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PLoS One. 2012;7(1):e29154. doi: 10.1371/journal.pone.0029154. Epub 2012 Jan 11.

Association of differentiation state of CD4+ T cells and disease progression in HIV-1 perinatally infected children.

Author information

  • 1Division of Experimental Medicine, Department of Medicine, University of California San Francisco, San Francisco, California, United States of America.

Abstract

BACKGROUND:

In the USA, most HIV-1 infected children are on antiretroviral drug regimens, with many individuals surviving through adolescence and into adulthood. The course of HIV-1 infection in these children is variable, and understudied.

METHODOLOGY/PRINCIPAL FINDINGS:

We determined whether qualitative differences in immune cell subsets could explain a slower disease course in long term survivors with no evidence of immune suppression (LTS-NS; CD4%≥25%) compared to those with severe immune suppression (LTS-SS; CD4%≤15%). Subjects in the LTS-NS group had significantly higher frequencies of naïve (CCR7+CD45RA+) and central memory (CCR7+CD45RA-) CD4+ T cells compared to LTS-SS subjects (p = 0.0005 and <0.0001, respectively). Subjects in the rapid progressing group had significantly higher levels of CD4+ T(EMRA) (CCR7-CD45RA+) cells compared to slow progressing subjects (p<0.0001).

CONCLUSIONS/SIGNIFICANCE:

Rapid disease progression in vertical infection is associated with significantly higher levels of CD4+ T(EMRA) (CCR7-CD45RA+) cells.

PMID:
22247768
[PubMed - indexed for MEDLINE]
PMCID:
PMC3256156
Free PMC Article

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