Increased polymorphonuclear leucocyte rigidity in HIV infected individuals

A Tufail1, G N Holland, T C Fisher

  • 1UCLA Ocular Inflammatory Disease Center, the Jules Stein Eye Institute, and the Department of Ophthalmology, UCLA School of Medicine, Los Angeles, CA, USA.

Abstract

Insights

Human immunodeficiency virus (HIV) infection increases polymorphonuclear leucocyte (PMN) rigidity, potentially contributing to HIV-related microvasculopathy. This increased rigidity is linked to immune dysfunction severity and CMV retinitis.

Area of Science:

  • Immunology
  • Hematology
  • Virology

Background:

  • Human immunodeficiency virus (HIV) infection is associated with various complications affecting blood flow.
  • Polymorphonuclear leucocytes (PMNs) play a crucial role in immune response and microvascular integrity.
  • Altered PMN function may contribute to the pathogenesis of HIV-related conditions.

Purpose of the Study:

  • To investigate polymorphonuclear leucocyte (PMN) rigidity in individuals with HIV infection.
  • To determine if PMN rigidity is associated with cytomegalovirus (CMV) retinitis in HIV-infected individuals.
  • To explore the relationship between PMN rigidity, immune status (CD4+ T lymphocyte count), and HIV-related microvasculopathy.

Main Methods:

  • Measured PMN rigidity using cell transit time through 8-micrometer pores in a cell transit analyser.
  • Compared PMN transit times between HIV-infected individuals (with and without CMV retinitis) and HIV-negative controls.
  • Analyzed correlations between PMN transit times, CD4+ T lymphocyte counts, and clinical parameters.

Main Results:

  • PMNs from HIV-infected individuals exhibited significantly longer transit times, indicating increased rigidity, compared to controls (p<0.001).
  • PMNs from HIV-infected individuals with CMV retinitis showed greater rigidity than those without CMV retinitis (p<0.001).
  • Increased PMN rigidity was significantly correlated with lower CD4+ T lymphocyte counts (p<0.001).

Conclusions:

  • HIV infection is associated with increased PMN rigidity, a potential factor in HIV-related retinal microvasculopathy.
  • PMN rigidity severity correlates with the degree of immune dysfunction in HIV-infected individuals.
  • Elevated PMN rigidity may persist in patients with CMV retinitis even after effective antiretroviral therapy improves CD4+ counts.

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