A case of seronegative HIV-1 infection.

A case of seronegative HIV-1 infection.
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一例血清阴性 HIV-1 感染。

DOI:
10.1086/649822
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发表时间:
2010
期刊:
The Journal of infectious diseases
影响因子:
--
通讯作者:
Blankson,JoelN
Blankson,JoelN
中科院分区:
--
文献类型:
--
作者:
Spivak,AdamM;Brennan,TimP;O'Connell,KarenA;Sydnor,Emily;Williams,ThomasM;Siliciano,RobertF;Gallant,JoelE;Blankson,JoelN

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Patients infected with human immunodeficiency virus type 1 (HIV-1) typically seroconvert within weeks of primary infection. In rare cases, patients do not develop antibodies against HIV-1 despite demonstrable infection. We describe here a human leukocyte antigen (HLA)-B*5802-positive individual who presented with acquired immune deficiency syndrome despite repeatedly negative HIV-1 antibody screening test results. Phylogenetic analysis ofenvclones revealed little sequence diversity, and weak HIV-1-specific CD8+T cell responses were present to Gag epitopes. The patient seroconverted after immune reconstitution during receipt of highly active antiretroviral therapy. Lack of an antibody response to HIV-1 is rare and appears to be due to a defect in HIV-1-specific immunity rather than infection with attenuated virus.
对人类免疫缺陷病毒 1 型感染、持续血清阴性者进行病毒和免疫学检查。
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DOI: --
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影响因子: --
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