title: Lymphoproliferative immune function in the Sydney Blood Bank Cohort, infected with natural nef/long terminal repeat mutants, and in other long-term survivors of transfusion-acquired HIV-1 infection.
abstract: OBJECTIVE
  To assess T-helper cell immune function (proliferation) in members of the Sydney Blood Bank Cohort (SBBC) compared with other individuals with transfusion- and sexually acquired HIV-1 infection and with matched HIV-negative controls.
  
  
  METHODS
  Decreasing CD4 counts and T-helper cell function are associated with disease progression. Peripheral blood mononuclear cells (PBMC) from study subjects were assayed for in vitro proliferative responses to HIV-1-derived antigens, recall antigens and alloantigen. T-helper cell function and CD4 counts in members of the SBBC were followed longitudinally.
  
  
  RESULTS
  Proliferative responses and CD4 counts from members of the SBBC were similar to or better than those of other transfusion- or sexually-acquired HIV-1-positive long-term non-progressors (LTNP), including the HIV-negative matched SBBC control groups. However, individuals with disease progression had reduced or undetectable proliferative responses to recall antigens but a conserved response to alloantigen; they also had low CD4 counts and low CD4:CD8 ratios. In the SBBC, these immune parameters were usually stable over time.
  
  
  CONCLUSIONS
  The unique SBBC with natural nef/long terminal repeat deletions in the HIV-1 genome were genuine LTNP without showing signs of disease progression. They appeared to be a group distinct from the tail-end of the normal distribution of disease progression rates, and may remain asymptomatic indefinitely. The SBBC virus may form the basis of a live attenuated immunotherapeutic or immunoprophylactic HIV vaccine.
authors.affiliation: New South Wales Red Cross Blood Transfusion Service, Sydney, Australia.
authors.forename: W B
authors.initials: WB
authors.lastname: Dyer
authors.forename: A F
authors.initials: AF
authors.lastname: Geczy
authors.forename: S J
authors.initials: SJ
authors.lastname: Kent
authors.forename: L B
authors.initials: LB
authors.lastname: McIntyre
authors.forename: S A
authors.initials: SA
authors.lastname: Blasdall
authors.forename: J C
authors.initials: JC
authors.lastname: Learmont
authors.forename: J S
authors.initials: JS
authors.lastname: Sullivan
mesh_terms: D000328:Adult; D000368:Aged; D001315:Australia / Q000453:epidemiology; D001771:Blood Banks; D015496:CD4-Positive T-Lymphocytes / Q000166:cytology / Q000276:immunology; D018414:CD8-Positive T-Lymphocytes / Q000166:cytology / Q000276:immunology; D002455:Cell Division; D015331:Cohort Studies; D005260:Female; D015693:Gene Products, nef / Q000235:genetics / Q000276:immunology / Q000502:physiology*; D015658:HIV Infections / Q000453:epidemiology / Q000276:immunology* / Q000821:virology*; D016325:HIV Long Terminal Repeat; D015497:HIV-1 / Q000235:genetics / Q000276:immunology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009154:Mutation; D017384:Sequence Deletion; D017741:Survivors; D054311:nef Gene Products, Human Immunodeficiency Virus
chemical_list: D015693:Gene Products, nef; D054311:nef Gene Products, Human Immunodeficiency Virus