Appearance of predictors of disease progression in relation to the development of AIDS

To study the natural history of HIV-1 infection in relation to serological and immunological profiles, 199 asymptomatic HIV-1-antibody (HIV-1-core-antibody)-seropositive and 76 seroconverted homosexual men were followed prospectively for 39 months. AIDS was diagnosed in 38 men. The AIDS attack rate...

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Veröffentlicht in:AIDS (London) 1989-09, Vol.3 (9), p.563-569
Hauptverfasser: de Wolf, F, Lange, J M, Houweling, J T, Mulder, J W, Beemster, J, Schellekens, P T, Coutinho, R A, van der Noordaa, J, Goudsmit, J
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container_end_page 569
container_issue 9
container_start_page 563
container_title AIDS (London)
container_volume 3
creator de Wolf, F
Lange, J M
Houweling, J T
Mulder, J W
Beemster, J
Schellekens, P T
Coutinho, R A
van der Noordaa, J
Goudsmit, J
description To study the natural history of HIV-1 infection in relation to serological and immunological profiles, 199 asymptomatic HIV-1-antibody (HIV-1-core-antibody)-seropositive and 76 seroconverted homosexual men were followed prospectively for 39 months. AIDS was diagnosed in 38 men. The AIDS attack rate was 20.8% after 39 months. The AIDS attack rate in the HIV-I-core-antibody positives was 12.1, versus 30.1% in the HIV-1-core-antibody negatives (P less than 0.001), and it was 13.3% in the HIV-1-antigen (HIV-1-Ag) negatives versus 53.9% in the HIV-1-Ag positives (P less than 0.001). The AIDS attack rate after 39 months was 10.9% in men with counts greater than or equal to 0.5 x 10(9)/l and 49.9% in those with CD4+ lymphocyte counts less than 0.5 x 10(9)/l. AIDS attack rates after 30 months in the same cohort have been previously reported [1], and were as follows: 6.8% in the core-antibody positives versus 35.7% in the core-antibody negatives. 6.9% in the HIV-1-Ag negatives versus 43.9% in the HIV-1-Ag positives, and 6.1% in those with CD4+ lymphocyte counts greater than or equal to 0.5 versus 51.9% in those with CD4+ lymphocyte counts less than 0.5 x 10(9)/l. The disappearance of core antibody, the appearance of antigen and the occurrence of low CD4+ lymphocyte counts preceded AIDS by a mean (s.d.) of 21.3 (8.9), 17.7 (8.8) and 15.7 (8.9) months, respectively.
doi_str_mv 10.1097/00002030-198909000-00002
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AIDS was diagnosed in 38 men. The AIDS attack rate was 20.8% after 39 months. The AIDS attack rate in the HIV-I-core-antibody positives was 12.1, versus 30.1% in the HIV-1-core-antibody negatives (P less than 0.001), and it was 13.3% in the HIV-1-antigen (HIV-1-Ag) negatives versus 53.9% in the HIV-1-Ag positives (P less than 0.001). The AIDS attack rate after 39 months was 10.9% in men with counts greater than or equal to 0.5 x 10(9)/l and 49.9% in those with CD4+ lymphocyte counts less than 0.5 x 10(9)/l. AIDS attack rates after 30 months in the same cohort have been previously reported [1], and were as follows: 6.8% in the core-antibody positives versus 35.7% in the core-antibody negatives. 6.9% in the HIV-1-Ag negatives versus 43.9% in the HIV-1-Ag positives, and 6.1% in those with CD4+ lymphocyte counts greater than or equal to 0.5 versus 51.9% in those with CD4+ lymphocyte counts less than 0.5 x 10(9)/l. The disappearance of core antibody, the appearance of antigen and the occurrence of low CD4+ lymphocyte counts preceded AIDS by a mean (s.d.) of 21.3 (8.9), 17.7 (8.8) and 15.7 (8.9) months, respectively.</abstract><cop>England</cop><pmid>2571348</pmid><doi>10.1097/00002030-198909000-00002</doi><tpages>7</tpages></addata></record>
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subjects Acquired Immunodeficiency Syndrome - blood
Acquired Immunodeficiency Syndrome - classification
Acquired Immunodeficiency Syndrome - immunology
Acquired Immunodeficiency Syndrome - physiopathology
Adult
AIDS/HIV
CD4-Positive T-Lymphocytes - analysis
CD4-Positive T-Lymphocytes - immunology
Chi-Square Distribution
Cohort Studies
HIV Antibodies - analysis
HIV Antibodies - immunology
HIV Antigens - analysis
HIV Antigens - immunology
HIV Infections - blood
HIV Infections - immunology
HIV Infections - physiopathology
HIV Seropositivity - blood
HIV Seropositivity - immunology
HIV Seropositivity - physiopathology
HIV-1 - immunology
Homosexuality
Humans
Incidence
Life Tables
Male
Netherlands
Prevalence
Prospective Studies
Risk Factors
T-Lymphocytes, Regulatory - analysis
T-Lymphocytes, Regulatory - immunology
Time Factors
Viral Core Proteins - immunology
title Appearance of predictors of disease progression in relation to the development of AIDS
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