PMID- 11443550 OWN - NLM STAT- MEDLINE DCOM- 20010823 LR - 20081121 IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 184 IP - 3 DP - 2001 Aug 1 TI - Human immunodeficiency virus-infected patients receiving highly active antiretroviral therapy maintain activated CD8+ T cell subsets as a strong adaptive immune response to cytomegalovirus. PG - 256-67 AB - CD8(+) T lymphocyte function specific for human cytomegalovirus (CMV) was evaluated in 14 patients infected with human immunodeficiency virus (HIV) receiving highly active antiretroviral therapy (HAART) and 26 CMV-seropositive donors without HIV infection. Fifty-seven percent of the HIV-infected group had CMV-specific cytolytic activity in freshly isolated peripheral blood mononuclear cells (PBMC) against targets expressing CMV pp65. Both interferon (IFN)-gamma secretion by CD8(+) T cells and the frequency of human leukocyte antigen (HLA)-tetramer-positive T cells in HLA-A*0201-positive HIV-infected subjects correlated with CMV-specific cytolysis. In contrast, PBMC from healthy CMV-seropositive donors did not have either measurable CMV-specific cytolysis or secretion of IFN-gamma without in vitro stimulation. The T helper response to CMV antigens was vigorous in healthy CMV-seropositive donors but low in the cohort of HIV-infected patients. Potent CD8(+) cytotoxic T lymphocyte responses to CMV in HIV-infected patients receiving HAART is the converse of what is found in healthy CMV-seropositive subjects and may be the predominant adaptive immune response against CMV in HIV-infected patients. FAU - Villacres, M C AU - Villacres MC AD - Laboratory of Vaccine Research, Department of Virology, Beckman Research Institute, City of Hope National Medical Center, Duarte, California, USA. FAU - Lacey, S F AU - Lacey SF FAU - La Rosa, C AU - La Rosa C FAU - Krishnan, R AU - Krishnan R FAU - Auge, C AU - Auge C FAU - Longmate, J AU - Longmate J FAU - Zaia, J A AU - Zaia JA FAU - Leedom, J M AU - Leedom JM FAU - Diamond, D J AU - Diamond DJ LA - eng GR - MO1-RR00043-38/RR/NCRR NIH HHS/United States GR - R01-AI43267/AI/NIAID NIH HHS/United States GR - R01-CA77544/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. DEP - 20010710 PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (Phosphoproteins) RN - 0 (RNA, Viral) RN - 0 (Viral Matrix Proteins) RN - 0 (cytomegalovirus matrix protein 65kDa) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - AIDS-Related Opportunistic Infections/*immunology MH - Adult MH - *Antiretroviral Therapy, Highly Active MH - CD8-Positive T-Lymphocytes/*immunology MH - Cells, Cultured MH - Cross-Sectional Studies MH - Cytomegalovirus/*immunology MH - Cytomegalovirus Infections/*immunology MH - HIV/isolation & purification MH - HIV Infections/*drug therapy/*immunology MH - Histocompatibility Testing MH - Humans MH - Interferon-gamma/biosynthesis MH - *Lymphocyte Activation MH - Middle Aged MH - Phosphoproteins/immunology MH - Polymerase Chain Reaction MH - RNA, Viral/blood MH - T-Lymphocyte Subsets/immunology MH - T-Lymphocytes, Cytotoxic/*immunology MH - Viral Load MH - Viral Matrix Proteins/immunology EDAT- 2001/07/10 10:00 MHDA- 2001/08/24 10:01 CRDT- 2001/07/10 10:00 PHST- 2000/11/14 00:00 [received] PHST- 2001/03/28 00:00 [revised] PHST- 2001/07/10 10:00 [pubmed] PHST- 2001/08/24 10:01 [medline] PHST- 2001/07/10 10:00 [entrez] AID - JID001386 [pii] AID - 10.1086/322028 [doi] PST - ppublish SO - J Infect Dis. 2001 Aug 1;184(3):256-67. doi: 10.1086/322028. Epub 2001 Jul 10.