Immunology of human immunodeficiency virus infection and the acquired immunodeficiency syndrome. An update.

Immunology of human immunodeficiency virus infection and the acquired immunodeficiency syndrome. An update.
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人类免疫缺陷病毒感染和获得性免疫缺陷综合征的免疫学。

DOI:
10.7326/0003-4819-107-2-234
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发表时间:
1987
影响因子:
39.2
通讯作者:
Thomas J. Spira
Thomas J. Spira
中科院分区:
医学1区
文献类型:
--
作者:
Maxime Seligmann;A. Pinching;Fred S. Rosen;John L. Fahey;Khaitov Rm;David Klatzmann;Scott Koenig;Nkandu P. Luo;Jacob Ngu;Gert Riethmüller;Thomas J. Spira

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近年来,对人类免疫缺陷病毒(HIV)感染的发病机制的理解取得了进展,这是因为证明了膜糖蛋白CD4是HIV的细胞受体。这种糖蛋白主要存在于T淋巴细胞的主要亚群的表面上,也存在于巨噬细胞、自然杀伤细胞、一些B淋巴细胞和神经元细胞上。感染HIV的细胞可能被破坏或其正常功能受损。宿主对艾滋病毒的免疫反应很差,而且不持久。中和抗体通常不产生,或者HIV可能通过快速抗原变异的过程逃离正常的免疫抑制机制。可能对结果重要或可预测HIV感染进展的因素和标志物包括遗传(Gc型)、环境(营养状况或宿主并发的性传播疾病)和免疫(CD4淋巴细胞数量下降和功能受损的速度以及HIV核心蛋白p24抗体滴度下降的速度)。重组疫苗可能会在未来的临床试验中进行测试。
Recent advances in the understanding of the pathogenesis of infection with human immunodeficiency virus (HIV) stems from the demonstration that the membrane glycoprotein, CD4, is the cellular receptor for HIV. This glycoprotein is found mainly on the surface of a major subpopulation of T lymphocytes and also on macrophages, natural killer cells, some B lymphocytes, and neuronal cells. Cells infected with HIV may be destroyed or have their normal function impaired. Host immune responses to HIV are poor and are not sustained. Neutralizing antibody often is not produced, or HIV may escape from normal immunosuppressive mechanisms through the process of rapid antigenic variation. Factors and markers that may be important in the outcome or that may predict progression of HIV infection are genetic (Gc type), environmental (nutritional status or intercurrent sexually transmitted diseases sustained by the host), and immunologic (rate of decline in number and impairment of function of CD4 lymphocytes and of decline in antibody titers to HIV core protein, p24). A recombinant vaccine will probably be developed for testing in future clinical trials.
性乱和吸毒成瘾的母亲所生婴儿患有 T4/T8 比例逆转的获得性免疫缺陷。
DOI: --
发表时间: 1983
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影响因子: --
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期刊: The New England journal of medicine
影响因子: --
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发表时间: 1986-11-28
期刊: SCIENCE
影响因子: 56.9
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通讯作者: REED, JC