Detection of microbial antigenic components of circulating immune complexes in HIV patients:Involvement in CD4+ T lymphocyte count depletion
摘要Objective:To investigate the prevalence of microbial antigenic components of circulating immune complexes amongst grades ofCD4 T lymphocyte counts inHIV sero positive and sero-negative participants.Methods: Polyethelene glycol(PEG-600) and buffering methods of precipitation and dissociation of immune complexes was used to generate immune solution from sera of100 HIV sero-positive and100 HIV sero-negative participants. These were categorized into 3 grades based onCD4 count:> 500 cell/mm3,200-499 cell/mm3 and<200 cell/mm3. The immune solutions were assayed using membrane based immunoassay and antibody titration, along side its unprocessed serum for detection of various microbial antigens and or antibodies. CD4 T cell counts were estimated using Patec Cyflow SL-3Germany.Results: Antigenic component of immune complexes of various infectious agents was detected in99 and70 HIV sero-positive andHIV sero-negative participants, respectively. In group A, there were10 HIV positive participants, including4 (40.0%)had circulating immune complexes(CICs) due toSalmonella species only;1(10.0%) due toSalmonella-Plasmodium falciparum (P. falciparum),Salmonella-P. falciparum-HCV andP. falciparum antigens, respectively. In group B,45(45.4%) HIVsero-positive participants withCICs hadCD4 T lymphocyte count between200-499 cells/mm3. Out of these,20(44.4%) hadCICs due to Salmonella species only; 9(20%) due toSalmonella-P. falciparum. In groupC, there were44(44.4%) HIVsero-positive participants, including3(6.8%) due toSalmonella species only;24(54.4%) due toSalmonella-P. falciparum;2(4.5%) due toP. falciparum only.Conclusions:InHIV sero-positive participants, presence of heterogeneity of Salmonella species-P. falciparum antigens was highly incriminated inCD4 count depletion but not homogeneity of malaria parasites antigens. Malaria parasites antigens only were incriminated inCD4+ count depletion amongstHIV sero-negative participants. Before taking any decision on the management ofHIV-1-positive individuals, their malaria andSalmonella paratyphi status should be assessed, but not malaria status alone.
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