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1.
J Exp Med ; 148(5): 1216-27, 1978 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-309912

RESUMO

An adoptive secondary antibody response to phosphorylcholine (PC) can be generated by the transfer of keyhole limpet hemocyanin (KLH)-primed T cells, PC-bovine gamma globulin-primed B cells, and PC-KLH into irradiated syngeneic BALB/c mice. If the KLH-primed T-cell donors were pretreated with anti-idiotype antibodies directed against the BALB/c PC-binding myeloma TEPC 15, their T cells were unable to collaborate effectively with PC-primed B cells; moreover, they could suppress the helper activity of T cells from normal mice for the PC-KLH response. The Ly phenotype of these T cells was found to be Ly 1-, 2+. The specificity of the suppressor T-cell population induced by anti-T15 treatment appears to be both for idiotype (hapten) and carrier, since the suppressor T cells fail to interfere with the antibody response to PC on a heterologous carrier, nor do they suppress the response to trinitrophenol-KLH.


Assuntos
Colina/análogos & derivados , Idiótipos de Imunoglobulinas , Memória Imunológica , Cooperação Linfocítica , Fosforilcolina/imunologia , Linfócitos T/imunologia , Animais , Anticorpos Anti-Idiotípicos , Antígenos de Superfície/análise , Linfócitos B/imunologia , Hemocianinas/imunologia , Terapia de Imunossupressão , Camundongos , Camundongos Endogâmicos BALB C , Fenótipo
2.
J Exp Med ; 162(3): 802-22, 1985 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-2863322

RESUMO

A minor subpopulation of adult murine thymocytes (less than 5%) that is Lyt-2-, L3T4-, and expresses low levels of Ly-1 (designated dLy-1 [dull] thymocytes) has been identified, isolated, and characterized. This study assesses the differentiation potential of dLy-1 thymocytes in the thymus in vivo. Using multiparameter flow cytometry, radiation chimeras of C57BL/6 mice congenic at the Ly-1 or Ly-5 locus, and allelic markers to discriminate host and donor, we showed that transferred dLy-1 cells were able to generate thymocytes expressing both cortical and medullary phenotypes in a sequential manner. The proportion of donor-derived thymocytes obtained was directly related to the number of dLy-1 thymocytes transferred. Transfer of purified Lyt-2+ or Lyt-2+ + L3T4+ thymocytes, which constitute greater than 94% of total thymocytes, failed to generate any donor-derived thymocytes in irradiated recipients. Transfer of bone marrow (BM) cells produced the same sequential pattern of differentiation as that produced by dLy-1 cells, but was delayed by 4-5 d. Transferred dLy-1 thymocytes exhibited a limited capacity for self-renewal, and resulted in a single wave of differentiation in irradiated hosts. Thus, thymic repopulation by donor-derived cells after transfer of dLy-1 thymocytes was transient, while repopulation by BM was permanent. These findings suggest that the isolated dLy-1 thymocytes described herein are precursor thymocytes that represent a very early stage in intrathymic development.


Assuntos
Linfócitos T/citologia , Animais , Antígenos Ly/análise , Transplante de Medula Óssea , Diferenciação Celular , Feminino , Transplante de Células-Tronco Hematopoéticas , Células-Tronco Hematopoéticas/citologia , Humanos , Camundongos , Camundongos Endogâmicos C3H , Camundongos Endogâmicos C57BL , Quimera por Radiação , Linfócitos T/classificação , Linfócitos T/imunologia
3.
J Exp Med ; 147(4): 1267-79, 1978 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-306411

