Kinetics of lymphokine production in HIV+ patients treated with highly active antiretroviral therapy and interleukin 2

被引:12
作者
De Paoli P. [1 ,3 ]
Zanussi S. [1 ]
Caggiari L. [1 ]
Bortolin M.T. [1 ]
D'Andrea M. [1 ]
Simonelli C. [2 ]
Tirelli U. [2 ]
机构
[1] Dept. of Microbiol., Immunol./Virol., Centro di Riferimento Oncologico, IRCCS, Aviano
[2] Dept. of Medical Oncology and AIDS, Centro di Riferimento Oncologico, IRCCS, Aviano
[3] Dept. of Microbiol., Immunol./Virol., Centro di Riferimento Oncologico, IRCCS
关键词
Highly active antiretroviral therapy; HIV infection; IL-16; IL-2; production; therapy;
D O I
10.1023/A:1020547826191
中图分类号
学科分类号
摘要
This study presents the kinetics of CD4/CD25 cell numbers, serum sCD25 levels, and intracellular production and release of interleukin-2 (IL-2) and interleukin-16 (IL-16) in 11 HIV+ patients treated with six cycles of highly active antiretroviral therapy (HAART) plus six MUI of subcutaneous IL-2 compared to 10 HIV+ patients treated with HAART alone. IL-2 therapy induced moderate effects on CD4 T cell recovery and increased CD4/CD25+ cells and sCD25 levels after 2 weeks, while intracellular and secreted IL-2 was reduced and IL-16 was increased at the same time point. After 24 weeks, while HAART- treated patients had increased IL-2 production, in IL-2 treated patients, cytokine production was unaltered compared to pretreatment values: Decreased in vitro IL-2 production may depend on a feedback inhibition by IL-2 infusion. Because of its known antiviral effects, the increased IL-16 production seen after 2 weeks in IL-2-treated individuals may produce beneficial effects on HIV disease. The kinetics of cytokine production may serve to define better the use IL-2 in clinical trials.
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页码:317 / 325
页数:8
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