Persistence of pathological distribution of NK cells in HIV-infected patients with prolonged use of HAART and a sustained immune response

A prospective analysis of the distribution of NK subsets and natural cytotoxicity receptors (NKp30/NKp46) in HIV patients with long-term HAART use and sustained virological and immunological response. The main inclusion criteria were: at least 3 years' receipt of HAART; current CD4+ count ≥ 500...

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Veröffentlicht in:PloS one 2015-03, Vol.10 (3), p.e0121019-e0121019
Hauptverfasser: Frias, Mario, Rivero-Juarez, Antonio, Gordon, Ana, Camacho, Angela, Cantisan, Sara, Cuenca-Lopez, Francisca, Torre-Cisneros, Julian, Peña, Jose, Rivero, Antonio
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container_issue 3
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container_title PloS one
container_volume 10
creator Frias, Mario
Rivero-Juarez, Antonio
Gordon, Ana
Camacho, Angela
Cantisan, Sara
Cuenca-Lopez, Francisca
Torre-Cisneros, Julian
Peña, Jose
Rivero, Antonio
description A prospective analysis of the distribution of NK subsets and natural cytotoxicity receptors (NKp30/NKp46) in HIV patients with long-term HAART use and sustained virological and immunological response. The main inclusion criteria were: at least 3 years' receipt of HAART; current CD4+ count ≥ 500 cells/mm3; undetectable viral load for at least 24 months; no hepatotropic virus co-infection. Percentages of CD56dim, CD56bright NK cells and CD56neg CD16+ cells were obtained. Expression of the NCRs, NKp30 and NKp46 was analysed in CD56+ cells. Thirty-nine infected patients and sixteen healthy donors were included in the study. The percentages of total CD56+ and CD56dim NK cells were significantly lower in HIV-infected patients than in healthy donors (70.4 vs. 50.3 and 80.9 vs. 66.1 respectively). The percentage of total CD56+ NK cells expressing NCR receptors was lower in HIV patients than in healthy donors (NKp30: 25.20 vs. 58.63; NKp46: 24.8 vs. 50.59). This was also observed for CD56dim and CD56bright NK cells. Length of time with undetectable HIV viral load was identified as an independent factor associated with higher expression of NKp30 and NKp46. Despite the prolonged and effective use of HAART, HIV-infected patients do not fully reconstitute the distribution of NK cells. Length of time with an undetectable viral load was related to greater recovery of NKp30/NKp46 receptors.
doi_str_mv 10.1371/journal.pone.0121019
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K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Persistence of pathological distribution of NK cells in HIV-infected patients with prolonged use of HAART and a sustained immune response</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-03-26</date><risdate>2015</risdate><volume>10</volume><issue>3</issue><spage>e0121019</spage><epage>e0121019</epage><pages>e0121019-e0121019</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>A prospective analysis of the distribution of NK subsets and natural cytotoxicity receptors (NKp30/NKp46) in HIV patients with long-term HAART use and sustained virological and immunological response. 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subjects Acquired immune deficiency syndrome
Adult
AIDS
Analysis
Antiretroviral agents
Antiretroviral drugs
Antiretroviral Therapy, Highly Active
CD16 antigen
CD4 antigen
CD56 antigen
Cytotoxicity
Fc receptors
Female
Flow Cytometry
Health aspects
Highly active antiretroviral therapy
HIV
HIV infections
HIV Infections - drug therapy
HIV Infections - immunology
HIV Infections - virology
HIV patients
Human immunodeficiency virus
Humans
Immune response
Immune system
Immunity
Immunology
Infection
Infections
Infectious diseases
Killer cells
Killer Cells, Natural - immunology
Killer Cells, Natural - pathology
Linear Models
Load distribution
Lymphocyte Count
Maimonides (Moses ben Maimon) (1135-1204)
Male
Middle Aged
Multivariate Analysis
Natural Cytotoxicity Triggering Receptor 1 - metabolism
Natural Cytotoxicity Triggering Receptor 3 - metabolism
Patients
Receptors
Software
Studies
Tissue Donors
Toxicity
Variables
Viral infections
Viral Load
Viruses
title Persistence of pathological distribution of NK cells in HIV-infected patients with prolonged use of HAART and a sustained immune response
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