IMMUNITY ACTIVATION IN HIV INFECTION

This review article concerns a challenging problem of HIV infection, immune activation. The processes of immune activation largely determine CD4+T cell depletion, leading to development of AIDS-associated and non-AIDS-related diseases. Immune activation indices are also strong predictors of the clin...

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Autores principales: K. V. Shmagel, N. G. Shmagel, V. A. Chereshnev
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Lenguaje:RU
Publicado: SPb RAACI 2017
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Acceso en línea:https://doaj.org/article/a3135c4618c843c2ad078e182f30328e
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spelling oai:doaj.org-article:a3135c4618c843c2ad078e182f30328e2021-11-18T08:03:46ZIMMUNITY ACTIVATION IN HIV INFECTION1563-06252313-741X10.15789/1563-0625-2017-5-489-504https://doaj.org/article/a3135c4618c843c2ad078e182f30328e2017-10-01T00:00:00Zhttps://www.mimmun.ru/mimmun/article/view/1348https://doaj.org/toc/1563-0625https://doaj.org/toc/2313-741XThis review article concerns a challenging problem of HIV infection, immune activation. The processes of immune activation largely determine CD4+T cell depletion, leading to development of AIDS-associated and non-AIDS-related diseases. Immune activation indices are also strong predictors of the clinical outcome. Activation in HIV-infection affects both innate and adaptive immune cells, leads to increased proinflammatory cytokine production and blood coagulation. The reasons for immune activation may include different pathogens (HIV, cytomegalovirus, Epstein–Barr virus, hepatitis C virus), lymphopenia and lymphopenia-induced T lymphocyte homeostatic proliferation, transfer of microbial products from the gut, due to profound CD4+T cell deficiency in lamina propria and altered permeability of intestinal barrier. Other factors that promote the process of immune activation are as follows: T lymphocyte "bystander" activation, increased T cell turnover, and systemic inflammation development. The review covers pathogenic mechanisms HIV-infection associated with immune activation, like as description of different laboratory parameters characterizing its manifestations in HIV-infected patients. Significance and prognostic role of these parameters in assessing efficiency of antiretroviral therapy, development of complications, and adverse outcomes of infection are presented as well.K. V. ShmagelN. G. ShmagelV. A. ChereshnevSPb RAACIarticlehiv infectionimmune activationinflammationlymphopeniacytokinesmicrobial translocationImmunologic diseases. AllergyRC581-607RUMedicinskaâ Immunologiâ, Vol 19, Iss 5, Pp 489-504 (2017)
institution DOAJ
collection DOAJ
language RU
topic hiv infection
immune activation
inflammation
lymphopenia
cytokines
microbial translocation
Immunologic diseases. Allergy
RC581-607
spellingShingle hiv infection
immune activation
inflammation
lymphopenia
cytokines
microbial translocation
Immunologic diseases. Allergy
RC581-607
K. V. Shmagel
N. G. Shmagel
V. A. Chereshnev
IMMUNITY ACTIVATION IN HIV INFECTION
description This review article concerns a challenging problem of HIV infection, immune activation. The processes of immune activation largely determine CD4+T cell depletion, leading to development of AIDS-associated and non-AIDS-related diseases. Immune activation indices are also strong predictors of the clinical outcome. Activation in HIV-infection affects both innate and adaptive immune cells, leads to increased proinflammatory cytokine production and blood coagulation. The reasons for immune activation may include different pathogens (HIV, cytomegalovirus, Epstein–Barr virus, hepatitis C virus), lymphopenia and lymphopenia-induced T lymphocyte homeostatic proliferation, transfer of microbial products from the gut, due to profound CD4+T cell deficiency in lamina propria and altered permeability of intestinal barrier. Other factors that promote the process of immune activation are as follows: T lymphocyte "bystander" activation, increased T cell turnover, and systemic inflammation development. The review covers pathogenic mechanisms HIV-infection associated with immune activation, like as description of different laboratory parameters characterizing its manifestations in HIV-infected patients. Significance and prognostic role of these parameters in assessing efficiency of antiretroviral therapy, development of complications, and adverse outcomes of infection are presented as well.
format article
author K. V. Shmagel
N. G. Shmagel
V. A. Chereshnev
author_facet K. V. Shmagel
N. G. Shmagel
V. A. Chereshnev
author_sort K. V. Shmagel
title IMMUNITY ACTIVATION IN HIV INFECTION
title_short IMMUNITY ACTIVATION IN HIV INFECTION
title_full IMMUNITY ACTIVATION IN HIV INFECTION
title_fullStr IMMUNITY ACTIVATION IN HIV INFECTION
title_full_unstemmed IMMUNITY ACTIVATION IN HIV INFECTION
title_sort immunity activation in hiv infection
publisher SPb RAACI
publishDate 2017
url https://doaj.org/article/a3135c4618c843c2ad078e182f30328e
work_keys_str_mv AT kvshmagel immunityactivationinhivinfection
AT ngshmagel immunityactivationinhivinfection
AT vachereshnev immunityactivationinhivinfection
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