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Cytokine pattern in relation to disease progression in human immunodeficiency virus-infected children.
Than S; Hu R; Oyaizu N; Romano J; Wang X; Sheikh S; Pahwa S; Department
April 30, 1997
J Infect Dis. 1997 Jan;175(1):47-56. Unique Identifier : AIDSLINE

Cytokine mRNA expression and stimulus-induced cytokines were examined in peripheral blood mononuclear cells in 62 human immunodeficiency virus (HIV)-infected children and uninfected controls. Compared with that in controls, constitutive mRNA expression in patients was increased for tumor necrosis factor TNF)-alpha, interferon (IFN)-gamma, and interleukin (IL)-10 and decreased for IL-12; it was undetectable for IL-2 and IL-4 in both patients and controls. Stimulus-induced secretion of TNF-alpha, IFN-gamma, IL-12, and IL-4 was less than that in controls; IL-10 secretion was similar. There was no increase in stimulus-induced or constitutive IL-4 or IL-10 in children with severe immunologic deficit compared with controls. A higher stimulus-induced IL-10 secretion and a lower constitutive TNF-alpha mRNA were associated with a slower rate of disease progression, and TNF-alpha mRNA expression correlated with lower plasma HIV RNA. Thus, constitutive cytokine mRNA expression differs from stimulus-induced cytokine responses. The dominant defect in HIV-infected children appears to be one of reduced type 1 cytokines, predominantly IL-2.

*Acquired Immunodeficiency Syndrome/IMMUNOLOGY *Cytokines/BIOSYNTHESIS *HIV Infections/IMMUNOLOGY