Monocyte Dysfunction, Activation, and Inflammation After Long-Term Antiretroviral Therapy in an African Cohort

非洲人群长期抗逆转录病毒治疗后的单核细胞功能障碍、活化和炎症

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作者:Rose Nabatanzi, Lois Bayigga, Stephen Cose, Sarah Rowland Jones, Moses Joloba, Glenda Canderan, Damalie Nakanjako

Background

Monocyte dysfunction may persist during antiretroviral therapy (ART).

Conclusions

Further investigation is required to understand drivers of persistent monocyte activation and dysfunction.

Methods

Frozen peripheral blood mononuclear cells of 30 human immunodeficiency virus (HIV)-infected ART-treated adults with sustained viral suppression and CD4 counts ≥500 cells/µL were consecutively analyzed for monocyte phenotypes and function.

Results

Nonclassical monocytes (CD14+, CD16++), interleukin (IL)-1β production, and expression of CD40 and CD86 were lower among ART-treated HIV-infected adults relative to age-matched HIV-negative adults (P = .01, P = .01, and P = .02, respectively). Intestinal fatty acid-binding protein, IL6, and soluble CD14 were higher among HIV-infected adults relative to HIV-negative adults (P = .0002, P = .04, and P = .0017, respectively). Conclusions: Further investigation is required to understand drivers of persistent monocyte activation and dysfunction.

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