Memory responses in human immunodeficiency virus type 1-infected individuals with long-term viral load suppression are independent of CD4 cell nadir.
The persistence of memory responses in suppressive highly active antiretroviral therapy (HAART) has been an area of controversy. By using a previously described proliferation assay that augments specific responses, peripheral blood lymphocytes (PBL) from 61 human immunodeficiency virus type 1-seropositive individuals with CD4 counts of >300/mm3 and suppressed viral burdens were studied for response to p24 antigen as a function of time of viral load suppression on HAART. In the majority of cases, proliferative responses could be measured in PBL from patients with plasma viral load suppression. No differences could be found in proliferative responses from PBL between individuals with a low and those with a high CD4 cell nadir. PBL that did not respond to either Casta antigen or p24 were found to have a higher percentage of naive cells than did PBL that responded well to antigen. These data support the contention that, after long-term viral load suppression, PBL from infected individuals have memory cell populations that can respond to antigenic stimulation under inducible conditions.
Kolber
Michael A
MA
Division of Infectious Diseases, Department of Medicine, University of Miami School of Medicine, P.O. Box 016960 (R21), Miami, FL 33101, USA. mkolber@med.Miami.edu
Saenz
Maria O
MO
Kaul
Sameer
S
D000328:Adult; D000818:Animals; D023241:Antiretroviral Therapy, Highly Active; D018791:CD4 Lymphocyte Count; D002448:Cell Adhesion / Q000276:immunology; D049109:Cell Proliferation / Q000187:drug effects; D005260:Female; D005434:Flow Cytometry; D016655:HIV Core Protein p24 / Q000276:immunology; D015658:HIV Infections / Q000188:drug therapy / Q000276:immunology*; D015497:HIV-1 / Q000276:immunology; D006801:Humans; D007118:Immunoassay / Q000379:methods; D007156:Immunologic Memory; D008070:Lipopolysaccharides / Q000276:immunology; D008297:Male; D008875:Middle Aged; D009000:Monocytes / Q000276:immunology; D013997:Time Factors; D019562:Viral Load
D016655:HIV Core Protein p24; D008070:Lipopolysaccharides