Risk Factors Influencing Antibody Responses to Kaposiʼs Sarcoma-Associated Herpesvirus Latent and Lytic Antigens in Patients Under Antiretroviral Therapy

BACKGROUND:Kaposiʼs sarcoma-associated herpesvirus (KSHV) seropositivity and lytic antibody titer are predictors for Kaposiʼs sarcoma. METHODS:We examined demographic, viral, and immunologic factors that influence KSHV latent and lytic antibodies in HIV-infected patients. RESULTS:Detection rate of K...

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Veröffentlicht in:Journal of acquired immune deficiency syndromes (1999) 2011-01, Vol.56 (1), p.83-90
Hauptverfasser: Guadalupe, Moraima, Pollock, Brad H, Westbrook, Steven, Redding, Spencer, Bullock, Delia, Anstead, Gregory, Agan, Brian K, Marconi, Vincent C, Barbieri, Sharon, Sankar, Vidya, Rebeles, Jennifer, Flahive, Yvette, Schoolfield, John, Wang, Linding, Lei, Xiufen, Dow, Dorothy, Yeh, Chih-Ko, Dang, Howard, Infante, Anthony J, Gao, Shou-Jiang
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container_issue 1
container_start_page 83
container_title Journal of acquired immune deficiency syndromes (1999)
container_volume 56
creator Guadalupe, Moraima
Pollock, Brad H
Westbrook, Steven
Redding, Spencer
Bullock, Delia
Anstead, Gregory
Agan, Brian K
Marconi, Vincent C
Barbieri, Sharon
Sankar, Vidya
Rebeles, Jennifer
Flahive, Yvette
Schoolfield, John
Wang, Linding
Lei, Xiufen
Dow, Dorothy
Yeh, Chih-Ko
Dang, Howard
Infante, Anthony J
Gao, Shou-Jiang
description BACKGROUND:Kaposiʼs sarcoma-associated herpesvirus (KSHV) seropositivity and lytic antibody titer are predictors for Kaposiʼs sarcoma. METHODS:We examined demographic, viral, and immunologic factors that influence KSHV latent and lytic antibodies in HIV-infected patients. RESULTS:Detection rate of KSHV latent but not lytic antibodies was lower in patients with CD4 cells/mm less than 200 than greater than 200 (odds ratio [OR], 0.26; 95% confidence interval [CI], 0.11-0.61) and CD8 cells/mm less than 400 than greater than 400 (OR, 0.26; 95% CI, 0.07-0.67). Overall seropositivity rate was higher in patients with CD4 cells/mm less than 200 than greater than 200 (OR, 2.34; 95% CI, 1.37-4.02) and HIV copies/mL greater than 400 than less than 400 (OR, 1.70; 95% CI, 1.09-2.65). Lytic antibody level was inversely correlated with CD4 count (P < 0.001). Lytic seropositivity (OR, 2.47; 95% CI, 1.35-4.50) and antibody level (adjusted difference mean optical density, 0.324; 95% CI, 0.16-0.46) were higher in patients with HIV infection greater than 15 than less than 15 years. Hispanics had higher lytic seropositivity rate (OR, 1.71; 95% CI, 1.07-2.73) and antibody level (adjusted difference mean optical density, 0.111; 95% CI, 0.03-0.18) than non-Hispanics. CONCLUSIONS:Lower CD4 and CD8 counts impair antibody response to KSHV latent antigens. Immune deterioration, long-term HIV infection, and Hispanic status are risk factors for Kaposiʼs sarcoma predictors.