RESUMO

Transplanted lymphomas, most of thymic origin, induced in BALB/c mice with 1-ethyl-1-nitrosourea (ENU) and transplanted spontaneously occurring lymphomas of AKR mice were examined for the expression of the T-cell antigens Ly, TL, and Thy 1 by using three serological methods. Most (11 of 13) of the Thy 1+ and/or TL+ tumors, i.e., T-cell tumors, expressed high levels of either Ly 1 or Ly 2 antigen, but not both. Thus most thymic lymphocytic tumors expressed restricted Ly phenotypes comparable to phenotypes previously described for functional peripheral T cells. Because tumor phenotypes were stable over a number of transplant generations, they therefore appeared to be an intrinsic property of the specific tumors. The majority of the BALB/c lymphomas were Ly 1- 2+ and also positive with anti-TL antiserum. This predominant phenotype on the BALB/c tumors may be related to either the mode of tumor induction or to the mouse strain, but since the restricted Ly pattern was observed both in BALB/c and AKR tumors, the phenotypic restriction itself is not a consequence of either of these factors. Tumor induction by ENU per se is not responsible for Ly or TL ,ntigen expression since several non-T-cell BALB/ c tumors, also induced by ENU, did not express either Ly or TL antigens. Data presented here suggest that the target cell for leukemogenesis may be a partially differentiated thymus cell. The restricted expression of Ly antigens on differentiating thymus cells to either the (formula: see text), phenotype may occur before the loss of TL antigen.


Assuntos
Isoantígenos/análise , Linfoma/imunologia , Neoplasias Experimentais/imunologia , Linfócitos T/imunologia , Vírus AKR da Leucemia Murina , Animais , Etilnitrosoureia , Leucemia Experimental/imunologia , Camundongos , Camundongos Endogâmicos BALB C , Receptores de Antígenos de Linfócitos B/análise , Timoma/imunologia , Neoplasias do Timo/imunologia
4.
J Exp Med ; 146(1): 59-73, 1977 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-406348

RESUMO

Neonatal suppressor T cells were isolated from the thymuses of 10- to 14-day old BDF mice infected at birth with mouse thymic virus. Such cells were enriched for suppressive activity directed against antibody formation by adult B cells and represented a relatively homogenous population of outer cortical cells. Their surface antigen phenotype was found to be: Ly 1+, Ly 2+, TL+, Thy 1+, and H-2+. The cells were larger and contained more DNA than thymocytes from age-matched controls. These findings identify neonatal suppressor T cells as a unique subpopulation separate from most inducible suppressor cells in the adult mouse. The mechanism of action of neonatal suppressor T cells seems to be a reduction in the number of B cells initially triggered by antigen.


Assuntos
Antígenos de Histocompatibilidade , Fenótipo , Supressão Genética , Linfócitos T/imunologia , Animais , Animais Recém-Nascidos , Formação de Anticorpos , Células Produtoras de Anticorpos , Testes Imunológicos de Citotoxicidade , Feminino , Ficoll/imunologia , Técnica de Placa Hemolítica , Soros Imunes , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Endogâmicos CBA , Camundongos Endogâmicos DBA , Mitógenos/farmacologia , Baço/citologia , Timo/citologia , Trinitrobenzenos/imunologia , Vírus não Classificados
5.
J Exp Med ; 144(3): 810-20, 1976 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-784891

RESUMO

C57BL/6 and C57BL/10 female mice were grafted with skin from male or female donors incompatible for H-2 and/or non-H-2 antigens. Syngeneic male grafts applied after the rejection of primary allografts or syngeneic male grafts were rejected in accelerated (second set) fashion, whereas male grafts applied after primary female grafts were not. In addition, C57BL/10 female spleen cells, primed in vivo with an allogeneic (BALB/c, CBA, or B10.BR) male graft and challenged in vitro in mixed lymphocyte culture with syngeneic (C57BL/10) male cells, produced cytotoxic cells specific for syngeneic male target cells. We conclude that at least some component of H-Y is detected by female responder cells on allogeneic male cells, and that the second set cell mediated response to H-Y is not necessarily restricted by the H-2 haplotype of the primary sensitizing strain. Moreover, (CBA X B10) F1 females, primed in vivo with male cells of one parental haplotype (B10 or CBA) and challenged in vitro with male cells of the other parental haplotype (CBA or B10), fail to lyse male target cells of either parental haplotype. It therefore seems unlikely that a helper determinant shared between B10 and CBA is sufficient to explain the ability of CBA male cells to prime H-2-restricted T-cell cytotoxic responses by B10 females.


