Table 1.
Immunological and virological parameters of peripheral blood and lymphoid tissue
Subject* | Cell subsets
|
Plasma virus load† | CD4+ cell virus load‡ % | Virus isolation§ | CD8+ cell anti-HIV activity¶ | ||
---|---|---|---|---|---|---|---|
CD4+ cells, % | CD8+ cells, % | CD4+:CD8+ cell ratio | |||||
1. Long-term survivor | |||||||
Peripheral blood | 25 | 69 | 0.4 | 867 | 0.0003 | — | <0.05 |
Lymph node | 48 | 44 | 1.1 | 0.0033 | — | <0.05 | |
2. Long-term survivor‖ | |||||||
Peripheral blood | 35 | 43 | 0.8 | 4,554 | 0.0001 | — | <0.05 |
Lymph node | 52 | 22 | 1.6 | 0.07 | — | 0.1 | |
3. Asymptomatic individual | |||||||
Peripheral blood | 59 | 55 | 1.1 | 149,678 | 0.033 | — | <0.05 |
Lymph node | 85 | 25 | 3.4 | 0.1 | + | 0.25 | |
4. AIDS patient | |||||||
Peripheral blood | 8 | 91 | 0.1 | 398,994 | 0.1 | — | <0.1 |
Lymph node | 6 | 81 | 0.1 | 0.01 | + | >1.0 | |
5. AIDS patient** | |||||||
Peripheral blood | 13 | 80 | 0.2 | 55,573 | 0.0033 | + | 1.0 (81%) |
Lymph node | ND | ND | 0.01 | ND | >0.5 |
ND, not determined.
See Table 2 for CD4+ cell count and Centers for Disease Control and Prevention HIV classification.
Expressed as HIV-1 RNA copies/ml, determined by RT–PCR.
Expressed by percentage as the least number of cells that released HIV as determined by infectious center assay.
Virus isolation by the A culture method (20) was performed by PHA stimulation of the subject’s PBMC and culture for 1 week before coculture with PHA-stimulated PBMC from an HIV-seronegative individual.
Expressed as the lowest CD8+:CD4+ cell ratio at which 90% or greater suppression of HIV replication occurred in autologous peripheral blood CD4+ cells; <, indicates that this was the lowest CD8+:CD4+ cell ratio tested; >, indicates that no anti-HIV activity was detected at this highest CD8+:CD4+ cell ratio tested.
The plasma sample for HIV RNA load determination was taken from this subject 3 weeks prior to lymph node removal.
Heterologous peripheral blood CD4+ cells were used to assay the anti-HIV activity of this patient’s CD8+ cells. The virus isolation was performed with PBMC from the previous visit to our laboratory, 3 months prior to removal of the lymph node.