PMID- 8656014 OWN - NLM STAT- MEDLINE DCOM- 19960731 LR - 20190512 IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 174 IP - 1 DP - 1996 Jul TI - Inhibition of immunoreactive tumor necrosis factor-alpha by a chimeric antibody in patients infected with human immunodeficiency virus type 1. PG - 63-8 AB - Tumor necrosis factor-alpha (TNF-alpha), a proinflammatory cytokine known to stimulate human immunodeficiency virus type 1 (HIV-1) replication, has been implicated in the pathogenesis of HIV-1 infection. Inhibition of TNF-alpha by a chimeric humanized monoclonal antibody, cA2, was investigated in 6 HIV-1-infected patients with CD4 cell counts < 200/mm3. Two consecutive infusions of 10 mg/kg 14 days apart were well tolerated, and a prolonged serum half-life for cA2 (mean, 257 +/- 70 h) was demonstrated. Serum immunoreactive TNF-alpha concentrations fell from a mean prestudy value of 6.4 pg/mL (range, 4.2-7.9) to 1.1 pg/mL (range, 0.5-2.2) 24 h after the first infusion and returned to baseline within 7-14 days. A similar response was seen after the second infusion. No consistent changes in CD4 cell counts or plasma HIV RNA levels were observed over 42 days. Future studies evaluating the therapeutic utility of long-term TNF-alpha suppression using anti-TNF-alpha antibodies are feasible and warranted. FAU - Walker, R E AU - Walker RE AD - National Institute of Allergy and Infectious Diseases, Critical Care Medicine Department, National Institutes of Health, Bethesda, MD 20892, USA. FAU - Spooner, K M AU - Spooner KM FAU - Kelly, G AU - Kelly G FAU - McCloskey, R V AU - McCloskey RV FAU - Woody, J N AU - Woody JN FAU - Falloon, J AU - Falloon J FAU - Baseler, M AU - Baseler M FAU - Piscitelli, S C AU - Piscitelli SC FAU - Davey, R T Jr AU - Davey RT Jr FAU - Polis, M A AU - Polis MA FAU - Kovacs, J A AU - Kovacs JA FAU - Masur, H AU - Masur H FAU - Lane, H C AU - Lane HC LA - eng PT - Journal Article PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (Antibodies) RN - 0 (Antibodies, Monoclonal) RN - 0 (Recombinant Fusion Proteins) RN - 0 (Recombinant Proteins) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Acquired Immunodeficiency Syndrome/blood/*immunology MH - Adult MH - Animals MH - Antibodies/*therapeutic use MH - Antibodies, Monoclonal/*therapeutic use MH - Female MH - *HIV-1 MH - Humans MH - Male MH - Mice MH - Recombinant Fusion Proteins/pharmacokinetics/*therapeutic use MH - Recombinant Proteins/pharmacokinetics/therapeutic use MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors/immunology EDAT- 1996/07/01 00:00 MHDA- 2001/03/28 10:01 CRDT- 1996/07/01 00:00 PHST- 1996/07/01 00:00 [pubmed] PHST- 2001/03/28 10:01 [medline] PHST- 1996/07/01 00:00 [entrez] AID - 10.1093/infdis/174.1.63 [doi] PST - ppublish SO - J Infect Dis. 1996 Jul;174(1):63-8. doi: 10.1093/infdis/174.1.63.