Reversal of human immunodeficiency virus type 1-associated hematosuppression by effective antiretroviral therapy
- Author(s): Huang, SS
- Barbour, JD
- Deeks, SG
- Huang, JS
- Grant, RM
- Ng, VL
- McCune, JM
- et al.
Published Web Locationhttps://doi.org/10.1086/313714
The immunodeficiency of human immunodeficiency virus type I (HIV-1) disease may be due to accelerated destruction of mature CD4+T cells and/or impaired differentiation of progenitors of CD4+T cells. HIV-1 infection may also inhibit the production of other hematopoietic lineages, by directly or indirectly suppressing the maturation of multilineage and/or lineage- restricted hematopoietic progenitor cells. To test this hypothesis, the effects of durable viral suppression on multilineage hematopoiesis in 66 HIV- 1-seropositive patients were evaluated. Administration of effective antiretroviral therapy resulted in an increase in circulating CD4+T cell counts and statistically significant increases in circulating levels of other hematopoietic lineages, including total white blood cells, lymphocytes, polymorphonuclear leukocytes, and platelets. These results suggest that a significant lesion in untreated HIV-1 disease may lie at the level of cell production from hematopoietic progenitors.
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