Human immunodeficiency virus disease: Changing patterns of intraocular inflammation

被引:50
作者
Nussenblatt, RB
Lane, HC
机构
[1] NEI, NIH, Bethesda, MD 20892 USA
[2] NIAID, NIH, Bethesda, MD 20892 USA
关键词
D O I
10.1016/S0002-9394(99)80149-4
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PURPOSE: To evaluate and put into perspective five articles in this issue of the AMERICAN JOURNAL OF OPHTHALMOLOGY that discuss ocular inflammatory disorders in patients with human immunodeficiency virus (HIV) disease. METHODS: We drew upon recent observations concerning the effect of HIV disease on the immune system in an attempt to understand the current reports describing intraocular inflammation. RESULTS: Intraocular inflammation appears to be dependent on several factors, including specific antigenic stimuli and the state of the host immune system. During dynamic changes in these factors, conditions may arise that favor inflammatory reactions. Use of antiretroviral therapies is one mechanism zthat can effect these dynamics. CONCLUSIONS: As the immune system equilibrates at one extreme or the other (depletion or reconstitution), conditions favoring inflammation appear to dissipate. Restoration of immune function by the use of combination antiretroviral therapy, including protease inhibitors, may lead to additional cases of transient intraocular inflammation in the future. (C) 1998 by Elsevier Science Inc. All rights reserved.
引用
收藏
页码:374 / 382
页数:9
相关论文
共 26 条
[1]   Maintenance of replicative intermediates in ganciclovir-treated human cytomegalovirus-infected retinal glia [J].
Burd, EM ;
Pulido, JS ;
Puro, DG ;
OBrien, WJ .
ARCHIVES OF OPHTHALMOLOGY, 1996, 114 (07) :856-861
[2]  
CHAKROUN M, 1990, ANN MED INTERNE, V141, P472
[3]   Treatment of human immunodeficiency virus infection with saquinavir, zidovudine, and zalcitabine [J].
Collier, AC ;
Coombs, RW ;
Schoenfeld, DA ;
Bassett, RL ;
Timpone, J ;
Baruch, A ;
Jones, M ;
Facey, K ;
Whitacre, C ;
McAuliffe, VJ ;
Friedman, HM ;
Merigan, TC ;
Reichman, RC ;
Hooper, C ;
Corey, L .
NEW ENGLAND JOURNAL OF MEDICINE, 1996, 334 (16) :1011-1017
[4]   HIV infection induces changes in CD4(+) T-cell phenotype and depletions within the CD4(+) T-cell repertoire that are not immediately restored by antiviral or immune-based therapies [J].
Connors, M ;
Kovacs, JA ;
Krevat, S ;
GeaBanacloche, JC ;
Sneller, MC ;
Flanigan, M ;
Metcalf, JA ;
Walker, RE ;
Falloon, J ;
Baseler, M ;
Stevens, R ;
Feuerstein, I ;
Masur, H ;
Lane, HC .
NATURE MEDICINE, 1997, 3 (05) :533-540
[5]   Iritis and hypotony after treatment with intravenous cidofovir for cytomegalovirus retinitis [J].
Davis, JL ;
Taskintuna, I ;
Freeman, WR ;
Weinberg, DV ;
Feuer, WJ ;
Leonard, RE .
ARCHIVES OF OPHTHALMOLOGY, 1997, 115 (06) :733-737
[6]  
DAVIS JL, 1991, CURR OPIN OPHTHALMOL, V2, P471
[7]  
FUJIKAWA LS, 1985, LANCET, V2, P529
[8]   Monitoring plasma HIV-1 RNA levels in addition to CD4(+) lymphocyte count improves assessment of antiretroviral therapeutic response [J].
Hughes, MD ;
Johnson, VA ;
Hirsch, MS ;
Bremer, JW ;
Elbeik, T ;
Erice, A ;
Kuritzkes, DR ;
Scott, WA ;
Spector, SA ;
Basgoz, N ;
Fischl, MA ;
DAquila, RT .
ANNALS OF INTERNAL MEDICINE, 1997, 126 (12) :929-938
[9]  
JABS DA, 1992, NEW ENGL J MED, V326, P213, DOI 10.1056/NEJM199201233260401
[10]   Cytomegalovirus retinitis after initiation of highly active antiretroviral therapy [J].
Jacobson, MA ;
Zegans, M ;
Pavan, PR ;
ODonnell, JJ ;
Sattler, F ;
Rao, N ;
Owens, S ;
Pollard, R .
LANCET, 1997, 349 (9063) :1443-1445