Polymorphisms in cytokine genes define subpopulations of HIV-1 patients who experienced immune restoration diseases

To further elucidate the immunopathogenesis of immune restoration diseases (IRD) in HIV patients responding to antiretroviral therapy and determine whether IRD associated with different opportunistic pathogens involve distinct immunopathological mechanisms. DNA samples from patients with a range of...

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Veröffentlicht in:AIDS (London) 2002-10, Vol.16 (15), p.2043-2047
Hauptverfasser: PRICE, Patricia, MORAHAN, Grant, DEXING HUANG, STONE, Emma, CHEONG, Karey Y. M, CASTLEY, Alison, RODGERS, Marina, MCINTYRE, Meredith Q, ABRAHAM, Lawrence J, FRENCH, Martyn A
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container_end_page 2047
container_issue 15
container_start_page 2043
container_title AIDS (London)
container_volume 16
creator PRICE, Patricia
MORAHAN, Grant
DEXING HUANG
STONE, Emma
CHEONG, Karey Y. M
CASTLEY, Alison
RODGERS, Marina
MCINTYRE, Meredith Q
ABRAHAM, Lawrence J
FRENCH, Martyn A
description To further elucidate the immunopathogenesis of immune restoration diseases (IRD) in HIV patients responding to antiretroviral therapy and determine whether IRD associated with different opportunistic pathogens involve distinct immunopathological mechanisms. DNA samples from patients with a range of IRD were typed for polymorphic loci in genes encoding immune-mediators. PCR-restriction fragment length polymorphism assays were used to type loci in the and genes. Alleles of a microsatellite in the CD30 promoter were determined by capillary electrophoresis. Only 8% of patients with IRD associated with a herpesvirus infection carried IL12B-3'UTR*2, compared with 42-54% of patients with other or no IRD. Patients with IRD arising from mycobacterial infection rarely carried IL6-174*C (36% versus 61-71%) and never carried TNFA-308*2 (0% versus 23-52%). TNFA-308*2 was carried by 52% of patients who experienced IRD associated with a herpesvirus infection, as several patients with exacerbations of cytomegalovirus retinitis carried this as part of a HLA-A2,B44 haplotype. Polymorphisms in and showed no distinct patterns. Distinct cytokine-mediated mechanisms contribute to IRD initiated by herpesvirus and mycobacterial infections.
doi_str_mv 10.1097/00002030-200210180-00009
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Only 8% of patients with IRD associated with a herpesvirus infection carried IL12B-3'UTR*2, compared with 42-54% of patients with other or no IRD. Patients with IRD arising from mycobacterial infection rarely carried IL6-174*C (36% versus 61-71%) and never carried TNFA-308*2 (0% versus 23-52%). TNFA-308*2 was carried by 52% of patients who experienced IRD associated with a herpesvirus infection, as several patients with exacerbations of cytomegalovirus retinitis carried this as part of a HLA-A2,B44 haplotype. Polymorphisms in and showed no distinct patterns. 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PCR-restriction fragment length polymorphism assays were used to type loci in the and genes. Alleles of a microsatellite in the CD30 promoter were determined by capillary electrophoresis. Only 8% of patients with IRD associated with a herpesvirus infection carried IL12B-3'UTR*2, compared with 42-54% of patients with other or no IRD. Patients with IRD arising from mycobacterial infection rarely carried IL6-174*C (36% versus 61-71%) and never carried TNFA-308*2 (0% versus 23-52%). TNFA-308*2 was carried by 52% of patients who experienced IRD associated with a herpesvirus infection, as several patients with exacerbations of cytomegalovirus retinitis carried this as part of a HLA-A2,B44 haplotype. Polymorphisms in and showed no distinct patterns. 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source MEDLINE; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals
subjects Adult
AIDS-Related Opportunistic Infections - genetics
AIDS-Related Opportunistic Infections - immunology
AIDS/HIV
Antiretroviral Therapy, Highly Active
Biological and medical sciences
Cytokines - genetics
Cytomegalovirus Retinitis - genetics
Cytomegalovirus Retinitis - immunology
Encephalomyelitis - genetics
Encephalomyelitis - immunology
Genetic Predisposition to Disease
HIV Infections - complications
HIV-1
Human viral diseases
Humans
Immune System
Infectious diseases
Medical sciences
Mycobacterium avium-intracellulare Infection - genetics
Mycobacterium avium-intracellulare Infection - immunology
Polymorphism, Genetic
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
title Polymorphisms in cytokine genes define subpopulations of HIV-1 patients who experienced immune restoration diseases
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