Cellular immunity and target cell susceptibility in persons with repeated HIV-1 exposure.
Journal - Immunology letters (NETHERLANDS )
We prospectively studied 37 HIV-1 uninfected persons engaging in repeated high risk sexual activity with an HIV-1 infected partner, as well as 18 of their infected partners. Only one subject (3%) demonstrated the homozygous 32-bp deletion delta32delta32 of the HIV-1 co-receptor CCR5. CD4+ cells from all high risk subjects except the delta32delta32 CCR5 homozygote were susceptible in vitro to both CCR5-dependent and CXCR4-dependent HIV-1 strains. Median HIV-1 plasma RNA levels of the infected partners were not significantly different from levels of matched infected controls. Thirteen subjects demonstrated HIV-1 specific CTL at one or more visits, and these activities were more commonly observed in persons with the wild type CCR5 genotype. These results indicate that cellular immunity rather than inheritance of the delta32 CCR5 mutation accounts more often for persistently HIV-1-resistant cases.
|ISSN : ||0165-2478|
|Mesh Heading : ||Adult CD4-Positive T-Lymphocytes Female HIV Infections HIV-1 Humans Immunity, Cellular Male Middle Aged Prospective Studies Receptors, CCR5 Receptors, CXCR4 Sequence Deletion Sexual Partners virology virology genetics immunology genetics immunology|
|Mesh Heading Relevant : ||immunology immunology immunology|