Indonesian Journal of Clinical Pathology and Medical Laboratory
ISSN 0854-4263
Vol. 16 / No. 1 / Published : 2009-11
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Original Article :
Study of cd38 expression on lymphocyte 8+, cd4+ profile, and clinical state immunological and clinical state profile of aids/hiv patients with antiretroviral therapy)
Author :
- Ira Puspitawati*1
- Umi S. Intansari*2
- Bagian Patologi Klinik FK UGM Yogyakarta
- Bagian Patologi Klinik FK UGM Yogyakarta
Abstract :
The relationship between immune activation and pathogenesis of Human Immunodeficiency Virus (HIV) infection is unproven. It has been hypothesized that state that HIV-induced activation enhances the magnitude of HIV replication other study shown that viral replication impaired immune activation. One of the best immune activation marker is CD38 expression on CD8+ because it has the strongest significant prognostic markers. It was previously shown that increased CD8+ T-cell activation has predictive value for disease progression but the relation is still controversial. One hypothesis state that HIV-induced activation enhances the magnitude of HIV replication, other said that viral replication impaired immune activation. To know the profile of immunology and clinical state of HIV/AIDS patients by determining the CD38 molecule expression on CD8+ cells as an activation marker, CD4+ profiles and clinical state. Crosssectonal, observasional study was done. Twenty nine HIV/AIDS patients who routinely had medical check up and having routine antiretroviral therapy at Sardjito hospital and 8 healthy people as normal controls were involved in this study. The count of CD4+ cells absolute counts and expression of CD38 molecule on CD8 cells were measured using flowcytometry. The CD4+ counts had significant negative correlation with WHO stage (p = 0.012). Expression of CD38 molecule on CD8+ cells of HIV/AIDS patients were higher compared to normal controls, 209.29 ± 76.56, 109.61 + 32.29 respectively (p < 0.05). That expression was not correlated with CD4+ counts and CD4+ increment. It might be caused by the time of measurement was not at the begining of diseases. The CD4+ increment after therapy was statistically significant (p = 0.003). The CD4+ count was negatively correlated with the WHO stage. Expression of CD38 molecule on CD8+ cells of HIV/AIDS patients were significantly higher compared to normal controls but it wasn’t correlated with the CD4+ number and CD4+ increment after therapy.
Keyword :
CD38, immune activation, HIV/AIDS, CD8+ cells, CD4+ cells,
References :
Djoerban Z, Djauzi S,(2006) HIV/AIDS di Indonesia Jakarta : Pusat penerbitan dep ilmu penyakit dalam FK UI
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