Reconstitution of naive T cells during antiretroviral treatment of HIV-infected adults is dependent on age

James Cohen Stuart, Sanquin Hamann, Jan Borleffs, Marijke Roos, Frank Miedema, Charles Boucher, Rob de Boer

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: To determine the influence of age on the regeneration rate of naive and memory T cells in the blood of 45 adults on highly active antiretroviral therapy (HAART).

METHODS: The age of the patients ranged from 25 to 57 years. Naive cells were defined as CD45RA+CD27+. Cells negative for CD45RA and/or CD27 were considered memory type cells.

RESULTS: The recovery rates of naive CD4 and CD8 T cells were similar, were negatively correlated with age and were decreasing 5% and 3.6% per year, respectively. In a multivariate regression analysis, only age was significantly correlated with the naive T cell recovery rates. The recovery rate of memory T cells showed no relation to age. The average regeneration rate of naive CD4 T cells during HAART, i.e., 0.34 x 10(6) cells/l per day, is not lower than regeneration rates in HIV-negative adults following cytotoxic chemotherapy or CD4 monoclonal antibody therapy.

CONCLUSION: These observations suggest that the thymus contributes considerably to the regeneration of naive T cells in adults on HAART, and that the impact of HIV infection on naive T cell production is small, or rapidly reversible.

Original languageEnglish
Pages (from-to)2263-6
Number of pages4
JournalAIDS (London, England)
Volume16
Issue number17
DOIs
Publication statusPublished - 22 Nov 2002
Externally publishedYes

Keywords

  • Adult
  • Aging/immunology
  • Anti-HIV Agents/therapeutic use
  • Antiretroviral Therapy, Highly Active
  • CD4-Positive T-Lymphocytes/drug effects
  • CD8-Positive T-Lymphocytes/drug effects
  • Follow-Up Studies
  • HIV Infections/drug therapy
  • Humans
  • Leukocyte Common Antigens/analysis
  • Lymphocyte Count
  • Middle Aged
  • Multivariate Analysis
  • T-Lymphocyte Subsets/drug effects
  • Tumor Necrosis Factor Receptor Superfamily, Member 7/analysis

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