PMID- 8601223 OWN - NLM STAT- MEDLINE DCOM- 19960503 LR - 20191024 IS - 1077-9450 (Print) IS - 1077-9450 (Linking) VI - 11 IP - 4 DP - 1996 Apr 1 TI - Active HHV-6 infection in the lymph nodes of HIV-infected patients: in vitro evidence that HHV-6 can break HIV latency. PG - 370-8 AB - Studies published previously by this laboratory have demonstrated that patients with AIDS have widely disseminated, active infections with HHV-6 at the time of their death. However, it remains unclear when in the course of the human immunodeficiency virus (HIV) infection the active HHV-6 infection first appears. To address this question, lymph node biopsies from 10 HIV-infected patients were analyzed for active human herpesvirus 6 (HHV-6) infections by immunohistochemical staining. Eight of the biopsies carried the histologic diagnosis of follicular hyperplasia; the other two were characterized as having follicular involution with histiocytosis and reactive lymphadenitis. In total, 10 of 10 (100%) of the lymph nodes studied contained cells productively infected with HHV-6; in contrast, three lymph nodes with follicular hyperplasia and four normal lymph nodes from patients not infected with HIV were negative for HHV-6 infection. Of special note, the absolute CD4+ lymphocyte counts of 75% (6/8) of the HIV-infected individuals included in these studies were > 200/mm3 at the time of their lymph node biopsy. The A variant of HHV-6 was found to be the predominant form of the virus present in the lymph node biopsies from all of these HIV-infected patients, and in vitro studies demonstrated that exposure of monocytic cells carrying latent HIV to HHV-6A resulted in massive upregulation of HIV replication from latency. Thus, active HHV-6 infections appear relatively early in the course of HIV disease, and in vitro studies suggest that the A variant of HHV-6 is capable of breaking HIV latency, with the potential for helping to catalyze the progression of HIV infections to AIDS. FAU - Knox, K K AU - Knox KK AD - Department of Pathology, Medical College of Wisconsin, Milwaukee, USA. FAU - Carrigan, D R AU - Carrigan DR LA - eng PT - Journal Article PL - United States TA - J Acquir Immune Defic Syndr Hum Retrovirol JT - Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association JID - 9501482 RN - 0 (HIV Core Protein p24) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - AIDS-Related Opportunistic Infections/*virology MH - CD4 Lymphocyte Count MH - HIV/*physiology MH - HIV Core Protein p24/analysis MH - HIV Infections/virology MH - Herpesviridae Infections/*virology MH - Herpesvirus 6, Human/*isolation & purification/physiology MH - Humans MH - Hyperplasia MH - Lymph Nodes/pathology/*virology MH - Monocytes/virology MH - Tumor Cells, Cultured MH - Tumor Necrosis Factor-alpha/analysis MH - *Virus Activation MH - Virus Latency EDAT- 1996/04/01 00:00 MHDA- 1996/04/01 00:01 CRDT- 1996/04/01 00:00 PHST- 1996/04/01 00:00 [pubmed] PHST- 1996/04/01 00:01 [medline] PHST- 1996/04/01 00:00 [entrez] AID - 10.1097/00042560-199604010-00007 [doi] PST - ppublish SO - J Acquir Immune Defic Syndr Hum Retrovirol. 1996 Apr 1;11(4):370-8. doi: 10.1097/00042560-199604010-00007.