Role of Thymic Reconstitution in the Outcome of AIDS-Related PML

被引:0
作者
Chalkias, Spyridon G. [1 ,2 ,3 ,4 ]
Gheuens, Sarah [1 ,5 ]
Bord, Evelyn [1 ,2 ,4 ]
Batson, Stephanie [1 ,2 ,4 ]
Koralnik, Igor J. [1 ,2 ,4 ]
机构
[1] Harvard Univ, Sch Med, Dept Neurol, Div Neuro Immunol, Boston, MA 02115 USA
[2] Harvard Univ, Sch Med, Dept Med, Ctr Virol & Vaccine Res, Boston, MA USA
[3] Harvard Univ, Sch Med, Div Infect Dis, Boston, MA USA
[4] Harvard Univ, Sch Med, Dept Med, Beth Israel Deaconess Med Ctr, Boston, MA USA
[5] Biogen Idec Inc, Cambridge, MA USA
基金
美国国家卫生研究院;
关键词
HIV; thymus; JC virus; progressive multifocal leukoencephalopathy; HIV-INFECTED PATIENTS; PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY; T-CELL HOMEOSTASIS; RECEIVING ANTIRETROVIRAL THERAPY; JC VIRUS; IMMUNE RECONSTITUTION; LONGITUDINAL ASSESSMENT; OUTPUT; CD4(+); INTERLEUKIN-7;
D O I
暂无
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Implications of thymopoiesis in AIDS-related opportunistic infections remain unexplored. We used progressive multifocal leukoencephalopathy (PML), caused by JC virus (JCV), as an opportunistic infection model, and we simultaneously investigated thymic output and T-cell responses against JCV in 22 patients with PML treated with combined antiretroviral therapy. Thymic output was significantly associated with JCV-specific CD4(+) and CD8(+) T-cell responses and improved survival. Our data suggest that patients with AIDS-related PML and impaired thymopoiesis are less likely to develop a robust JCV-specific cellular immune response and consequently are at an increased risk for a poor clinical outcome.
引用
收藏
页码:357 / 361
页数:5
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