双重HIV-1感染与快速疾病进展相关
Geoffrey S Gottlieb1, David C Nickle, Mark A Jensen
1Department of Microbiology, School of Medicine, University of Washington, Seattle, WA 98195-8070, USA. gottlieb@u.washington.edu
Lancet (London, England)
|February 28, 2004
概括
双重人类免疫缺陷病毒1型 (HIV-1) 感染可能会加速疾病的进展. 五名双重HIV-1感染的患者经历了迅速进展到获得性免疫缺陷综合征 (艾滋病) 或低CD4+T细胞计数.
科学领域:
- 病毒学 病毒学
- 免疫学 免疫学 免疫学
- 流行病学 流行病学
背景情况:
- 了解人类免疫缺陷病毒1型 (HIV-1) 传播和疫苗开发需要对双重感染的知识.
- 双重HIV-1感染的频率和病原性后果在很大程度上是未知的.
研究的目的:
- 评估患者队列中双重HIV-1感染的频率和临床结果.
- 研究双重HIV-1感染对疾病进展的潜在影响.
主要方法:
- 评估了64名患者的双重HIV-1感染,使用异质双重移动性测定,病毒测序和家族遗传方法.
- 分析了34名患者的艾滋病毒疾病结果,包括获得免疫缺陷综合征 (艾滋病) 诊断的时间和CD4+T细胞计数.
主要成果:
- 在34名患者中,有5名患者有双重HIV-1感染 (共4次感染,1次超级感染).
- 这五名患者在血清转化后呈现出快速进展至艾滋病 (不到3.4年) 或CD4+T细胞计数低于200细胞/微升 (不到3.1年).
结论:
- 双重HIV-1感染可能与疾病进展加速有关.
- 需要进行更大规模的研究来评估双重HIV-1感染对疾病进展的影响,并为公共卫生战略提供信息.
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