Vaccination of HIV-infected individuals increases HIV viral load, reduces CD4 cell counts, and might influence disease progression. Because these deleterious effects are postulated to be secondary to a direct activation of T lymphocytes induced by the immunogen, we compared immunologic and virologic effects of a T cell-dependent and a T cell-independent vaccine. Seventeen HIV-infected children were immunized with influenza (FLU) (T cell- dependent) or pneumococcal (PNEUMO) (T cell-independent) vaccines. HIV viral load and type 1 (IL-2 and IFN-γ) and type 2 (IL-4 and IL-10) cytokine production were evaluated before and 7, 14, and 28 days after vaccination. Slopes of CD4 cell counts analyzed 6 months before and 6 months after vaccination were not significantly different. HIV viral load increased in both groups of children despite the fact that type I cytokine production and the type 1-to-type 2 ratio increased in FLU-vaccinated but not in PNEUMO- vaccinated patients. Thus, an increase in HIV viral load in the absence of T cell activation (as measured by cytokine production) was observed in PNEUMO- vaccinated children. Because polysaccharides of the bacterial cell wall stimulate TNF-α production by monocyte-macrophages and TNF-α was shown to stimulate HIV replication directly on activation of NF-κb after binding the long terminal repeat (LTR) sequences of HIV, we measured TNF-α production and observed a significant increase in both groups of vaccines. These data suggest that an increase in HIV viral load can be observed in vaccinated HIV- infected children even independent of direct antigen-induced activation of T lymphocytes, and that augmented production of TNF-α might play a role in this phenomenon.

Immunization with both T cell-dependent and T cell-independent vaccines augments HIV viral load secondarily to stimulation of tumor necrosis factor alpha / A. Viganò, D. Bricalli, D. Trabattoni, A. Salvaggio, S. Ruzzante, M. Barbi, G. Di Sanzo, N. Principi, M. Clerici. - In: AIDS RESEARCH AND HUMAN RETROVIRUSES. - ISSN 0889-2229. - 14:9(1998 Jun), pp. 727-734.

Immunization with both T cell-dependent and T cell-independent vaccines augments HIV viral load secondarily to stimulation of tumor necrosis factor alpha

D. Trabattoni;M. Clerici
1998

Abstract

Vaccination of HIV-infected individuals increases HIV viral load, reduces CD4 cell counts, and might influence disease progression. Because these deleterious effects are postulated to be secondary to a direct activation of T lymphocytes induced by the immunogen, we compared immunologic and virologic effects of a T cell-dependent and a T cell-independent vaccine. Seventeen HIV-infected children were immunized with influenza (FLU) (T cell- dependent) or pneumococcal (PNEUMO) (T cell-independent) vaccines. HIV viral load and type 1 (IL-2 and IFN-γ) and type 2 (IL-4 and IL-10) cytokine production were evaluated before and 7, 14, and 28 days after vaccination. Slopes of CD4 cell counts analyzed 6 months before and 6 months after vaccination were not significantly different. HIV viral load increased in both groups of children despite the fact that type I cytokine production and the type 1-to-type 2 ratio increased in FLU-vaccinated but not in PNEUMO- vaccinated patients. Thus, an increase in HIV viral load in the absence of T cell activation (as measured by cytokine production) was observed in PNEUMO- vaccinated children. Because polysaccharides of the bacterial cell wall stimulate TNF-α production by monocyte-macrophages and TNF-α was shown to stimulate HIV replication directly on activation of NF-κb after binding the long terminal repeat (LTR) sequences of HIV, we measured TNF-α production and observed a significant increase in both groups of vaccines. These data suggest that an increase in HIV viral load can be observed in vaccinated HIV- infected children even independent of direct antigen-induced activation of T lymphocytes, and that augmented production of TNF-α might play a role in this phenomenon.
Settore MED/04 - Patologia Generale
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/156815
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