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Patterns of T Lymphocyte Changes with Human Immunodeficiency Virus InfectionFrom Seroconversion to the Development of AIDS

 

作者: William Lang,   Herbert Perkins,   Robert Anderson,   Rachel Royce,   Nicholas Jewell,   Warren Winkelstein,  

 

期刊: Journal of Acquired Immune Deficiency Syndromes  (OVID Available online 1989)
卷期: Volume 2, issue 1  

页码: 63-69

 

ISSN:0894-9255

 

年代: 1989

 

出版商: OVID

 

关键词: HIV;T lymphocytes;AIDS

 

数据来源: OVID

 

摘要:

CD4 and CD8 T lymphocytes of three groups of men infected by the human immunodeficiency virus (HIV) were examined twice yearly for 36 months to elucidate the temporal trends in T lymphocytes during infection. The three groups were 37 HIV seroconverters, 304 prevalent HIV seropositives remaining free of the acquired immunodeficiency syndrome (AIDS), and 69 men who developed AIDS during observation. Six months before seroconversion, CD4 levels were similar among HIV seroconverters and 356 seronegative controls. Within 18 months of seroconversion, mean CD4 levels fell to the level of the prevalent seropositives at study entry. From there, the rate of decline slowed. CD8 lymphocyte counts rose dramatically at seroconversion. Among AIDS-free prevalent seropositives, CD4 levels fell steadily over 36 months of observation. By contrast, CD8 cell levels rose slowly. Among men who developed AIDS, mean CD4 levels fell more rapidly again during the 18 months prior to diagnosis. CD8 cell levels remained elevated until 6–12 months before diagnosis, when they began to fall.

 

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