PMID- 9117038 OWN - NLM STAT- MEDLINE DCOM- 19970418 LR - 20220317 IS - 1073-449X (Print) IS - 1073-449X (Linking) VI - 155 IP - 3 DP - 1997 Mar TI - Mycobacterium tuberculosis enhances human immunodeficiency virus-1 replication in the lung. PG - 996-1003 AB - We investigated the in vivo effect of coinfection of Mycobacterium tuberculosis on human immunodeficiency virus type 1 (HIV-1) replication using bronchoalveolar lavage (BAL) of 11 HIV-1-infected patients with pulmonary tuberculosis and 10 patients with no lung disease. Lung segments involved with pulmonary tuberculosis had significantly elevated HIV-1 branched DNA (bDNA) levels and p24 in BAL compared with lung segments uninvolved with tuberculosis or with BAL from patients with no lung disease. The BAL viral burden was higher than plasma HIV-1 in tuberculosis patients, indicating local production of virus. BAL HIV-1 bDNA declined over the course of treatment for tuberculosis in three patients who underwent serial bronchoscopies. Tumor necrosis factor-alpha (TNF-alpha) and HIV-1 bDNA particles were strongly correlated (r2 = 0.9, p < 0.01) in lung segments involved with tuberculosis. The deduced amino acid sequence of HIV-1 gp120 V3 region from involved segments of three patients with pulmonary tuberculosis showed basic substitutions associated with altered viral phenotype. Phylogenetic analysis of V3 sequences demonstrated that BAL HIV-1 RNA had diverged from plasma. These data support the conclusion that pulmonary tuberculosis enhances local HIV-1 replication in vivo. FAU - Nakata, K AU - Nakata K AD - Division of Pulmonary and Critical Care Medicine, New York University Medical Center, New York, USA. FAU - Rom, W N AU - Rom WN FAU - Honda, Y AU - Honda Y FAU - Condos, R AU - Condos R FAU - Kanegasaki, S AU - Kanegasaki S FAU - Cao, Y AU - Cao Y FAU - Weiden, M AU - Weiden M LA - eng GR - HL51474/HL/NHLBI NIH HHS/United States GR - HL51494/HL/NHLBI NIH HHS/United States GR - MO1 RR00096/RR/NCRR NIH HHS/United States GR - etc. PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Respir Crit Care Med JT - American journal of respiratory and critical care medicine JID - 9421642 RN - 0 (DNA, Viral) RN - 0 (HIV Envelope Protein gp120) RN - 0 (Interleukin-6) RN - 0 (RNA, Viral) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Amino Acid Sequence MH - Bronchoalveolar Lavage Fluid/virology MH - DNA, Viral/analysis MH - HIV Envelope Protein gp120/genetics MH - HIV Infections/blood/*complications/virology MH - HIV-1/genetics/*physiology MH - Humans MH - Interleukin-6/analysis MH - Lung/*virology MH - Molecular Sequence Data MH - Polymerase Chain Reaction MH - RNA, Viral/analysis MH - Tuberculosis, Pulmonary/blood/*complications/virology MH - Tumor Necrosis Factor-alpha/analysis MH - *Virus Replication EDAT- 1997/03/01 00:00 MHDA- 1997/03/01 00:01 CRDT- 1997/03/01 00:00 PHST- 1997/03/01 00:00 [pubmed] PHST- 1997/03/01 00:01 [medline] PHST- 1997/03/01 00:00 [entrez] AID - 10.1164/ajrccm.155.3.9117038 [doi] PST - ppublish SO - Am J Respir Crit Care Med. 1997 Mar;155(3):996-1003. doi: 10.1164/ajrccm.155.3.9117038.