Proteinuria, creatinine clearance, and immune activation in antiretroviral-naive HIV-infected subjects.

Proteinuria, creatinine clearance, and immune activation in antiretroviral-naive HIV-infected subjects.
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DOI:
10.1086/600890
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发表时间:
2009-08-15
期刊:
The Journal of infectious diseases
影响因子:
--
通讯作者:
Kalayjian RC
Kalayjian RC
中科院分区:
其他
文献类型:
--
作者:
Gupta SK;Komarow L;Gulick RM;Pollard RB;Robbins GK;Franceschini N;Szczech LA;Koletar SL;Kalayjian RC

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Because both renal disease and immune activation predict progression to AIDS, we evaluated the relationships between dipstick proteinuria ≥1+ [7% of 1012 subjects], CrCl <90mL/min [18% of 1071 subjects], and percentages of peripheral activated CD8 cells (CD8+CD38+HLA-DR+) in antiretroviral-naïve, HIV-infected subjects enrolled into AIDS Clinical Trials Group studies 384 and A5095. Proteinuria, but not CrCl, was associated with higher percentages of CD8+CD38+HLA-DR+ cells [55% vs. 50%; P=0.01], with even more pronounced differences in men and among Blacks and Hispanics. Proteinuria may be a surrogate measure of greater immune activation in HIV-infected patients initiating antiretroviral therapy.
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