Monocyte Dysfunction, Activation, and Inflammation After Long-Term Antiretroviral Therapy in an African Cohort.

Nabatanzi, Rose; Bayigga, Lois; Cose, Stephen; Rowland Jones, Sarah; Joloba, Moses; Canderan, Glenda; Nakanjako, Damalie · J Infect Dis · 2019

cross_sectional · Level IV

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Abstract

Monocyte dysfunction may persist during antiretroviral therapy (ART). Frozen peripheral blood mononuclear cells of 30 human immunodeficiency virus (HIV)-infected ART-treated adults with sustained viral suppression and CD4 counts ≥500 cells/µL were consecutively analyzed for monocyte phenotypes and function. Nonclassical monocytes (CD14+, CD16++), interleukin (IL)-1β production, and expression of CD40 and CD86 were lower among ART-treated HIV-infected adults relative to age-matched HIV-negative adults (P = .01, P = .01, and P = .02, respectively). Intestinal fatty acid-binding protein, IL6, and soluble CD14 were higher among HIV-infected adults relative to HIV-negative adults (P = .0002, P = .04, and P = .0017, respectively). Further investigation is required to understand drivers of persistent monocyte activation and dysfunction.

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