Sustained plasma TNF-alpha and HIV-1 load despite resolution of other parameters of immune activation during treatment of tuberculosis in Africans.
Identifieur interne : 000433 ( PubMed/Curation ); précédent : 000432; suivant : 000434Sustained plasma TNF-alpha and HIV-1 load despite resolution of other parameters of immune activation during treatment of tuberculosis in Africans.
Auteurs : S D Lawn [États-Unis] ; R J Shattock ; J W Acheampong ; R B Lal ; T M Folks ; G E Griffin ; S T ButeraSource :
- AIDS (London, England) [ 0269-9370 ] ; 1999.
Descripteurs français
- KwdFr :
- Antigènes HLA-DR (immunologie), Antituberculeux (usage thérapeutique), Charge virale, Facteur de nécrose tumorale alpha (métabolisme), Ghana, Humains, Infections opportunistes liées au SIDA (immunologie), Infections opportunistes liées au SIDA (traitement médicamenteux), Infections opportunistes liées au SIDA (virologie), Tuberculose (), Tuberculose (immunologie), Tuberculose (traitement médicamenteux), Tuberculose (virologie), VIH-1 (Virus de l'Immunodéficience Humaine de type 1) (isolement et purification).
- MESH :
- immunologie : Antigènes HLA-DR, Infections opportunistes liées au SIDA, Tuberculose.
- isolement et purification : VIH-1 (Virus de l'Immunodéficience Humaine de type 1).
- métabolisme : Facteur de nécrose tumorale alpha.
- traitement médicamenteux : Infections opportunistes liées au SIDA, Tuberculose.
- usage thérapeutique : Antituberculeux.
- virologie : Infections opportunistes liées au SIDA, Tuberculose.
- Charge virale, Ghana, Humains, Tuberculose.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- AIDS-Related Opportunistic Infections (drug therapy), AIDS-Related Opportunistic Infections (immunology), AIDS-Related Opportunistic Infections (virology), Antitubercular Agents (therapeutic use), Ghana, HIV-1 (isolation & purification), HLA-DR Antigens (immunology), Humans, Tuberculosis (complications), Tuberculosis (drug therapy), Tuberculosis (immunology), Tuberculosis (virology), Tumor Necrosis Factor-alpha (metabolism), Viral Load.
- MESH :
- chemical , immunology : HLA-DR Antigens.
- chemical , metabolism : Tumor Necrosis Factor-alpha.
- chemical , therapeutic use : Antitubercular Agents.
- geographic : Ghana.
- complications : Tuberculosis.
- drug therapy : AIDS-Related Opportunistic Infections, Tuberculosis.
- immunology : AIDS-Related Opportunistic Infections, Tuberculosis.
- isolation & purification : HIV-1.
- virology : AIDS-Related Opportunistic Infections, Tuberculosis.
- Humans, Viral Load.
Abstract
To determine the impact of treatment of tuberculosis on plasma HIV-1 load in African subjects and to correlate viral load with response to treatment and changes in immune activation.
PubMed: 10563708
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pubmed:10563708Le document en format XML
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<front><div type="abstract" xml:lang="en">To determine the impact of treatment of tuberculosis on plasma HIV-1 load in African subjects and to correlate viral load with response to treatment and changes in immune activation.</div>
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<Day>12</Day>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the impact of treatment of tuberculosis on plasma HIV-1 load in African subjects and to correlate viral load with response to treatment and changes in immune activation.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Clinical and microbiological responses, immune activation parameters and plasma HIV-1 load were determined in 20 patients with pulmonary tuberculosis and HIV-1 coinfection in Ghana, West Africa during the first 3 months of anti-tuberculosis treatment.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Plasma HIV-1 load and markers of immune activation were determined by commercially available assays. Human leukocyte antigen (HLA)-DR incorporation into the HIV-1 envelope was measured by using an immunomagnetic capture technique.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Treatment of tuberculosis resulted in significant improvements in weight and haemoglobin, a high sputum smear conversion rate and marked reductions in mean plasma tumour necrosis factor (TNF) receptor-1, interleukin-6 and C-reactive protein. Furthermore, incorporation of host HLA-DR into the HIV-1 envelope decreased; this also suggested a reduction in immune activation of the cells supporting viral replication. However, of importance with regard to AIDS pathogenesis, neither mean plasma TNF-alpha nor HIV-1 load decreased significantly.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The failure of HIV-1 plasma load to decline significantly during the initial months of anti-tuberculosis treatment is associated with high, sustained systemic levels of TNF-alpha. The dissociation between the sustained levels of plasma TNF-alpha and the major reductions in other, diverse immune activation parameters may represent dysregulation of cytokine production in these African patients.</AbstractText>
</Abstract>
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