Inconsistent reconstitution of cytomegalovirus-specific cell-mediated immunity in human immunodeficiency virus-infected patients receiving highly active antiretroviral therapy
A. Weinberg et al., Inconsistent reconstitution of cytomegalovirus-specific cell-mediated immunity in human immunodeficiency virus-infected patients receiving highly active antiretroviral therapy, J INFEC DIS, 184(6), 2001, pp. 707-712
Cytomegalovirus (CMV)-immune recovery was characterized in human immunodefi
ciency virus (HIV)-infected patients receiving highly active antiretroviral
therapy. CMV lymphocyte proliferation (LP), responder-cell frequency (RCF)
, and interferon (IFN)-gamma and interleukin (IL)-2 secretion were studied
in CMV-seropositive HIV-infected patients and in CMV-seropositive HIV-uninf
ected control subjects. HIV-infected patients and control subjects had simi
lar proportions of IL-2 and IFN-gamma, but levels were lower in HIV-infecte
d patients. LP and RCF were significantly less frequent and of lower magnit
ude in HIV-infected patients. The measures of CMV cell-mediated immunity we
re correlated in HIV-uninfected but not in HIV-infected subjects. To invest
igate this, IL-2, IL-12, anti-CD28 plus anti-CD49d, or anti-IL-10 was added
in vitro, with no effect on LP. However, CD8 cell depletion of mononuclear
cells from HIV-infected patients increased LP responses to levels similar
to those of uninfected control subjects; before depletion, only RCF correla
ted with CD4 cell counts, but after depletion, LP also correlated with CD4
cell counts.