Soluble membrane attack complex in the blood and cerebrospinal fluid of HIV-infected individuals, relationship to HIV RNA, and comparison with HIV negatives

被引:4
作者
Anderson, Albert M. [1 ]
Schein, Theresa N. [2 ]
Kalapila, Aley [1 ]
Lai, Lillin [1 ]
Waldrop-Valverde, Drenna [3 ]
Moore, Raeanne C. [4 ]
Franklin, Donald [4 ]
Letendre, Scott L. [4 ,5 ]
Barnum, Scott R. [2 ]
机构
[1] Emory Univ, Sch Med, Dept Med, Atlanta, GA USA
[2] Univ Alabama Birmingham, Birmingham Sch Med, Dept Microbiol, Birmingham, AL USA
[3] Emory Univ, Sch Nursing, Atlanta, GA 30322 USA
[4] Univ Calif San Diego, Dept Psychiat, La Jolla, CA 92093 USA
[5] Univ Calif San Diego, Dept Med, La Jolla, CA 92093 USA
关键词
Human immunodeficiency virus; Acquired immunodeficiency syndrome; Neurocognitive disorder; Complement; Membrane attack complex; NEUROCOGNITIVE DISORDERS; ANTIRETROVIRAL THERAPY; IMMUNE ACTIVATION; SYSTEM; MARKERS; BRAIN; CELLS; AGE;
D O I
10.1016/j.jneuroim.2017.07.014
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The soluble membrane attack complex (sMAC) represents the terminal product of the complement cascade. We enrolled 47 HIV + adults (12 of whom underwent a second visit at least 24 weeks after starting therapy) as well as 11 HIV negative controls. At baseline, cerebrospinal fluid (CSF) sMAC was detectable in 27.7% of HIV + individuals. CSF sMAC correlated with CSF HIV RNA levels and was more likely to be detectable in HIV + individuals on CART compared to HIV negative controls. In HIV + participants, there were negative association trends between sMAC and neurocognitive performance but these did not reach statistical significance.
引用
收藏
页码:35 / 39
页数:5
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