[A comparison of lymphocyte populations of the blood and bronchoalveolar lavage in AIDS patients].

Abstract:

:Changes in cell immunity made manifest by decreases in blood levels of CD4 T cells is the main indicator of progressing HIV infection. The decrease in these lymphocytes, as well as in the CD4/CD8 index and increases in suppressant or cytotoxic CD8 cells can be detected in bronchoalveolar (BAL) lung samples. It is not clear whether the high incidence of respiratory system diseases in HIV patients stems from local or systemic immune changes. The aim of this study was to compare changes in the systemic cell immunity studied in samples of peripheral blood with changes detected in BAL samples from HIV patients with acute respiratory disease. We studied 42 patients in the advanced stages of AIDS (C3 by Centers for Disease Control classification) who were hospitalized for acute respiratory disease and who underwent diagnostic fiberoptic bronchoscopy and BAL. Cell counts and lymphocyte populations were analyzed by flow cytometry in samples of peripheral blood and BAL. The percentage of CD4 lymphocytes and the CD4/CD8 index were lower in BAL, particularly in patients with blood CD4 levels below 12% of the total T cell population, or at a level of 20 CD4 cells/microliters. Changes in cell immunity in patients with advanced HIV infection (C3 classification) and acute respiratory disease are more manifest locally in the lung than peripherally in blood. Lung depletion of CD4 T cells in the lung can be predicted based on blood levels.

journal_name

Arch Bronconeumol

authors

Fernández E,León P,Blanquer R,Marín M,Artero A,Pinilla A

doi

10.1016/s0300-2896(15)30751-1

subject

Has Abstract

pub_date

1996-06-01 00:00:00

pages

271-4

issue

6

eissn

0300-2896

issn

1579-2129

pii

S0300-2896(15)30751-1

journal_volume

32

pub_type

杂志文章
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    authors: Soto Campos JG,Rodríguez Becerra E,Alvarez Gutiérrez FJ,Valenzuela Mateo F,Peñafiel Colás M,Castillo Gómez J

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    doi:

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    doi:

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    更新日期:2006-02-01 00:00:00

  • [COPD: what is there beyond BODE index?].

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    doi:

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  • [Pleural empyema associated with endobronchial lipoma].

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    doi:

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    pub_type: 杂志文章,多中心研究

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  • [Anti-immunoglobulin E, a monoclonal antibody to treat respiratory disorders].

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  • [Diseases of the diaphragm].

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    pub_type: 杂志文章,评审

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  • [Conservative treatment of 2 tracheal lesions secondary to anesthetic intubation].

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    doi:10.1016/s0300-2896(15)30646-3

    authors: Buitrago LJ,Molins L,Boada JE,Sopeña JJ,Vidal G

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