PMID- 24378753 OWN - NLM STAT- MEDLINE DCOM- 20140917 LR - 20220408 IS - 1473-5571 (Electronic) IS - 0269-9370 (Linking) VI - 28 IP - 4 DP - 2014 Feb 20 TI - Elevated IP10 levels are associated with immune activation and low CD4(+) T-cell counts in HIV controller patients. PG - 467-76 LID - 10.1097/QAD.0000000000000174 [doi] AB - BACKGROUND: Although HIV controllers (HICs) achieve long-term control of viremia in the absence of antiretroviral therapy (ART), they display marked immune activation. The levels of inflammatory biomarkers in HICs and the biomarkers' relationships with immunologic and virologic status have yet to be fully characterized. DESIGN: A cohort study. METHODS: Plasma levels of seven biomarkers [tumor necrosis factor (TNF)alpha, interleukin (IL)6, IL10, interferon gamma-induced protein 10 (IP10), monocyte chemoattractant protein-1 (MCP1), soluble CD14 (sCD14), soluble CD163 (sCD163)] were compared in 70 HICs, 33 HIV-1-infected, treatment-naive noncontrollers (viremic patients), 30 ART-treated patients and 40 healthy donors. In HICs, we investigated the interplay between biomarkers, cell activation and the CD4(+) T-cell count. RESULTS: HICs had higher levels of IP10, TNFalpha and sCD14 than healthy donors did (P < 0.01 for each). Also, TNFalpha and sCD14 levels of the HICs were similar to those measured in viremic and ART-treated patients. However, the levels of IL6 and IL10 were significantly lower in HICs than in viremic or ART-treated patients. In HICs, only IP10 levels differed significantly from those in both healthy donors and viremic patients, and were positively correlated with the expression of CD8(+) and CD4(+) T-cell activation markers. The IP10 levels of HICs were still elevated 12 and 24 months after the initial assay. Lastly, IP10 levels at enrollment were negatively correlated with the CD4(+) T-cell count at enrollment and 12 months later. CONCLUSION: HICs display a number of inflammatory features associated with persistent T-cell immune activation. FAU - Noel, Nicolas AU - Noel N AD - aINSERM U1012, Regulation de la reponse immune, infection VIH1 et autoimmunite, Universite Paris Sud bAPHP, Service de Medecine Interne, Hopitaux Universitaires Paris Sud cINSERM U1018, Centre de recherche en Epidemiologie et Sante des Populations, Universite Paris Sud, Le Kremlin Bicetre dInstitut Pasteur, Unite de regulation des infections retrovirales, Paris eService de Microbiologie, CHU Caremeau fINSERM U1047, Centre National de Reference des Brucella (L.A.), UFR de Medecine Universite Montpellier 1, Nimes gFaculte de Medecine Paris Sud XI, Le Kremlin Bicetre hAPHP, Laboratoire de Virologie, CHU Necker, Paris, France. FAU - Boufassa, Faroudy AU - Boufassa F FAU - Lecuroux, Camille AU - Lecuroux C FAU - Saez-Cirion, Asier AU - Saez-Cirion A FAU - Bourgeois, Christine AU - Bourgeois C FAU - Dunyach-Remy, Catherine AU - Dunyach-Remy C FAU - Goujard, Cecile AU - Goujard C FAU - Rouzioux, Christine AU - Rouzioux C FAU - Meyer, Laurence AU - Meyer L FAU - Pancino, Gianfranco AU - Pancino G FAU - Venet, Alain AU - Venet A FAU - Lambotte, Olivier AU - Lambotte O CN - ANRS C021 CODEX Study Group LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - AIDS JT - AIDS (London, England) JID - 8710219 RN - 0 (Biomarkers) RN - 0 (CXCL10 protein, human) RN - 0 (Chemokine CXCL10) RN - 0 (Cytokines) SB - IM MH - Adult MH - Biomarkers/blood MH - CD4-Positive T-Lymphocytes/*immunology MH - Chemokine CXCL10/*blood MH - Cohort Studies MH - Cytokines/*blood MH - Disease Progression MH - Female MH - HIV Infections/*immunology/*pathology MH - *HIV Long-Term Survivors MH - Humans MH - *Lymphocyte Activation MH - Male MH - Middle Aged EDAT- 2014/01/01 06:00 MHDA- 2014/09/18 06:00 CRDT- 2014/01/01 06:00 PHST- 2014/01/01 06:00 [entrez] PHST- 2014/01/01 06:00 [pubmed] PHST- 2014/09/18 06:00 [medline] AID - 10.1097/QAD.0000000000000174 [doi] PST - ppublish SO - AIDS. 2014 Feb 20;28(4):467-76. doi: 10.1097/QAD.0000000000000174.