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CD4+ T cell responses to interleukin-2 administration in HIV-infected patients are directly related to the baseline level of immune activation
Journal article   Open access   Peer reviewed

CD4+ T cell responses to interleukin-2 administration in HIV-infected patients are directly related to the baseline level of immune activation

Irini Sereti, Peter Sklar, Meena S Ramchandani, Sarah W Read, Vinay Aggarwal, Hiromi Imamichi, Ven Natarajan, Julia A Metcalf, Joseph A Kovacs, Jorge Tavel, …
The Journal of infectious diseases, v 196(5), pp 677-683
01 Sep 2007
PMID: 17674308
url
https://doi.org/10.1086/520087View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open

Abstract

Adult Anti-Retroviral Agents - administration & dosage Anti-Retroviral Agents - therapeutic use Case-Control Studies CD4-Positive T-Lymphocytes - immunology CD8-Positive T-Lymphocytes - immunology Female Gene Expression Regulation HIV Infections - drug therapy HIV Infections - immunology Humans Interleukin-2 - immunology Interleukin-2 - therapeutic use Interleukin-2 Receptor alpha Subunit - genetics Interleukin-2 Receptor alpha Subunit - metabolism Male Middle Aged Viral Load
Intermittent interleukin (IL)-2 administration to human immunodeficiency virus (HIV)-infected patients leads to CD4(+) T cell expansions. The factors potentially affecting these expansions were investigated in the present study. A matched (for baseline CD4(+) T cell count) case-control study was designed. Nonresponders (NRs) were defined as patients with a <or=10% increase in CD4(+) T cell count 2 months after the third IL-2 cycle (week 24), compared with that at baseline (week 0). Control subjects experienced a >or=50% increase in CD4(+) T cell count at week 24. Immunophenotype, Ki67 and forkhead box protein P3 (FoxP3) expression, and T cell receptor excision circle (TREC) measurements in T cells were evaluated at weeks 0 and 24 in both groups. Control subjects and NRs did not differ significantly at baseline in age, viral load, CD4(+) T cell count, nadir CD4(+) T cell count, or CD8(+) T cell count. At week 0, NRs had lower TREC levels per 1x106 T cells and higher levels of T cell proliferation and activation than did control subjects. At week 24, both groups experienced decreases in T cell proliferation and increases in CD25 and FoxP3 expression on CD4(+) T cells, with TREC levels per 1x106 CD4(+) T cells decreasing significantly only in control subjects. Increased immune activation can adversely affect CD4(+) T cell expansions after IL-2 administration. Despite the lack of expansion, other evidence of IL-2-induced biological activity was observed.

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Web of Science research areas
Immunology
Infectious Diseases
Microbiology
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