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Journal article

Plasma biomarkers of HIV-related systemic inflammation and immune activation in sub-Saharan Africa before and during suppressive antiretroviral therapy

Abstract:
We evaluated immune biomarker profiles in HIV-infected adults (n=398) from 5 African countries. Although all biomarkers decreased after ART initiation, CXCL10, LBP, CRP, sCD163 and sCD14 were significantly higher during ART than in an HIV-negative reference group (n=90), indicating persistent monocyte/macrophage activation, inflammation and microbial translocation. Before ART initiation, high HIV viral load was associated with elevated CXCL10 and tuberculosis coinfection was associated with elevated sCD14. High pre-ART levels of each biomarker strongly predicted residual immune activation during ART. CCL2, LBP, CRP, IL-6 were differentially expressed between countries. Further research is needed on the clinical implications of residual immune dysregulation.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1093/infdis/jiz252

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Publisher:
Oxford University Press
Journal:
Journal of infectious diseases More from this journal
Volume:
220
Issue:
6
Pages:
1029-1033
Publication date:
2019-05-14
Acceptance date:
2019-04-15
DOI:
EISSN:
1537-6613
ISSN:
0022-1899
Pmid:
31086991


Language:
English
Keywords:
Pubs id:
pubs:999614
UUID:
uuid:0d60a4fc-7dbf-47ef-9495-a715130a1ae8
Local pid:
pubs:999614
Source identifiers:
999614
Deposit date:
2019-05-21
ARK identifier:

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