Proliferation and telomere length in acutely mobilized blood mononuclear cells in HIV infected patients

SUMMARY The aim of the study was to investigate the mobilization of T cells in response to a stressful challenge (adrenalin stimulation), and to access T cells resided in the peripheral lymphoid organs in HIV infected patients. Seventeen patients and eight HIV seronegative controls received an adren...

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Veröffentlicht in:Clinical and experimental immunology 2002-03, Vol.127 (3), p.499-506
Hauptverfasser: SØNDERGAARD, S. R., ESSEN, M. V., SCHJERLING, P., ULLUM, H., PEDERSEN, B. K.
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container_start_page 499
container_title Clinical and experimental immunology
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creator SØNDERGAARD, S. R.
ESSEN, M. V.
SCHJERLING, P.
ULLUM, H.
PEDERSEN, B. K.
description SUMMARY The aim of the study was to investigate the mobilization of T cells in response to a stressful challenge (adrenalin stimulation), and to access T cells resided in the peripheral lymphoid organs in HIV infected patients. Seventeen patients and eight HIV seronegative controls received an adrenalin infusion for 1 h. Blood was sampled before, during and 1 h after adrenalin infusion. Proliferation and mean telomere restriction fragment length (telomeres) of blood mononuclear cells (BMNC) and purified CD8+ and CD4+ cells were investigated at all time points. In patients, the proliferation to pokeweed mitogens (PWM) was lower and decreased more during adrenalin infusion. After adrenalin infusion the proliferation to PWM was restored only in the controls. In all subjects telomeres in CD4+ cells declined during adrenalin infusion. Additionally, the patients had shortened telomeres in their CD8+ cells, and particularly HAART treated patients had shortened telomeres in all cell‐subtypes. The finding that patients mobilized cells with an impaired proliferation to PWM during and after adrenalin infusion has possible clinical relevance for HIV infected patients during pathological stressful conditions, such as sepsis, surgery and burns. However, this study did not find a correlation between impaired proliferation and telomeres. It is concluded that physiological stress further aggravates the HIV‐induced immune deficiency.
doi_str_mv 10.1046/j.1365-2249.2002.01790.x
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R. ; ESSEN, M. V. ; SCHJERLING, P. ; ULLUM, H. ; PEDERSEN, B. K.</creator><creatorcontrib>SØNDERGAARD, S. R. ; ESSEN, M. V. ; SCHJERLING, P. ; ULLUM, H. ; PEDERSEN, B. K.</creatorcontrib><description>SUMMARY The aim of the study was to investigate the mobilization of T cells in response to a stressful challenge (adrenalin stimulation), and to access T cells resided in the peripheral lymphoid organs in HIV infected patients. Seventeen patients and eight HIV seronegative controls received an adrenalin infusion for 1 h. Blood was sampled before, during and 1 h after adrenalin infusion. Proliferation and mean telomere restriction fragment length (telomeres) of blood mononuclear cells (BMNC) and purified CD8+ and CD4+ cells were investigated at all time points. In patients, the proliferation to pokeweed mitogens (PWM) was lower and decreased more during adrenalin infusion. After adrenalin infusion the proliferation to PWM was restored only in the controls. In all subjects telomeres in CD4+ cells declined during adrenalin infusion. Additionally, the patients had shortened telomeres in their CD8+ cells, and particularly HAART treated patients had shortened telomeres in all cell‐subtypes. The finding that patients mobilized cells with an impaired proliferation to PWM during and after adrenalin infusion has possible clinical relevance for HIV infected patients during pathological stressful conditions, such as sepsis, surgery and burns. However, this study did not find a correlation between impaired proliferation and telomeres. 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In patients, the proliferation to pokeweed mitogens (PWM) was lower and decreased more during adrenalin infusion. After adrenalin infusion the proliferation to PWM was restored only in the controls. In all subjects telomeres in CD4+ cells declined during adrenalin infusion. Additionally, the patients had shortened telomeres in their CD8+ cells, and particularly HAART treated patients had shortened telomeres in all cell‐subtypes. The finding that patients mobilized cells with an impaired proliferation to PWM during and after adrenalin infusion has possible clinical relevance for HIV infected patients during pathological stressful conditions, such as sepsis, surgery and burns. However, this study did not find a correlation between impaired proliferation and telomeres. 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K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Proliferation and telomere length in acutely mobilized blood mononuclear cells in HIV infected patients</atitle><jtitle>Clinical and experimental immunology</jtitle><addtitle>Clin Exp Immunol</addtitle><date>2002-03</date><risdate>2002</risdate><volume>127</volume><issue>3</issue><spage>499</spage><epage>506</epage><pages>499-506</pages><issn>0009-9104</issn><eissn>1365-2249</eissn><coden>CEXIAL</coden><abstract>SUMMARY The aim of the study was to investigate the mobilization of T cells in response to a stressful challenge (adrenalin stimulation), and to access T cells resided in the peripheral lymphoid organs in HIV infected patients. Seventeen patients and eight HIV seronegative controls received an adrenalin infusion for 1 h. Blood was sampled before, during and 1 h after adrenalin infusion. Proliferation and mean telomere restriction fragment length (telomeres) of blood mononuclear cells (BMNC) and purified CD8+ and CD4+ cells were investigated at all time points. In patients, the proliferation to pokeweed mitogens (PWM) was lower and decreased more during adrenalin infusion. After adrenalin infusion the proliferation to PWM was restored only in the controls. In all subjects telomeres in CD4+ cells declined during adrenalin infusion. Additionally, the patients had shortened telomeres in their CD8+ cells, and particularly HAART treated patients had shortened telomeres in all cell‐subtypes. The finding that patients mobilized cells with an impaired proliferation to PWM during and after adrenalin infusion has possible clinical relevance for HIV infected patients during pathological stressful conditions, such as sepsis, surgery and burns. However, this study did not find a correlation between impaired proliferation and telomeres. It is concluded that physiological stress further aggravates the HIV‐induced immune deficiency.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>11966767</pmid><doi>10.1046/j.1365-2249.2002.01790.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection
subjects Adult
Antiretroviral Therapy, Highly Active
Biological and medical sciences
Blood
CD4 Lymphocyte Count
CD4-Positive T-Lymphocytes - ultrastructure
CD8-Positive T-Lymphocytes - ultrastructure
Cell Movement
Cells, Cultured
Epinephrine - pharmacology
Female
HAART
HIV
HIV Infections - blood
HIV Infections - diagnosis
HIV Infections - drug therapy
HIV Infections - immunology
Human viral diseases
Humans
Infectious diseases
Kinetics
Lymphocyte Activation
Male
Medical sciences
Middle Aged
Original
proliferation
T-Lymphocytes - immunology
T-Lymphocytes - ultrastructure
Telomere - ultrastructure
telomere length
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Viral Load
title Proliferation and telomere length in acutely mobilized blood mononuclear cells in HIV infected patients
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