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Published on: June 11, 2011
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.
Aim:
Individuals with human immunodeficiency virus (HIV) infection were evaluated for evidence of abnormal polymorphonuclear leucocyte (PMN) rigidity, which can alter capillary blood flow.
Methods:
The transit time of individual PMN through 8 microm pores in a cell transit analyser was used as a measure of cell rigidity. PMN transit time was compared between HIV infected individuals (n=45) with and without CMV retinitis and HIV negative controls (n=17).
Results:
Transit times were longer for PMN from HIV infected individuals than for PMN from controls (p<0.001). PMN from HIV infected individuals with CMV retinitis (n=13) had longer transit times than PMN from those without CMV retinitis (n=32, p<0.001). Transit times were longer in HIV infected individuals with lower CD4+ T lymphocyte counts (p<0.001). Regression analysis indicated that the relation between transit times and the presence of CMV retinitis could not be explained solely on the basis of low CD4+ T lymphocytes. In HIV infected individuals, mean transit time was not correlated with age, blood pressure, or serum creatinine, cholesterol, or triglycerides.
Conclusions:
HIV infected individuals appear to have increased PMN rigidity, a cellular change that might be involved in the pathogenesis of HIV related retinal microvasculopathy. PMN rigidity appears to be related to severity of immune dysfunction. PMN rigidity may remain high in patients with CMV retinitis after elevations of CD4+ T lymphocyte counts that result from potent antiretroviral therapy.
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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