Table 1.
Characteristics of immune reconstitution in HIV infection | Available evidence for specific pathogen-related IRD | ||||
---|---|---|---|---|---|
TB-IRIS | C-IRIS | HBV-IRD | HCV-IRD | ||
High pathogen load | ✓ | ✓ | ✓ | NAc | |
Severe CD4+ T cell depletion before ART | ✓ | ✓ | ✓ | NAc | |
Replenishment of CD4+ T- cells | a) Blood | ✓ | ✓ | ✓ | ✓ |
b) Other compartments | ✓a | ✓a | NA | NA | |
Restoration of pathogen-specific T cell responses | a) Memory response | ✓ | ✘b | ✘b | ✓ |
b) Site-specific action | ✓ | NA | NA | ||
Increased activity of innate immune system | ✓ | ✓ | ✓ | ✓ |
TB – tuberculosis; C –cryptococcus; HBV – hepatitis B virus; HCV – hepatitis C virus; IRIS – immune reconstitution inflammatory syndrome; IRD – immune restoration disease. NA – information not available
in CSF
not seen longitudinally in blood;
not demonstrated in two small studies.