t-cell phenotypes, apoptosis and inflammation in hiv+ patients on virologically effective cart with early atherosclerosishiv阳性患者的t细胞表型,细胞凋亡和炎症与早期动脉粥样硬化例病毒学有效的车.pdfVIP

t-cell phenotypes, apoptosis and inflammation in hiv+ patients on virologically effective cart with early atherosclerosishiv阳性患者的t细胞表型,细胞凋亡和炎症与早期动脉粥样硬化例病毒学有效的车.pdf

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t-cellphenotypes,apoptosisandinflammationinhivpatientsonvirologicallyeffectivecartwithearlyatherosclerosishiv阳性患者的t细胞表型,细胞凋亡和炎症与早期动脉粥样硬化例病毒学有效的车

T-Cell Phenotypes, Apoptosis and Inflammation in HIV+ Patients on Virologically Effective cART with Early Atherosclerosis Esther Merlini1., Kety Luzi 1., Elisa Suardi 1, Alessandra Barassi2, Maddalena Cerrone 1, Javier ´ ´ 1, Francesca Bai 1, Gian Vico Melzi D’Eril2, Antonella D’Arminio Monforte 1, Sanchez Martınez Giulia Marchetti1* 1 Clinic of Infectious Diseases and Tropical Medicine, Department of Health Sciences, University of Milan, San Paolo Hospital, Milan, Italy, 2 Laboratory of Clinical Analyses, Department of Health Sciences, University of Milan, San Paolo Hospital, Milan, Italy Abstract Objective: We investigated the potential relationship between T-cell phenotype, inflammation, endotoxemia, and atherosclerosis evaluated by carotid intima-media thickness (IMT) in a cohort of HIV-positive patients undergoing long-term virologically suppressive combination antiretroviral therapy (cART). Design: We studied 163 patients receiving virologically suppressive cART. Methods: We measured IMT (carotid ultrasound); CD4+/CD8+ T-cell activation (CD38, CD45R0), differentiation (CD127), apoptosis (CD95), and senescence (CD28, CD57) (flow cytometry); plasma sCD14, IL-6, TNF- a, sVCAM-1, hs-CRP, anti-CMV IgG (ELISA); LPS (LAL). The results were compared by Mann-Whitney, Kruskal-Wallis or Chi-square tests, and factors associated with IMT were evaluated by multivariable logistic regression. Results: Of 163 patients, 112 demonstrated normal IMT (nIMT), whereas 51 (31.3%) had pathological IMT (pIMT: $1 mm). Of the patients with pIMT, 22 demonstrated an increased IMT (iIMT), and 29 were shown to have plaques. These patient groups had comparable nadir and current CD4+, VLs and total length of time on cART. Despite similar proportions of CD38- expres

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