Assuntos
Rejeição de Enxerto , Antígenos de Histocompatibilidade , Cromossomos Sexuais/imunologia , Animais , Testes Imunológicos de Citotoxicidade , Feminino , Memória Imunológica , Masculino , Camundongos , Camundongos Endogâmicos , Transplante de Pele , Transplante Homólogo
6.
J Exp Med ; 160(5): 1431-49, 1984 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-6491601

RESUMO

Natural killer (NK) activity in the rat and human has been attributed to cells having the morphology of large granular lymphocytes (LGL). However, this association has been less clear in the mouse, largely because of difficulties in obtaining highly enriched populations of LGL from normal spleen and blood. We have previously observed that the administration of the biological response modifier (BRM) maleic anhydride divinyl ether (MVE-2) strongly augmented NK activity in lung and liver, and the augmented NK activity coincided with increased resistance to the formation of experimental metastases in these organs. The degree of NK augmentation was most striking in the liver, an unexpected and previously unreported observation. In the present study, both MVE-2 or Corynebacterium parvum induced a dramatic augmentation of liver NK activity, which reached maximum levels 3-5 d after treatment. This augmentation of NK activity in the liver coincided with a large increase in the number of lymphoid cells with the morphological characteristics of LGL that could be isolated from enzymatically digested suspensions of perfused liver. The yield of LGL per liver following BRM treatment corresponded to a 10-50-fold increase as compared to normal mice. LGL were purified from these enzymatically digested suspensions of perfused liver by depletion of adherent cells on nylon wool columns and subsequent enrichment for low-density lymphoid cells by fractionation on Percoll density gradients. The enrichment of LGL correlated with greatly increased NK activity against YAC-1. Conversely, the higher-density fractions were depleted of both LGL and NK activity. This increase in NK activity in the liver was suppressed by in vivo treatment with anti-asialo GM1 (asGM1) serum. This treatment also resulted in a corresponding reduction in both the total number and percentage of LGL. By flow cytometry analysis, the phenotype of the majority of these highly cytolytic LGL isolated from the livers of BRM-treated mice were asGM1+, Thy-1+, Ly-5+, Qa-5+, Mac-1+, and Gma-1+, whereas these LGL were Ly-1-, Lyt-2-, L3T4-, and surface Ig-. We conclude that the livers of BRM-treated mice can provide a rich source of highly active mouse LGL that could be used for further characterization of this lymphocyte subset. Further, these studies imply a potential for BRM therapy of neoplastic or viral diseases through augmentation of organ-associated immune responses.


Assuntos
Adjuvantes Imunológicos/farmacologia , Citotoxicidade Imunológica , Gangliosídeo G(M1) , Células Matadoras Naturais/imunologia , Fígado/citologia , Polímeros/farmacologia , Copolímero de Pirano/farmacologia , Animais , Antígenos de Superfície/análise , Líquido Ascítico/imunologia , Linhagem Celular , Separação Celular , Citotoxicidade Imunológica/efeitos dos fármacos , Feminino , Glicoesfingolipídeos/imunologia , Soros Imunes/farmacologia , Células Matadoras Naturais/efeitos dos fármacos , Leucemia L5178/imunologia , Linfoma/imunologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Especificidade de Órgãos , Fenótipo , Propionibacterium acnes/imunologia , Baço/citologia
7.
J Exp Med ; 149(5): 1183-96, 1979 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-221612

RESUMO

Flow microfluorometry was used to assess levels of xenotropic murine leukemia virus envelope-related cell-surface antigens (XenCSA) expressed on lymphocytes of mice derived from crosses between C57BL/6 (B6) and DBA/2 (D2); 24 recombinant inbred strains (BXD RIs) and 62 backcross mice were studied. The results suggest that XenCSA expression is affected by more than one gene but that the predominant influence is exerted by a single semidominant gene apparently located on chromosome 4 at or in close proximity to the Fv-1 locus. Studies of spontaneous virus production in B6D2F1 X D2 mice suggest that this locus may also affect production by spleen cells of xenotropic MuLV registering in a fluorescent antibody assay of mink lung cells.


