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Humoral response to hepatitis B vaccination and its relationship with T CD45RA+ (naive) and CD45RO+ (memory) subsets in HIV-1-infected subjects

机译:感染HIV-1的受试者对乙型肝炎疫苗的体液反应及其与T CD45RA +(天然)和CD45RO +(记忆)亚群的关系

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摘要

HIV disease leads to defects in cell-mediated immunity, impairing the immune response to new and recall antigens. We studied 55 HIV 1-infected patients who received of recombinant DNA hepatitis B vaccine and 20 controls. The overall hepatitis B virus (HBV) seroconversion rate was 59%. The median CD4+ T cell count among responders was 452 cell/mm(3), higher than non-responders (359 cells/mm(3)). The HIV plasmaviral loads were higher in non-responders. We concluded that total T CD4 cell count, memory T CD4+ cells and lower plasma viral load among HIV-1-infected subjects treated with HAART could be used to predict the immune response to vaccination with hepatitis B vaccine. Thus, considering cost benefits, HVB vaccination should be preferentially provided to HIV-infected patients with T CD4 cells count over 450 cells/mm(3), preferentially whose under HIV replication controlled.
机译:HIV疾病会导致细胞介导的免疫缺陷,削弱对新抗原和召回抗原的免疫反应。我们研究了55名接受重组DNA乙型肝炎疫苗的HIV 1感染患者和20名对照。总体乙型肝炎病毒(HBV)血清转化率为59%。应答者中的CD4 + T细胞计数中位数为452细胞/ mm(3),高于无应答者(359细胞/ mm(3))。无反应者的HIV血浆病毒载量较高。我们得出的结论是,在接受HAART治疗的HIV-1感染者中,总T CD4细胞计数,记忆T CD4 +细胞和较低的血浆病毒载量可用于预测对乙肝疫苗接种的免疫反应。因此,考虑到成本效益,应优先向HIV感染的T CD4细胞计数超过450细胞/ mm 3的患者提供疫苗接种(3),优先控制HIV复制。

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