HIV-Specific Cellular Immune Response Is Inversely Correlated with Disease Progression as Defined by Decline of CD4+ T Cells in Relation to HIV RNA Load

Oxenius, Annette ; Price, David A. ; Hersberger, Martin ; Schlaepfer, Erika ; Weber, Rainer ; Weber, Markus ; Kundig, Thomas M. ; Böni, Jürg ; Joller, Helen ; Phillips, Rodney E. ; Flepp, Markus ; Opravil, Milos ; Speck, Roberto F.

In: Journal of Infectious Diseases, 2004, vol. 189, no. 7, p. 1199-1208

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    Summary
    The average time between infection with human immunodeficiency virus (HIV) and development of acquired immune deficiency syndrome is ∼8 years. However, progression rates vary widely, depending on several determinants, including HIV-specific immunity, host genetic factors, and virulence of the infecting strain. In untreated HIV-infected patients with different progression rates, we examined HIV-specific T cell responses in combination with host genetic markers, such as chemokine/chemokine-receptor (CCR) polymorphisms and human leukocyte antigen (HLA) genotypes. HIV-specific CD4+ T cell responses and, to a lesser extent, HIVspecific CD8+ T cell responses were inversely correlated with progression rate. Slower progression was not related to polymorphisms in CCR genes, HLA genotype, or GB virus C coinfection. These data suggest that HIV-specific T cell responses are involved in protecting the host from disease progression