Assuntos
Antígenos Virais/análise , Genes , Vírus da Leucemia Murina/imunologia , Linfócitos/imunologia , Proteínas Virais/imunologia , Animais , Cromossomos , Cruzamentos Genéticos , Feminino , Ligação Genética , Glicoproteínas/imunologia , Vírus da Leucemia Murina/crescimento & desenvolvimento , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Endogâmicos DBA
8.
J Exp Med ; 144(5): 1324-35, 1976 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-1032893

RESUMO

When a male mouse is presented with two H-2 congenic two female in estrus, his choice of a mate is influenced by their H-2 types. The term "strain preference" is used to describe the general tendency of the male population of one inbred strain to prefer two female of one H-2 type rather than another. The term "consistency of choice" is used to describe the added tendency of particular two males of one inbred strain, in sequential mating trials, to prefer two females of the H-2 type they chose in previous trials. Statistical analysis showed trends in the data that support the following conclusions: (a) The choice is made by the male, not the female. (b) The strain preference of two males may favor two females of dissimilar H-2 type (four of six comparisons), or of similar H-2 type (one of six comparisons). (c) Consistency of choice does not always correspond with strain preference. In one of six comparisons of H-2 genotypes there was no strain preference but pronounced consistency of choice by individual two male. This suggests memory, but fortuitous bias is not excluded. (d) Strain preference of the same male population may favor two male of the same or a different H-2 type, depending on which different H-2 type is offered as the choice alternative to self. These findings conform to a provisional model in which olfactory mating preference is governed by two linked genes in the region of H-2, one for the female signal and one for the male receptor. These mating preferences could in natural populations serve the purpose of increasing the representation of particular H-2 haplotypes or of maintaining heterozygosity of genes in the region of H-2.


Assuntos
Genes , Antígenos de Histocompatibilidade , Comportamento Sexual Animal/fisiologia , Animais , Feminino , Ligação Genética , Heterozigoto , Homozigoto , Masculino , Camundongos , Camundongos Endogâmicos AKR , Feromônios
10.
J Natl Cancer Inst ; 81(19): 1492-6, 1989 Oct 04.
Artigo em Inglês | MEDLINE | ID: mdl-2778838

RESUMO

The J2 recombinant retrovirus expressing v-myc/v-raf (also known as MYC/RAF1) immortalized macrophages from the bone marrow of lipopolysaccharide-responsive mouse strains, producing the ANA-1 cell line from C57BL/6 mice and the INF-3A cell line from C3H/HeN mice. In contrast, J2 recombinant retrovirus infection of the fetal liver from C57BL/6-Ly-5a mice immortalized a cell line (GGD) that did not exhibit the characteristics of mature macrophages. The GGD cell line was classified as leukocytic on the basis of its expression of the Ly-6B.2, Fc gamma R, and Ly-5.2 antigens. Our results indicate that the J2 recombinant retrovirus selectively immortalizes macrophages from the bone marrow of C57BL/6 and C3H/HeN mice but immortalizes cells without definitive macrophage characteristics from murine fetal liver under the same culture conditions.


Assuntos
Células da Medula Óssea , Transformação Celular Viral , Macrófagos/citologia , Oncogenes , Retroviridae/genética , Animais , Linhagem Celular Transformada , Citotoxicidade Imunológica , Fígado/citologia , Fígado/embriologia , Macrófagos/fisiologia , Camundongos , Camundongos Endogâmicos C3H , Camundongos Endogâmicos C57BL , Camundongos Endogâmicos , Fagocitose , Fenótipo , Retroviridae/fisiologia
11.
AIDS ; 13 Suppl A: S113-20, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10885770

