PMID- 16792698 OWN - NLM STAT- MEDLINE DCOM- 20071024 LR - 20240315 IS - 0019-2805 (Print) IS - 1365-2567 (Electronic) IS - 0019-2805 (Linking) VI - 119 IP - 1 DP - 2006 Sep TI - A T2 cytokine environment may not limit T1 responses in human immunodeficiency virus patients with a favourable response to antiretroviral therapy. PG - 74-82 AB - Low-level production of interferon-gamma (IFN-gamma) marks human immunodeficiency virus (HIV)-induced immunodeficiency and has been ascribed to a bias towards T2 cytokines. This was investigated in two cross-sectional studies of HIV patients who were immunodeficient when they began antiretroviral therapy (ART) and had stable increases in CD4 T-cell counts. Blood leucocytes were assessed unstimulated or after stimulation with cytomegalovirus (CMV), anti-CD3 or mitogen. IFN-gamma and interleukin (IL)-5 responses were initially assessed by enzyme-linked immunosorbent spot-forming cell assay (ELISPOT) and enzyme-linked immunosorbent assay (ELISA). We then adopted a sensitive reverse transcription-polymerase chain reaction (RT-PCR) system to assess IFN-gamma, IL-5, IL-4 and IL-4delta2 (an inhibitory splice variant of IL-4) mRNA. The results were correlated with putative serological markers of a T1 [lymphocyte activation gene-3 (LAG-3), CD26] or a T2 [CD30, immunoglobulin E (IgE)] cytokine environment. IL-5 production and IgE levels were elevated in patients. IgE levels did not correlate with IFN-gamma, but showed an inverse correlation with IL-5 released in culture (P = 0.05). The levels of IL-4, IFN-gamma, IL-5 and IL-4delta2 mRNA were correlated after anti-CD3 stimulation, where IL-5 was the best predictor of IFN-gamma mRNA (P = 0.006). Weak positive correlations were evident between CD30 and cytokine mRNA levels, whilst IgE correlated inversely with IL-4, IL-4delta2, IL-5 and IFN-gamma mRNA levels. These analyses provide no evidence for an inverse relationship between T1 and T2 cytokine responses in HIV patients, but suggest that the elevation of IgE marks low cytokine responses. FAU - Price, Patricia AU - Price P AD - School of Surgery and Pathology, University of Western Australia, Australia. pprice@cyllene.uwa.edu.au FAU - Keane, Niamh M AU - Keane NM FAU - Lee, Silvia AU - Lee S FAU - Lim, Andrew F Y AU - Lim AF FAU - McKinnon, Elizabeth J AU - McKinnon EJ FAU - French, Martyn A AU - French MA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060622 PL - England TA - Immunology JT - Immunology JID - 0374672 RN - 0 (Anti-Retroviral Agents) RN - 0 (Biomarkers) RN - 0 (CD3 Complex) RN - 0 (Cytokines) RN - 0 (Interleukin-5) RN - 0 (Mitogens) RN - 0 (RNA, Messenger) RN - 207137-56-2 (Interleukin-4) RN - 37341-29-0 (Immunoglobulin E) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Adult MH - Aged MH - Alternative Splicing MH - Anti-Retroviral Agents/therapeutic use MH - Biomarkers/blood MH - CD3 Complex/pharmacology MH - Case-Control Studies MH - Cross-Sectional Studies MH - Cytokines/*blood MH - Cytomegalovirus/immunology MH - Enzyme-Linked Immunosorbent Assay MH - HIV Infections/drug therapy/*immunology MH - Humans MH - Immunoglobulin E/blood MH - Interferon-gamma/blood/genetics MH - Interleukin-4/blood/genetics MH - Interleukin-5/blood/genetics MH - Middle Aged MH - Mitogens/pharmacology MH - RNA, Messenger MH - Reverse Transcriptase Polymerase Chain Reaction MH - Th1 Cells/*immunology MH - Th2 Cells/*immunology MH - Treatment Outcome PMC - PMC1782334 EDAT- 2006/06/24 09:00 MHDA- 2007/10/25 09:00 PMCR- 2007/09/01 CRDT- 2006/06/24 09:00 PHST- 2006/06/24 09:00 [pubmed] PHST- 2007/10/25 09:00 [medline] PHST- 2006/06/24 09:00 [entrez] PHST- 2007/09/01 00:00 [pmc-release] AID - IMM2407 [pii] AID - 10.1111/j.1365-2567.2006.02407.x [doi] PST - ppublish SO - Immunology. 2006 Sep;119(1):74-82. doi: 10.1111/j.1365-2567.2006.02407.x. Epub 2006 Jun 22.