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Association of Hla Profiles With Early Plasma Viral Load, Cd4+ Cell Count and Rate of Progression to Aids Following Acute Hiv-1 Infection

  1. Author:
    Saah, A. J.
    Hoover, D. R.
    Weng, S. G.
    Carrington, M.
    Mellors, J.
    Rinaldo, C. R.
    Mann, D.
    Apple, R.
    Phair, J. P.
    Detels, R.
    Obrien, S.
    Enger, C.
    Johnson, P.
    Kaslow, R. A.

  2. Author Address

    Saah AJ MERCK RES LABS CLIN RES POB 4 BL3-4 W POINT, PA 19486 USA JOHNS HOPKINS UNIV SCH HYG & PUBL HLTH DEPT EPIDEMIOL BALTIMORE, MD USA NCI FREDERICK CANC RES & DEV CTR SAIC FREDERICK FREDERICK, MD USA UNIV PITTSBURGH GRAD SCH PUBL HLTH PITTSBURGH, PA USA UNIV MARYLAND MED SYST DEPT PATHOL DIV IMMUNOGENET BALTIMORE, MD 21201 USA ROCHE MOL SYST DEPT HUMAN GENET ALAMEDA, CA USA NORTHWESTERN UNIV SCH MED DEPT MED CHICAGO, IL 60611 USA HOWARD BROWN MEM CLIN CHICAGO, IL USA UNIV CALIF LOS ANGELES SCH PUBL HLTH DEPT EPIDEMIOL LOS ANGELES, CA 90024 USA CHIRON CORP EMERYVILLE, CA 94608 USA UNIV ALABAMA SCH PUBL HLTH DEPT EPIDEMIOL BIRMINGHAM, AL 35294 USA
    1. Year: 1998
  2. Journal: Aids
    1. 12
    2. 16
    3. Pages: 2107-2113
  4. Type of Article: Article
  1. Abstract:

    Background: Host genetic factors, such as HLA alleles, play an important role in mediating the course of HIV-1 disease progression through largely undefined mechanisms. Objectives: To examine the association of HLA markers with HIV-1 RNA plasma viral load and other factors associated with course of disease progression in HIV-1 infection. Design and methods: A group of 139 HIV-1 seroconverters from the Multicenter AIDS Cohort Study had been typed for a variety of HLA markers. HIV-1 RNA plasma viral load was measured from frozen plasma specimens obtained approximately 9 months following seroconversion. CD4+ cell counts were available from the same study visit. Statistical analysis was performed using survival techniques and linear regression models to quantify the relative associations of an HLA score profile, HIV-1 RNA plasma viral load, CD4+ cell count and age with each other and with rate of progression to AIDS and death. Results: Cox proportional hazards models showed statistically significant differences in time to AIDS by HLA score profile category per unit increase [relative hazard (RH), 0.64; P < 0.0001], HIV-1 RNA plasma viral load per 10-fold increase (RH, 2.04; P = 0.0003), and CD4+ cell count per 100 cell (x 10(6)/l) increase (RH, 0.90; P = 0.02). Multivariate linear regression showed that viral load was 39% lower (P = 0.0001) for each unit increase in HLA score profile and 13% lower (P = 0.002) for each 100 cell (x 10(6)/l increase in CD4+ cell count. Conclusions: The means by which the HLA score profile influences the time to AIDS is probably through immunologic responses that affect the rate of HIV-1 replication, as manifested by the HIV-1 RNA plasma viral load during the first 6-12 months following acute infection. (C) 1998 Lippincott Williams & Wilkins [References: 21]

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