RESUMO

Over the past decade, a substantial research investment has generated a vast body of knowledge relevant to the development of an effective AIDS vaccine. Furthermore, studies in nonhuman primates have demonstrated that a number of candidate immunogens can confer a significant degree of protection against a potentially pathogenic SIV or SHIV. Currently, there exists a robust program that supports discovery of new HIV immunogens and a proven successful program for collaborative human trials of promising vaccine candidates. However, we believe that there is a gap between discovery and clinical trials. An orderly process for screening of candidate immunogens prior to human trials would facilitate the vaccine development program. We suggest that nonhuman primates can fill this strategic gap and could accelerate vaccine development. Recognizing that there is considerable controversy about the potential usefulness of the primate models, we have attempted to set forth the relevant practical and biological issues as a series of questions for discussion. The most important biological problem is the absence of a single immune response correlate that will predict vaccine efficacy. Data from primate models indicate that such a single predictive correlate may not exist. In turn, this argues for a vaccine screening protocol that includes a pathogenic virus challenge, an approach only available in the nonhuman primate model. The further assumption is that nonprimate models can be used to predict the relative protective efficacy of diverse immunization protocols, a hypothesis that can only be tested by comparative studies yet to be conducted. A 'standard' set of virus challenges must be selected for comparison of different immunization protocols, and this effort has been initiated. At the practical level, it appears that the large number of candidate immunogens now being developed requires a screening process of the kind proposed, since it would not be practical to test all new immunogens and protocols in humans. In conclusion, it appears timely to crystallize an orderly process for the discovery, screening, and human testing of candidate AIDS vaccines, understanding that a vaccine development program should not be conducted at the expense of investigator-initiated research in the diverse disciplines that support rational vaccine design and development. The components of a rational process of vaccine development are well established and only remain to be welded into one coherent program.


Assuntos
Vacinas contra a AIDS/uso terapêutico , Modelos Animais de Doenças , Primatas , Vacinas contra a AIDS/administração & dosagem , Vacinas contra a AIDS/imunologia , Animais , Humanos
12.
J Immunol Methods ; 123(2): 249-57, 1989 Oct 24.
Artigo em Inglês | MEDLINE | ID: mdl-2809223

RESUMO

Qa-5 is a Class I MHC Ag expressed on mature T cells and natural killer (NK) cells of mice, and is defined by specific reactivity with an IgM secreting hybridoma (B16-167). The availability of IgG antibodies with Qa-5 specificity would greatly facilitate in vivo studies of Qa-5 positive NK cells. Using a sequential subline technique in conjunction with ELISA screening, several isotype variants of the B16-167 parent line were selected and cloned. An IgG2a, an IgG2b, and two IgG1 switch variants were selected, and it was demonstrated that one of these cloned lines produced both IgM and IgG1 simultaneously. Binding of the variant antibodies to Qa-5+ cells was not detected by flow cytometry analysis, nor by the ability to deplete NK activity from Qa-5+ large granular lymphocytes (LGL). However, all of the variant lines appeared to use the same VH region genes by Southern blot analysis. Furthermore, IgG2a from the switch variants inhibited binding of the parental IgM anti-Qa-5 when used in excess, and reduction of the parental IgM anti-Qa-5 to monomeric form abolished its binding capacity. These data together indicate that the weak binding by the IgG variants may be due to loss of an innate low affinity/high avidity binding of the parent IgM. Therefore, the isotype switch detection procedure is a useful technique for selection of antibodies with various effector functions, provided the initial antibody is an antibody with sufficient binding affinity.


Assuntos
Antígenos de Histocompatibilidade Classe I/imunologia , Isotipos de Imunoglobulinas/imunologia , Alquilação , Animais , Formação de Anticorpos , Especificidade de Anticorpos , Southern Blotting , Rearranjo Gênico de Cadeia Pesada de Linfócito B , Genes de Imunoglobulinas , Genes de Troca , Hibridomas/metabolismo , Isoanticorpos/imunologia , Camundongos , Oxirredução
13.
Transplantation ; 35(4): 355-62, 1983 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-6601321

