ISSN:0269-9370    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Consecutive serum samples obtained from 20 homosexual men during symptomatic primary HIV infection were examined by a variety of IgG and IgM antibody assays. All sera obtained 2–5 weeks after onset of disease contained IgM anti-HIV as demonstrated by an IgM antibody capture assay: The IgM antibodies appeared during the 2 first weeks of illness, reached peak titres at 2–5 weeks and declined thereafter to undetectable levels at 2–3 months after the onset of disease. By contrast, IgG anti-HIV appeared later, during the second week after the onset of symptoms, and did not reach maximal levels until the IgM response had waned. The first IgM antibodies to appear were directed against gag proteins. IgM antibodies againstenvantigens were found less frequently and later in the course of the disease.These results suggest that IgM antibody determination may be helpful in the diagnosis of early HIV infection as a possible addition to the combined use of antigen detection and a second generation ELISA, which, in the present study, was found to be highly reliable for diagnostic purposes.

ISSN:0269-9370    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

HIV-1 infected Molt4-T4 cells provide an efficient system for the production of cellular precursor gp160 of HIV envelope glycoproteins, gp120 and gp41.The precursor gp160 was purified on an immuno-affinity column containing antibodies from sera of HIV-1-seropositive patients. The precursor gp160 was then isolated by preparative polyacrylamide gel electrophoresis. Two out of four Balb/c mice, immunized with these purified preparations of gp160, developed specific circulating antibodies. A hybridoma cell line was subsequently isolated producing monoclonal antibody KL49/19 (lgG1, K) specific for gp160. This monoclonal antibody can specifically immunoprecipitate gp160, existing in HIV-1-infected cells. In an immunoblotting assay, it identifies mainly gp160 and shows a slight affinity for the mature glycoprotein, gp120. The monoclonal antibody is probably directed against an epitope in the polypeptide residue of gp160 since it can recognize a deglycosylated polypeptide of molecular weight 90 000, a product of gp160 digestion by endoglycosidase H (Endo H). It does not cross-react with any protein of HIV-2 by immunoblot or immunoprecipitation assays. By virtue of its specificity, the monoclonal antibody KL49/19 might provide a powerful probe with which to detect gp160 in cells which might partially express the HIV-1 genes.

ISSN:0269-9370    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

The production of neutralizing monoclonal antibodies (MAbs) will permit the exact localization of neutralizing epitopes on the AIDS virus, HIV-1. We describe the properties of seven MAbs to the envelope of the LAV-1 isolate. Five MAbs recognise the central portion of gp110, amino acids 279–472, and four of these are capable of high-titre neutralization of HIV-1, by infection inhibition, syncytial inhibition and vesicular stomatitis virus (VSV) pseudotype neutralization. One of the two MAbs to gp41 inhibits syncytium formation. Neutralization, live cell immunofluorescence and immunoprecipitation of gp110 are type-specific and restricted to HIV-1 isolates closely related to LAV-1

ISSN:0269-9370    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Sequential serum samples from 55 homosexual men with primary HIV infection were tested for IgM anti-HIV. An early IgM response was found in 27 out of 55 (49%). In five cases IgM anti-HIV was detected 1–3 1/4 months prior to IgG anti-HIV seroconversion, as detected by a commercially available ELISA, but in no case was IgM detected prior to IgG anti-HIV seroconversion, as detected by the more sensitive GACRIA (IgG antibody captive radio-immunoassay, see Subjects and methods) and immunoblot assays. In 22 out of 23 men (96%) the primary IgM response did not persist beyond 3 months.HIV antigenaemia was found before HIV antibody seroconversion in 6 out of 55 (11%) and concomitant with HIV antibody seroconversion in 8 out of 55 (15%) subjects.A 'flu-like' illness that might be ascribed to primary HIV infection was found in 37 out of 50 men (74%). A blood sample was taken from 11 men during or within 2 weeks of the illness: no serological markers of HIV infection were detected in four subjects, HIV antigen, IgM and IgG anti-HIV were detected in another four, HIV antigen was the only marker of HIV infection in two subjects, and in one subject, IgM and IgG anti-HIV were detected but not HIV antigen.These results indicate that no conclusive value can be attached to a negative IgM test in suspected primary HIV infection, and that any role for IgM anti-HIV testing in blood donor screening is highly questionable.

ISSN:0269-9370    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Six HIV-antigenaemic patients with AIDS or AIDS-related complex were studied to assess the effect of treatment with low-dose zidovudine (250 mg) in 6-hourly doses on HIV antigen (HIV-Ag) levels in cerebrospinal fluid (CSF). HIV-Ag was detected in CSF of three patients before treatment. These patients became CSF HIV-Ag-negative within 8 weeks of treatment. One initially CSF HIV-Ag-negative patient became strongly CSF HIV-Ag-positive during interruption of zidovudine treatment; CSF HIV-Ag disappeared again after treatment was restarted. None of our patients showed a significant neurological improvement during the study. These results show that low-dose zidovudine can suppress viral expression in CSF. Whether suppression of viral replication can prevent future HIV-related neurological disease remains to be investigated.

