Thymic Function during 12 Months of Highly Active Antiretroviral Therapy in Thai HIV-Infected Patients with Normal and Slow Immune Recovery
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- Kingkeow Doungnapa
- Research Institute for Health Sciences, Chiang Mai University
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- Srithep Sarinee
- Research Institute for Health Sciences, Chiang Mai University
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- Praparattanapan Jutarat
- Division of Infectious Disease, Faculty of Medicine, Chiang Mai University
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- Supparatpinyo Khuanchai
- Division of Infectious Disease, Faculty of Medicine, Chiang Mai University
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- Pornprasert Sakorn
- Department of Medical Technology, Faculty of Associated Medical Sciences, Chiang Mai University
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The aim of this study was to determine and compare thymic output during 12 months of highly active antiretroviral therapy (HAART) in HIV-infected patients with different types of immune recovery. In total, 18 Thai HIV-infected patients with normal immune recovery (NR) and 13 Thai HIV-infected patients with slow immune recovery (SR) were enrolled. T-cell receptor rearrangement excision circle (TREC) levels in peripheral blood mononuclear cells (PBMCs) and CD4+ T cells were quantified at baseline, and after 6 and 12 months of HAART. CD4+ T-cell counts in NR patients were significantly higher than those in SR patients after 6 and 12 months of HAART. However, the median TREC levels in PBMCs and CD4+ T cells in both groups were comparable. Moreover, TREC levels showed similar trends in PBMCs and CD4+ T cells in both groups during 12 months of HAART. Only patients with SR had significant increases in median TREC levels in PBMCs and CD4+ T-cells during the first 6 months of HAART. No correlations were found between CD4+ T-cell count and TREC levels in PBMCs and CD4+ T cells. These results imply that the increase in CD4+ T-cell count in SR patients after 12 months of HAART is likely attributable to thymic output and other sources.
収録刊行物
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- Japanese Journal of Infectious Diseases
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Japanese Journal of Infectious Diseases 68 (5), 353-356, 2015
国立感染症研究所 Japanese Journal of Infectious Diseases 編集委員会
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詳細情報 詳細情報について
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- CRID
- 1390001206240896000
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- NII論文ID
- 130005098912
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- NII書誌ID
- AA1132885X
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- ISSN
- 18842836
- 13446304
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- NDL書誌ID
- 026764230
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- PubMed
- 25720642
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
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