RESUMO

The phenotype of murine thymocytes repopulating the thymus of radiation bone marrow chimeras shortly after irradiation and bone marrow reconstitution was analyzed by immunofluorescence and flow microfluorometry. Thymuses in these chimeras, while essentially devoid of lymphoid cells at day 7, were repopulated by days 10 to 12 after irradiation. It was found that this initial repopulation arose from a radioresistant intrathymic precursor that expanded to an almost complete complement of host-type thymocytes. However, these host-derived thymocytes were unusual in that they were relatively deficient in Lyt 1+2- and peanut agglutinin "dull" cells as compared with normal thymocytes. Donor bone-marrow-derived cells first appeared in the irradiated chimeric thymuses between days 12 and 15 after irradiation and bone marrow transfer. By day 19, chimeric thymuses contained more than 98% donor cells. This course was identical for three chimeric combinations, each made across different genetic barriers. In contrast to the cells that populate the fetal thymus during normal ontogeny, the first donor bone-marrow-derived cells that can be detected within the irradiated chimeric thymuses already expressed phenotypically normal adult T cell subpopulations in that they contained significant numbers both of Lyt 1+2- and of Lyt 1+2+ thymocytes. Thus, the Lyt phenotype of donor cells that initially repopulate an adult thymus after irradiation is markedly different from the Lyt phenotype of cells that initially populate the fetal thymus. The differences between adult and fetal thymic development that are observed in radiation bone marrow chimeras may be important in our understanding of T cell differentiation in these animals.


Assuntos
Quimera por Radiação , Linfócitos T/imunologia , Timo/imunologia , Animais , Antígenos Ly/análise , Medula Óssea/efeitos da radiação , Camundongos , Fenótipo , Timo/citologia , Fatores de Tempo
14.
AIDS Res Hum Retroviruses ; 12(1): 1-9, 1996 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-8825612

RESUMO

A workshop entitled "Early Phases of HIV-1 Infection" was held to review current research on the immunological and virological aspects of early phases of HIV infection in humans and in animal models, to identify studies for future research, and to foster collaborations among investigators in the biomedical community. In infections of adults, the appearance of cytotoxic T lymphocyte activity, when present, coincides with a decrease in viral load as measured by plasma viremia. In neonatal infections, however, an initial decrease in viral load has been observed months before cytotoxic T lymphocytes are detected. Immunological data, from a limited number of patients, indicated that CD8+ cytotoxic T lymphocytes detected early after HIV-1 infection may recognize epitopes in any of several HIV-1 proteins: Env, Gag, Pol, Tat, and Nef. With regard to the humoral antibody response, anti-Env binding antibodies appear before neutralizing antibodies and do not predict the appearance of neutralizing activity. The time at which neutralizing antibody appears is variable and unpredictable. Preliminary data indicate that early viral peak load does not predict disease progression in many cases, and the phenotype or virulence of the virus appears to be a critical variable. However, the quantity of HIV-1 RNA in plasma is a strong CD4+ T cell-independent predictor of outcome following HIV-1 seroconversion in homosexual men. Early, high virus load with sustained viremia is often accompanied, in both adults and infants, by the inability to mount an effective immune response, resulting in rapid disease progression.


Assuntos
Infecções por HIV/imunologia , Infecções por HIV/virologia , HIV-1/imunologia , HIV-1/isolamento & purificação , Animais , Progressão da Doença , Previsões , Genótipo , Anticorpos Anti-HIV/imunologia , Antígenos HIV , Humanos , RNA Viral/genética , Linfócitos T Citotóxicos/imunologia , Viremia
15.
AIDS Res Hum Retroviruses ; 9(12): 1175-84, 1993 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-7908211

RESUMO

Concern that ADE of HIV infection could occur in vivo, as a result of HIV immunization, has arisen for several reasons. Immune-mediated disease enhancement occurs in several human and animal viral diseases, including lentiviral diseases. Tropism for host M/M cells is a common characteristic in these diseases. Sera from naturally infected, and possibly HIV-immunized, individuals have been shown to contain infection enhancing antibodies in vitro. Finally, there is considerable genetic, and potentially antigenic, diversity among HIV-1 isolates. This workshop was convened to evaluate these concerns regarding ADE of HIV infection in human HIV vaccine trials and to propose studies that would address this potential risk. Although there is currently no evidence that immune-mediated enhancement of disease occurs in HIV, there is clearly a need for carefully designed experiments to further evaluate this issue. As there are several notable diseases for which in vitro ADE does not correlate with ADE in vivo, in vitro data are insufficient to deter development of current HIV-1 vaccine candidates. In vivo correlates of protection/enhancement are necessary to evaluate the ADE risk accurately. The development of an HIV animal model that would allow testing of vaccine candidates is of primary importance.


