ISSN:0269-9370    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

A patient with AIDS developed subcutaneous nodules and associated osteolytic lesions with negative stains and cultures for bacteria, fungi and parasites. Flucloxacillin was not effective but treatment with vancomycin was associated with improvement. Six months later the patient became severely ill, with fever, malaise and multiple skin and laryngeal papules. Cat-scratch disease was diagnosed from the typical epithelioid angiomatosis seen in skin biopsies with bacterium-like structures in the Warthin–Starry Stain. Retrospectively these typical structures were also seen in earlier biopsies. All lesions improved after therapy with erythromycin had been instituted.

ISSN:0269-9370    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Infection by molecularly cloned HIV-1, in the presence of a high-titre neutralizing monoclonal antibody (MAb), resulted in the selection of plaques in MT4 cells releasing HIV resistant to neutralization by the same MAb. The epitope recognized by the MAb was mapped to the V3neutralization epitope at amino acids 305–321. The HIV-1 variants showed a reduced binding capacity for the selecting MAb as determined by immunofluorescence. Polymerase chain reaction (PCR) amplification of complementary DNA derived from viral RNA, cloning and sequencing identified a base pair (bp) change CG at position 6663 in variant 110.5/1, predicting a change at amino acid 308 ArgGly. No other changes in the epitope were observed by sequencing three other variants. Differential hybridization of PCR amplified viral RNA and DNA, with oligonucleotides specific for the observed bp change or the ‘wild type’ sequence, indicated that the variants 110.5/1 and 110.5/7 were genotypically mixed for 308Gly/Arg. Subsequent screening of biologically ‘recloned’ variants 110.5/1 and 110.5/7 identified two subclones homozygous for the 308Glychange. The ArgGly change appears to affect the binding of the antibody to the epitope, since the linear peptide substituting 308Glyfor ‘wild type’ 308Argwas 1000 times less potent in blocking the neutralization of parental HIV. Amino-acid residue 308 thus appears to be crucial for antibody binding to the epitope. In addition, mutations distant from the monoclonal antibody binding site may also affect neutralization by antibodies recognizing the V3loop.

ISSN:0269-9370    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Four juvenile rhesus macaques were infected with simian immunodeficiency virus (SIV)MAC. Freshly isolated peripheral blood mononuclear cells (PBMC) from these SIVMAC-infected and from uninfected control macaques were assessed for cytotoxic T-lymphocyte (CTL) activity monthly for 7 consecutive months, beginning 2 months after infection. Target cells consisted of major histocompatibility complex (MHC) haploidentical parental PBMC which were stimulated with mitogen and then pulsed with heat-killed SIVMAC. CTL activity was demonstrated on all four infected animals. The effector cells are T cells which mediate cytotoxicity against SIVMAC-pulsed target cells in an MHC-restricted manner. Furthermore, the cytotoxicity is virus specific and predominantly, if not exclusively, mediated by CD8+T cells; it is also MHC class-I restricted. Incubation of target cells with leupeptin prior to the cytotoxic assay inhibited target cell generation, suggesting that viral antigens are processed via an endocytic pathway.

ISSN:0269-9370    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

In this study carbohydrate-mediated interactions of the envelope glycoprotein, gp120, of HIV-1 were investigated. Oligosaccharide probes (neoglycolipids), prepared from theN-glycosidically-linked chains of the natural and recombinant forms of gp120, were used in conjunction with the intact glycoprotein to investigate reactivities with a soluble carbohydrate-binding protein (lectin) known as mannose-binding protein in human serum. Evidence is presented that the high-mannose-type oligosaccharides with seven, eight and nine mannose residues from both forms of gp120 are recognized by the serum lectin, and that these reactivities are unrelated to CD4 recognition. Reactivities of the two forms of envelope glycoprotein with macrophages derived from human blood monocytes and with the mannose-specific macrophage endocytosis receptor isolated from human placental membranes were also investigated. Evidence is presented that both forms of gp120 bind to the macrophage surface by multiple interactions in addition to CD4 binding, and that among these interactions is a carbohydrate-mediated binding to the endocytosis receptor. We propose that such carbohydrate-mediated interactions could form the basis of viral attachment to a variety of healthy and diseased tissues.