doi_str_mv 10.1097/QAI.0b013e3181fdc928
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METHODS:We examined demographic, viral, and immunologic factors that influence KSHV latent and lytic antibodies in HIV-infected patients. RESULTS:Detection rate of KSHV latent but not lytic antibodies was lower in patients with CD4 cells/mm less than 200 than greater than 200 (odds ratio [OR], 0.26; 95% confidence interval [CI], 0.11-0.61) and CD8 cells/mm less than 400 than greater than 400 (OR, 0.26; 95% CI, 0.07-0.67). Overall seropositivity rate was higher in patients with CD4 cells/mm less than 200 than greater than 200 (OR, 2.34; 95% CI, 1.37-4.02) and HIV copies/mL greater than 400 than less than 400 (OR, 1.70; 95% CI, 1.09-2.65). Lytic antibody level was inversely correlated with CD4 count (P &lt; 0.001). Lytic seropositivity (OR, 2.47; 95% CI, 1.35-4.50) and antibody level (adjusted difference mean optical density, 0.324; 95% CI, 0.16-0.46) were higher in patients with HIV infection greater than 15 than less than 15 years. Hispanics had higher lytic seropositivity rate (OR, 1.71; 95% CI, 1.07-2.73) and antibody level (adjusted difference mean optical density, 0.111; 95% CI, 0.03-0.18) than non-Hispanics. CONCLUSIONS:Lower CD4 and CD8 counts impair antibody response to KSHV latent antigens. Immune deterioration, long-term HIV infection, and Hispanic status are risk factors for Kaposiʼs sarcoma predictors.</description><identifier>ISSN: 1525-4135</identifier><identifier>EISSN: 1944-7884</identifier><identifier>DOI: 10.1097/QAI.0b013e3181fdc928</identifier><identifier>PMID: 21084997</identifier><identifier>CODEN: JDSRET</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Adult ; AIDS-Related Opportunistic Infections - immunology ; AIDS/HIV ; Anti-HIV Agents - therapeutic use ; Antibodies, Viral - blood ; Antibodies, Viral - immunology ; Antibody Formation - immunology ; Antigens ; Antigens, Viral - blood ; Antigens, Viral - immunology ; Antiretroviral drugs ; Antiretroviral Therapy, Highly Active ; Biological and medical sciences ; CD4 Lymphocyte Count ; CD4-CD8 Ratio ; Cells ; Drug therapy ; Female ; Fundamental and applied biological sciences. Psychology ; Herpes viruses ; Herpesvirus 8, Human - immunology ; Herpesvirus 8, Human - physiology ; HIV ; Human herpesvirus 8 ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Infectious diseases ; Kaposi's sarcoma-associated herpesvirus ; Kaposis sarcoma ; Male ; Medical sciences ; Microbiology ; Middle Aged ; Miscellaneous ; Multivariate Analysis ; Patients ; Risk Factors ; Sarcoma, Kaposi - immunology ; Sarcoma, Kaposi - virology ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. 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METHODS:We examined demographic, viral, and immunologic factors that influence KSHV latent and lytic antibodies in HIV-infected patients. RESULTS:Detection rate of KSHV latent but not lytic antibodies was lower in patients with CD4 cells/mm less than 200 than greater than 200 (odds ratio [OR], 0.26; 95% confidence interval [CI], 0.11-0.61) and CD8 cells/mm less than 400 than greater than 400 (OR, 0.26; 95% CI, 0.07-0.67). Overall seropositivity rate was higher in patients with CD4 cells/mm less than 200 than greater than 200 (OR, 2.34; 95% CI, 1.37-4.02) and HIV copies/mL greater than 400 than less than 400 (OR, 1.70; 95% CI, 1.09-2.65). Lytic antibody level was inversely correlated with CD4 count (P &lt; 0.001). Lytic seropositivity (OR, 2.47; 95% CI, 1.35-4.50) and antibody level (adjusted difference mean optical density, 0.324; 95% CI, 0.16-0.46) were higher in patients with HIV infection greater than 15 than less than 15 years. Hispanics had higher lytic seropositivity rate (OR, 1.71; 95% CI, 1.07-2.73) and antibody level (adjusted difference mean optical density, 0.111; 95% CI, 0.03-0.18) than non-Hispanics. CONCLUSIONS:Lower CD4 and CD8 counts impair antibody response to KSHV latent antigens. Immune deterioration, long-term HIV infection, and Hispanic status are risk factors for Kaposiʼs sarcoma predictors.