Assuntos
Vacinas contra a AIDS/efeitos adversos , Animais , Ensaios Clínicos como Assunto/métodos , Modelos Animais de Doenças , Variação Genética , HIV/genética , HIV/fisiologia , Anticorpos Anti-HIV/sangue , Infecções por HIV/etiologia , Infecções por HIV/prevenção & controle , Humanos , Técnicas In Vitro , Fatores de Risco , Viroses/etiologia , Replicação Viral/imunologia
16.
Obstet Gynecol Clin North Am ; 24(4): 705-29, 1997 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9430163

RESUMO

The global HIV-1 epidemic in women continues to expand at an alarming rate. More than 11 million women are currently estimated to be HIV-infected, with the majority living in sub-Saharan Africa. The primary risk factor for HIV infection in women is unprotected heterosexual intercourse. Several cofactors may influence a woman's risk for HIV acquisition. These include the presence of other STDs, the prevalence of HIV in the population, engagement in high-risk sexual behaviors at a young age, an increased number of sexual partners, HIV illness severity in an infected partner, host immunogenetic responses, hormonal and other local effects in the female genital tract, and viral characteristics. The general clinical findings in women with HIV disease are similar to those in HIV-infected men. Some studies have noted higher rates of esophageal candidiasis and decreased rates of Kaposi's sarcoma in women when compared with men. Overall disease progression and survival in women and men are similar once an adjustment is made for other important risk factors such as the time of seroconversion, the receipt of antiretrovirals, and baseline CD4 cell counts. Women with HIV have a high frequency of a number of diseases of the reproductive tract, including low-grade cervical dysplasia and vulvovaginal candidiasis. Despite progress in understanding the risk factors for HIV transmission to women and the variables related to disease progression, major research questions remain. These include the role of hormonal contraceptives in the risk for HIV acquisition, the primary mechanism of infection, and host systemic as well as local hormonal and immune responses in the female reproductive tract that may alter the risk of HIV infection. Over the next decade, it is anticipated that the quality of life and length of survival will improve dramatically for both HIV-infected women and men in settings in which new highly active combination antiretroviral therapy is available and affordable. Unfortunately, in most of the world, these antiretroviral drugs are not available for the treatment of the vast numbers of individuals infected by HIV. Therefore, development of successful strategies for primary prevention of HIV infection in women must be a top public health priority.


PIP: The global HIV epidemic in women continues to expand, primarily as a result of unprotected heterosexual intercourse. Women's risk of HIV acquisition is affected by cofactors such as the presence of other sexually transmitted diseases, the prevalence of HIV in the population, the practice of high-risk sexual behaviors at a young age, an increased number of sexual partners, HIV illness severity in an infected partner, host immunogenetic responses, hormonal and other local effects in the female genital tract, and viral characteristics. Although the general clinical findings in HIV-infected men and women are similar, women also have a high frequency of reproductive tract diseases such as low-grade cervical dysplasia and vulvovaginal candidiasis. Further research is needed to assess the role of hormonal contraception in the risk for HIV acquisition, the primary mechanism of infection, and host systemic as well as local hormonal and immune responses in the female reproductive tract that may alter HIV risk. Although combination antiretroviral therapy has demonstrated the ability to improve the quality of life and survival time of HIV-infected men and women, the high cost of such treatment renders it inaccessible to the majority of HIV-infected patients. Thus, the development of successful strategies for primary prevention of HIV infection--especially among women--remains a top public health priority.


Assuntos
Infecções por HIV , Infecções Oportunistas Relacionadas com a AIDS/etiologia , Diagnóstico Diferencial , Progressão da Doença , Feminino , Saúde Global , Infecções por HIV/complicações , Infecções por HIV/diagnóstico , Infecções por HIV/epidemiologia , Infecções por HIV/etnologia , Infecções por HIV/etiologia , Infecções por HIV/mortalidade , Humanos , Lesões Pré-Cancerosas/virologia , Gravidez , Complicações Infecciosas na Gravidez/virologia , Fatores de Risco , Taxa de Sobrevida , Estados Unidos/epidemiologia
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