ISSN:0269-9370    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

This paper examines the impact of the social dimension of AIDS on a person's willingness to participate in a hypothetical national seroprevalence study of HIV infection. Data from the AIDS supplement of the 1987 National Health Interview Survey provided information about the sociodemographic characteristics and AIDS-related variables and the expressed willingness to participate in a national serosurvey. A multivariate logistic regression model was used to evaluate simultaneously associations between the sociodemographic variables and AIDS-related variables with willingness to participate. Results show that those with sociodemographic characteristics most dissimilar from reported AIDS cases were least willing to participate while those with a high knowledge about AIDS, experience of the HIV test or tested people, and higher perceptions of risk were more willing to participate. We found two exceptions to this general result. First, respondents with no knowledge about AIDS, but a higher level of education, were less willing to participate than those with no knowledge and a lower level of education. Second, respondents with a higher perception of risk and a higher level of education were also less willing than those with high perception of risk and less education.

ISSN:0269-9370    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

This paper examines the influence of sexual contact patterns (mixing matrices) on the pattern of the AIDS epidemic in a male homosexual community via numerical studies of a mathematical model of the transmission dynamics of HIV. A discussion is presented of the range of possible structures of networks of sexual contacts with extremes of assortative (within sexual activity groups) and disassortative (between sexual activity groups) mixing. The assortative mixing extreme is shown to generate the most rapid growth in the incidence of infection in the early stages of the epidemic while the disassortative extreme is shown to generate the epidemic of the largest magnitude over a long period. High within-group mixing (assortative) may generate multi-peak epidemics. The results are discussed in the context of both the interpretation of observed patterns of the spread of HIV and the acquisition of data on sexual contact patterns.

ISSN:0269-9370    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

HIV-associated salivary gland disease (HIV-SGD) is characterized by enlargement of the major salivary glands and/or xerostomia. HIV does not appear to play a direct role in this disease since it was detected by immunohistochemistry in only occasional lymphocytes in labial salivary glands in two out of six patients; it was not found in the salivary gland epithelial cells. Moreover, HIV was not found in any of 21 saliva samples from seven patients. We conclude that HIV-SGD is not caused by direct infection of the salivary glands with HIV.

ISSN:0269-9370    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

We performed a phase 1–2 antiviral dose escalation trial of rifabutin, a rifamycin antibiotic with anti-HIV-1 activityin vitro.We followed 16 men with AIDS-related complex (ARC) for a mean duration of 29 weeks; the maximum toxicity-limited dose of rifabutin was 2400 mg/day, which was achieved in two patients. There was some evidence of anti-HIV-1 activity in two patients, one of whom had an improvement in immune status, but 11 of the 16 patients showed a deterioration in either virologic or immunologic status. The majority of the patients under study remained clinically stable during the trial, but there was clinical deterioration in the three who entered with CD4 cell counts of less than 100 x 106/l. On the basis of this trial, rifabutin as a single antiviral agent does not appear to be beneficial to ARC patients.

ISSN:0269-9370    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

A series of 15-mer oligopeptides which overlapped by five amino acids (AA) across the p24 of HIV-1SF2and a similar series across the p18 of HIV-1SF2were used to identify the locations of 13 anti-gagmonoclonal antibodies (MAbs). Three anti-p24 MAbs recognized sequences within the first 50 AA of the amino-terminal. Another anti-p24 recognized a conformational epitope in the centre of the protein and this MAb cross-reacted with two HIV-2 isolates suggesting conservation of this epitope between HIV-1 and HIV-2. One anti-p24 MAb recognized a linear sequence in the carboxy-terminal 100 AA and one p24 antibody was assumed to recognize a truly conformational epitope as it did not react with any of the linear peptides. Four anti-p18 MAbs were located at the carboxy-terminus of p18 with another MAb mapping slightly inwards from the carboxy-terminus and one anti-p18 MAb failed to bind to the p18 peptides. The carboxy-terminal distribution of the p18 MAbs indicated a highly immunogenic nature for this region in mice. None of the anti-p18 MAbs showed cross-reactivity with HIV-2 isolates, confirming the greater sequence variability of p18 over p24.

ISSN:0269-9370    

出版商:OVID    

年代:1989

数据来源: OVID