CD4+ LYMPHOCYTE DEPLETION IN HIV-INFECTED PATIENTS IS ASSOCIATED WITH GP120-IMMUNOGLOBULIN-COMPLEMENT ATTACHMENT TO CD4+ CELLS

被引:29
作者
DANIEL, V [1 ]
SUSAL, C [1 ]
PRODEUS, AP [1 ]
WEIMER, R [1 ]
ZIMMERMANN, R [1 ]
HUTHKUHNE, A [1 ]
OPELZ, G [1 ]
机构
[1] REHABIL HOSP & HEMOPHILIA CTR,HEIDELBERG,GERMANY
关键词
D O I
10.1111/j.1423-0410.1993.tb02511.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The mechanism of CD4+ lymphocyte depletion, which is the main immunological feature in HIV-infected patients, is unclear. We investigated whether gp120-immunoglobulin-complement complexes on the surface of CD4+ cells might be involved in the elimination of CD4+ lymphocytes. The results obtained in 63 HIV-infected patients show that gp120 is attached to a variable degree to CD4+ cells. Importantly, the percentage of CD4+gp120+ lymphocytes is inversely associated with CD4+ lymphocyte counts in the peripheral blood (p = 0.0004). CD4+gp120+ blood lymphocytes bind IgM (p = 0.0027) and IgG antibodies (p = 0. 0001) and complement (p = 0.0005). These results suggest that immune complex-mediated cell elimination is an important mechanism of CD4+ cell depletion in patients with AIDS.
引用
收藏
页码:31 / 36
页数:6
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