</description><subject>Adult</subject><subject>AIDS-Related Opportunistic Infections - immunology</subject><subject>AIDS/HIV</subject><subject>Anti-HIV Agents - therapeutic use</subject><subject>Antibodies, Viral - blood</subject><subject>Antibodies, Viral - immunology</subject><subject>Antibody Formation - immunology</subject><subject>Antigens</subject><subject>Antigens, Viral - blood</subject><subject>Antigens, Viral - immunology</subject><subject>Antiretroviral drugs</subject><subject>Antiretroviral Therapy, Highly Active</subject><subject>Biological and medical sciences</subject><subject>CD4 Lymphocyte Count</subject><subject>CD4-CD8 Ratio</subject><subject>Cells</subject><subject>Drug therapy</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Herpes viruses</subject><subject>Herpesvirus 8, Human - immunology</subject><subject>Herpesvirus 8, Human - physiology</subject><subject>HIV</subject><subject>Human herpesvirus 8</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Kaposi's sarcoma-associated herpesvirus</subject><subject>Kaposis sarcoma</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microbiology</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Multivariate Analysis</subject><subject>Patients</subject><subject>Risk Factors</subject><subject>Sarcoma, Kaposi - immunology</subject><subject>Sarcoma, Kaposi - virology</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. 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METHODS:We examined demographic, viral, and immunologic factors that influence KSHV latent and lytic antibodies in HIV-infected patients. RESULTS:Detection rate of KSHV latent but not lytic antibodies was lower in patients with CD4 cells/mm less than 200 than greater than 200 (odds ratio [OR], 0.26; 95% confidence interval [CI], 0.11-0.61) and CD8 cells/mm less than 400 than greater than 400 (OR, 0.26; 95% CI, 0.07-0.67). Overall seropositivity rate was higher in patients with CD4 cells/mm less than 200 than greater than 200 (OR, 2.34; 95% CI, 1.37-4.02) and HIV copies/mL greater than 400 than less than 400 (OR, 1.70; 95% CI, 1.09-2.65). Lytic antibody level was inversely correlated with CD4 count (P &lt; 0.001). Lytic seropositivity (OR, 2.47; 95% CI, 1.35-4.50) and antibody level (adjusted difference mean optical density, 0.324; 95% CI, 0.16-0.46) were higher in patients with HIV infection greater than 15 than less than 15 years. Hispanics had higher lytic seropositivity rate (OR, 1.71; 95% CI, 1.07-2.73) and antibody level (adjusted difference mean optical density, 0.111; 95% CI, 0.03-0.18) than non-Hispanics. CONCLUSIONS:Lower CD4 and CD8 counts impair antibody response to KSHV latent antigens. Immune deterioration, long-term HIV infection, and Hispanic status are risk factors for Kaposiʼs sarcoma predictors.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>21084997</pmid><doi>10.1097/QAI.0b013e3181fdc928</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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1944-7884
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source MEDLINE; Journals@Ovid LWW Legacy Archive; Free E- Journals; Journals@Ovid Complete
subjects Adult
AIDS-Related Opportunistic Infections - immunology
AIDS/HIV
Anti-HIV Agents - therapeutic use
Antibodies, Viral - blood
Antibodies, Viral - immunology
Antibody Formation - immunology
Antigens
Antigens, Viral - blood
Antigens, Viral - immunology
Antiretroviral drugs
Antiretroviral Therapy, Highly Active
Biological and medical sciences
CD4 Lymphocyte Count
CD4-CD8 Ratio
Cells
Drug therapy
Female
Fundamental and applied biological sciences. Psychology
Herpes viruses
Herpesvirus 8, Human - immunology
Herpesvirus 8, Human - physiology
HIV
Human herpesvirus 8
Human immunodeficiency virus
Human viral diseases
Humans
Infectious diseases
Kaposi's sarcoma-associated herpesvirus
Kaposis sarcoma
Male
Medical sciences
Microbiology
Middle Aged
Miscellaneous
Multivariate Analysis
Patients
Risk Factors
Sarcoma, Kaposi - immunology
Sarcoma, Kaposi - virology
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Viral Load - immunology
Virology
Virus Latency - immunology
title Risk Factors Influencing Antibody Responses to Kaposiʼs Sarcoma-Associated Herpesvirus Latent and Lytic Antigens in Patients Under Antiretroviral Therapy
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