Le SIDA au Ghana (serveur d'exploration)

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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 : 000434

Sustained 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 Butera

Source :

RBID : pubmed:10563708

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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:10563708

Le document en format XML

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<title xml:lang="en">Sustained plasma TNF-alpha and HIV-1 load despite resolution of other parameters of immune activation during treatment of tuberculosis in Africans.</title>
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<name sortKey="Folks, T M" sort="Folks, T M" uniqKey="Folks T" first="T M" last="Folks">T M Folks</name>
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<name sortKey="Griffin, G E" sort="Griffin, G E" uniqKey="Griffin G" first="G E" last="Griffin">G E Griffin</name>
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<name sortKey="Butera, S T" sort="Butera, S T" uniqKey="Butera S" first="S T" last="Butera">S T Butera</name>
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<term>Antitubercular Agents (therapeutic use)</term>
<term>Ghana</term>
<term>HIV-1 (isolation & purification)</term>
<term>HLA-DR Antigens (immunology)</term>
<term>Humans</term>
<term>Tuberculosis (complications)</term>
<term>Tuberculosis (drug therapy)</term>
<term>Tuberculosis (immunology)</term>
<term>Tuberculosis (virology)</term>
<term>Tumor Necrosis Factor-alpha (metabolism)</term>
<term>Viral Load</term>
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<term>Antigènes HLA-DR (immunologie)</term>
<term>Antituberculeux (usage thérapeutique)</term>
<term>Charge virale</term>
<term>Facteur de nécrose tumorale alpha (métabolisme)</term>
<term>Ghana</term>
<term>Humains</term>
<term>Infections opportunistes liées au SIDA (immunologie)</term>
<term>Infections opportunistes liées au SIDA (traitement médicamenteux)</term>
<term>Infections opportunistes liées au SIDA (virologie)</term>
<term>Tuberculose ()</term>
<term>Tuberculose (immunologie)</term>
<term>Tuberculose (traitement médicamenteux)</term>
<term>Tuberculose (virologie)</term>
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<term>HLA-DR Antigens</term>
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<term>Tumor Necrosis Factor-alpha</term>
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<term>Ghana</term>
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<term>Tuberculosis</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>AIDS-Related Opportunistic Infections</term>
<term>Tuberculosis</term>
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<term>Antigènes HLA-DR</term>
<term>Infections opportunistes liées au SIDA</term>
<term>Tuberculose</term>
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<term>AIDS-Related Opportunistic Infections</term>
<term>Tuberculosis</term>
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<term>HIV-1</term>
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<term>VIH-1 (Virus de l'Immunodéficience Humaine de type 1)</term>
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<term>Facteur de nécrose tumorale alpha</term>
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<term>Infections opportunistes liées au SIDA</term>
<term>Tuberculose</term>
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<term>Antituberculeux</term>
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<term>Infections opportunistes liées au SIDA</term>
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<term>AIDS-Related Opportunistic Infections</term>
<term>Tuberculosis</term>
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<term>Viral Load</term>
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<term>Ghana</term>
<term>Humains</term>
<term>Tuberculose</term>
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<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>23</Day>
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<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>
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<DescriptorName UI="D015497" MajorTopicYN="N">HIV-1</DescriptorName>
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