Serum and cerebrospinal fluid levels of interleukin-18 in human immunodeficiency virus type 1-associated central nervous system disease

Interleukin-18 (IL-18) is a proinflammatory cytokine released by macrophages that strongly stimulates the production of interferon-γ, thereby linking innate and acquired immunity. Its role in human immunodeficiency virus (HIV) pathogenesis is under debate and little is known about its role in neuro-...

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Veröffentlicht in:Journal of neurovirology 2004-12, Vol.10 (6), p.383-386
Hauptverfasser: Giesen, Hans-Jürgen von, Jander, Sebastian, Köller, Hubertus, Arendt, Gabriele
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container_issue 6
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container_title Journal of neurovirology
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creator Giesen, Hans-Jürgen von
Jander, Sebastian
Köller, Hubertus
Arendt, Gabriele
description Interleukin-18 (IL-18) is a proinflammatory cytokine released by macrophages that strongly stimulates the production of interferon-γ, thereby linking innate and acquired immunity. Its role in human immunodeficiency virus (HIV) pathogenesis is under debate and little is known about its role in neuro-AIDS (acquired immunodeficiency syndrome). Serum and cerebrospinal fluid (CSF) levels of IL-18 were determined by a commercially available enzyme-linked immunosorbent assay (ELISA) in 22 HIV-seropositive patients without neurological symptoms (HIV+), 21 patients with AIDS dementia complex (ADC), and 31 patients with AIDS-defining opportunistic infections (OIs) of the brain. Thirty-two HIV seronegative patients (HIV−) served as controls. Compared to HIV− controls, serum IL-18 levels were increased in HIV+ and ADC but not in OI patients. In contrast, CSF IL-18 levels were elevated in OI patients whereas HIV+ and ADC patients were not different from HIV− controls. We provide evidence for an significantly increased IL-18 level in the CSF of HIV+ patients with cerebral OIs, suggestive of a role for IL-18 in the intrathecal host response to OIs.
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Prion diseases</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Female</subject><subject>HIV-1 - immunology</subject><subject>Human immunodeficiency virus 1</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Interleukin-18 - analysis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. 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subjects Acquired Immunodeficiency Syndrome - blood
Acquired Immunodeficiency Syndrome - cerebrospinal fluid
Adult
AIDS Dementia Complex - blood
AIDS Dementia Complex - cerebrospinal fluid
AIDS-Related Opportunistic Infections - blood
AIDS-Related Opportunistic Infections - cerebrospinal fluid
Biological and medical sciences
Central Nervous System Infections - blood
Central Nervous System Infections - cerebrospinal fluid
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Enzyme-Linked Immunosorbent Assay
Female
HIV-1 - immunology
Human immunodeficiency virus 1
Human viral diseases
Humans
Infectious diseases
Interleukin-18 - analysis
Male
Medical sciences
Middle Aged
Neurology
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Viral diseases of the nervous system
title Serum and cerebrospinal fluid levels of interleukin-18 in human immunodeficiency virus type 1-associated central nervous system disease
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