Rapid declines in total lymphocyte count and hemoglobin in HIV infection begin at CD4 lymphocyte counts that justify antiretroviral therapy

被引:20
作者
Gange, SJ [1 ]
Lau, B
Phair, J
Riddler, SA
Detels, R
Margolick, JB
机构
[1] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Mol Microbiol & Immunol, Baltimore, MD USA
[3] Northwestern Univ, Sch Med, Chicago, IL USA
[4] Univ Pittsburgh, Pittsburgh, PA USA
[5] Univ Calif Los Angeles, Sch Publ Hlth, Los Angeles, CA 90024 USA
关键词
D O I
10.1097/00002030-200301030-00016
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We investigated whether the onset of rapid declines in total lymphocyte counts and hemoglobin levels might be useful for staging HIV disease and initiating antiretroviral therapy. Using data from the Multicenter AIDS Cohort Study, we found that accelerated declines in both markers generally precede AIDS by 1.2 years and occur when the CD4 lymphocyte counts fall below 350 cells/mm(3). These markers may thus be suitable for monitoring disease and timing therapy initiation in resource-limited settings.
引用
收藏
页码:119 / +
页数:3
相关论文
共 15 条
[1]   Correlation between total and CD4 lymphocyte counts in HIV infection: Not making the good an enemy of the not so perfect [J].
Beck, EJ ;
Kupek, EJ ;
Gompels, MM ;
Pinching, AJ .
INTERNATIONAL JOURNAL OF STD & AIDS, 1996, 7 (06) :422-428
[2]   TOTAL LYMPHOCYTE COUNT AS A PREDICTOR OF ABSOLUTE CD4+ COUNT AND CD4+ PERCENTAGE IN HIV-INFECTED PERSONS [J].
BLATT, SP ;
LUCEY, CR ;
BUTZIN, CA ;
HENDRIX, CW ;
LUCEY, DR .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1993, 269 (05) :622-626
[3]  
Centers for Disease Control and Prevention (CDC), 2002, MMWR Morb Mortal Wkly Rep, V51, P1
[4]   Identification of inflections in T-cell counts among HIV-1-infected individuals and relationship with progression to clinical AIDS [J].
Gange, SJ ;
Munoz, A ;
Chmiel, JS ;
Donnenberg, AD ;
Kirstein, LM ;
Detels, R ;
Margolick, JB .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1998, 95 (18) :10848-10853
[5]   Longitudinal patterns of HIV type 1 RNA among individuals with late disease progression [J].
Gange, SJ ;
Mellors, JW ;
Lau, B ;
Detels, R ;
Phair, JP ;
Muñoz, A ;
Margolick, JB .
AIDS RESEARCH AND HUMAN RETROVIRUSES, 2001, 17 (13) :1223-1229
[6]   THE PROGRESSION OF UNTREATED HIV-1 INFECTION PRIOR TO AIDS [J].
HOOVER, DR ;
SAAH, A ;
BACELLAR, H ;
MURPHY, R ;
VISSCHER, B ;
METZ, S ;
ANDERSON, R ;
KASLOW, RA .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1992, 82 (11) :1538-1541
[7]   Strong association between failure of T cell homeostasis and the syncytium-inducing phenotype among HIV-1-infected men in the Amsterdam Cohort Study [J].
Maas, JJJ ;
Gange, SJ ;
Schuitemaker, H ;
Coutinho, RA ;
van Leeuwen, R ;
Margolick, JB .
AIDS, 2000, 14 (09) :1155-1161
[8]   FAILURE OF T-CELL HOMEOSTASIS PRECEDING AIDS IN HIV-1 INFECTION [J].
MARGOLICK, JB ;
MUNOZ, A ;
DONNENBERG, AD ;
PARK, LP ;
GALAI, N ;
GIORGI, JV ;
OGORMAN, MRG ;
FERBAS, J .
NATURE MEDICINE, 1995, 1 (07) :674-680
[9]   Plasma viral load and CD4(+) lymphocytes as prognostic markers of HIV-1 infection [J].
Mellors, JW ;
Munoz, A ;
Giorgi, JV ;
Margolick, JB ;
Tassoni, CJ ;
Gupta, P ;
Kingsley, LA ;
Todd, JA ;
Saah, AJ ;
Detels, R ;
Phair, JP ;
Rinaldo, CR .
ANNALS OF INTERNAL MEDICINE, 1997, 126 (12) :946-954
[10]   Anaemia is an independent predictive marker for clinical prognosis in HIV-infected patients from across Europe [J].
Mocroft, A ;
Kirk, O ;
Barton, SE ;
Dietrich, M ;
Proenca, R ;
Colebunders, R ;
Pradier, C ;
Monforte, AD ;
Ledergerber, B ;
Lundgren, JD .
AIDS, 1999, 13 (08) :943-950