The acute retroviral syndrome and the pathogenesis of HIV-1 infection.

Abstract:

:The acute retroviral syndrome associated with primary HIV-1 infection is characterized by clinical signs of immune activation, multi-system dysfunction, and high levels of cell-associated and plasma viremia, p24 antigenemia, and proviral burden. Clinical abnormalities associated with acute HIV-1 infection and measures of viral burden and replication generally decline in concert with seroconversion. Despite clearance of virus, patients experiencing severe forms of the acute retroviral syndrome appear to have a poorer prognosis than patients with asymptomatic primary infection. This accelerated natural history may be due to the virulence of strains causing symptomatic infection, sequelae of initial high-titer viremia and consequent high viral burden, or immune depletion through immunopathologic mechanisms accelerated by strong antigenic stimulus in primary infection. Early intervention with anti-retroviral and immune modulatory agents has the potential to alter the natural history of patients with this syndrome.

journal_name

Semin Immunol

journal_title

Seminars in immunology

authors

Clark SJ,Shaw GM

doi

10.1006/smim.1993.1018

subject

Has Abstract

pub_date

1993-06-01 00:00:00

pages

149-55

issue

3

eissn

1044-5323

issn

1096-3618

pii

S1044-5323(83)71018-3

journal_volume

5

pub_type

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