name sortKey="Picat, Marie Quitterie" sort="Picat, Marie Quitterie" uniqKey="Picat M" first="Marie-Quitterie" last="Picat">Marie-Quitterie Picat</name>
<name sortKey="Picat, Marie Quitterie" sort="Picat, Marie Quitterie" uniqKey="Picat M" first="Marie-Quitterie" last="Picat">Marie-Quitterie Picat</name>
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<name sortKey="Thiebaut, Rodolphe" sort="Thiebaut, Rodolphe" uniqKey="Thiebaut R" first="Rodolphe" last="Thiébaut">Rodolphe Thiébaut</name>
<name sortKey="Thiebaut, Rodolphe" sort="Thiebaut, Rodolphe" uniqKey="Thiebaut R" first="Rodolphe" last="Thiébaut">Rodolphe Thiébaut</name>
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<name sortKey="Wittkop, Linda" sort="Wittkop, Linda" uniqKey="Wittkop L" first="Linda" last="Wittkop">Linda Wittkop</name>
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</record>
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