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
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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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