ISSN:0269-9370    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Addition of varying concentrations of HIV-1-seropositive plasma to purified virus particles and soluble viral antigen preparation inhibited the detection of HIV-1-antigen by ELISA. The degree of inhibition on p24 antigen ELISA depended on the relative concentrations of viral antigen and anti-p24 antibodies in the mixtures. The relevance of these observations to clinical specimens was demonstrated when serial plasma samples from nine AIDS-related complex (ARC) patients in a clinical trial of foscarnet therapy were assayed for p24 antigen. Six (66.6%) out of nine patients were negative on screening. However, when their plasma was centrifuged through a sucrose solution, virus particles were pelleted that were depleted of anti-p24 and virus-specific p24 antigen was detected in resuspended pellets obtained from samples from all six patients. Eight serial samples collected from a male homosexual over 50 weeks following seroconversion were also subjected to the separation procedure. HIV-1-antigen was detected in all eight samples. In the light of these observations, the application of the separation technique in monitoring the efficacy of zidovudine or other anti-retroviral therapy should reveal more precise antigen levels in patients who otherwise appear to be antigen-negative in HIV-antigen assays. We propose that the natural history of HIV infections follows a pattern of chronic viral infection with continuous shedding of virus particles circulating as immune complexes.

ISSN:0269-9370    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Among 115 heterosexual men who presented with genital ulcers to a sexually transmitted disease clinic in Nairobi, Kenya, the prevalence of serum antibody to HIV was 16.5%. A past history of genital ulcers was reported by 12 (63%) of 19 men with antibody to HIV versus 30 (31 %) of 96 without antibody (P = 0.008). HIV infection was also positively associated with lack of circumcision, but was not associated with the etiology of the current genital ulcer. Logistic regression analysis (adjusted for age, number of recent sex partners, recent prostitute contact, circumcision, tribal ethnic identity, past history of urethritis, and current diagnoses) confirmed only the association between prior history of genital ulcer disease and HIV infection; (P = 0.04, odds ratio 2.35, 95% confidence limits, 1.01–5.47). The incidence of genital ulcers, particularly chancroid, is much higher in parts of Africa than in Europe or North America. This may contribute to the increased risk of heterosexual transmission of HIV in Africa. Aggressive control of chancroid and syphilis may offer one very feasible approach to reducing transmission of HIV in this region.

ISSN:0269-9370    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Thirty-five out of approximately 800 known HIV-seropositive people in Stockholm by mid-1986 were blood donors during the period 1979–1986. Almost all, i.e. 349 recipients of their blood components (red blood cells, platelets, plasma) could be traced. One hundred and eighty were still alive and 112 of these on further analysis, were suspected of being infected. They were contacted and all but one agreed to be tested for HIV antibodies.Fifty recipients were found to be seropositive. They had been transfused with blood components from 14 of the 35 donors. The earliest observed transmission occurred in June 1982. The patterns of HIV transmission showed, with only one exception, that each donor who had transmitted HIV to one recipient had also transmitted it to all later recipients. Appropriate preserved sera and clinical records from five of the donors who had not transmitted the virus were found and analysed. The result indicated that these donors had acquired their HIV infection after their last blood donation. In conclusion, our study indicates that every antibody-positive donor transmits HIV to almost every recipient.

ISSN:0269-9370    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

In December 1985 we started a study to determine the prevalence and risk factors of HIV infection among drug users and drug-using prostitutes in Amsterdam. Recruitment took place at methadone posts (not drug-free; i.e. a low-threshold programme on which some drug users continue to use hard drugs, but at a lower level) and the weekly evening sexually transmitted diseases (STD) clinic for drug-addicted prostitutes. Three hundred and ten drug users have so far been tested and interviewed. Eighty-one per cent reported intravenous drug use; 83% of the 166 females and 15% of the 144 men reported prostitution. Female prostitutes practised mainly vaginal and orogenital intercourse and reported frequent use of condoms (89% of vaginal and 64% of orogenital contact). Male prostitutes practised mainly orogenital and manual contact. At entry 88 of the 310 (28%) were HIV-antibody-seropositive; 85 of these 88 were intravenous drug users and three were male homosexuals. HIV-antigen was detected in two seropositive and one seronegative intravenous drug-user. Antibodies to HTLV-I were found in four out of 308. Risk factors independently associated with HIV-antibody seropositivity among intravenous drug users were: frequency of borrowing used needle or syringe, date of first intravenous drug use, recent intravenous drug use, time living in Amsterdam and German nationality. Of medical history data, an attack of herpes zoster in the previous 5 years had the greatest value in the prediction of the presence of HIV antibodies (relative risk 20.90; 95% confidence interval 2.41 – 167.27). While the prevalence of HIV infection among drug users is increasing in Amsterdam, it seems to be occurring at a slower rate than in other European cities. It is encouraging that the majority (74%) of intravenous drug users in this study was aware of the danger of needle and syringe sharing and significant changes in lifestyle regarding the safer use of intravenous drugs were found. How this change will influence the further spread of HIV among this group remains to be seen.

ISSN:0269-9370    

出版商:OVID    

年代:1988

数据来源: OVID