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Predictive value of immunologic parameters and HIV RNA in relation to humoral pneumococcal polysaccharide vaccine responses in patients with HIV infection

In the study presented here immunologic markers and HIV RNA were related to specific antibody responses in 50 HIV-infected patients who had moderate immunodeficiency (median CD4+, 295) and were vaccinated with a pneumococcal polysaccharide vaccine. Low responses were associated with low IgG2 or high...

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Published in:European journal of clinical microbiology & infectious diseases 2002-09, Vol.21 (9), p.688-690
Main Authors: KVALE, D, AABERGE, I. S, FRØLAND, S. S
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AABERGE, I. S
FRØLAND, S. S
description In the study presented here immunologic markers and HIV RNA were related to specific antibody responses in 50 HIV-infected patients who had moderate immunodeficiency (median CD4+, 295) and were vaccinated with a pneumococcal polysaccharide vaccine. Low responses were associated with low IgG2 or high IgM levels ( P=0.01) and good responses with high IgG4 ( P=0.05) or IgG2 ( P=0.07) or low beta(2) microglobulin ( P=0.04) levels. A combination of IgG2 levels >1.0 g/l and IgM
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S</creatorcontrib><creatorcontrib>FRØLAND, S. S</creatorcontrib><title>Predictive value of immunologic parameters and HIV RNA in relation to humoral pneumococcal polysaccharide vaccine responses in patients with HIV infection</title><title>European journal of clinical microbiology &amp; infectious diseases</title><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><description>In the study presented here immunologic markers and HIV RNA were related to specific antibody responses in 50 HIV-infected patients who had moderate immunodeficiency (median CD4+, 295) and were vaccinated with a pneumococcal polysaccharide vaccine. Low responses were associated with low IgG2 or high IgM levels ( P=0.01) and good responses with high IgG4 ( P=0.05) or IgG2 ( P=0.07) or low beta(2) microglobulin ( P=0.04) levels. A combination of IgG2 levels &gt;1.0 g/l and IgM &lt;1.6 g/l at baseline significantly predicted a twofold or better response in logistic regression analysis ( P=0.025). 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Low responses were associated with low IgG2 or high IgM levels ( P=0.01) and good responses with high IgG4 ( P=0.05) or IgG2 ( P=0.07) or low beta(2) microglobulin ( P=0.04) levels. A combination of IgG2 levels &gt;1.0 g/l and IgM &lt;1.6 g/l at baseline significantly predicted a twofold or better response in logistic regression analysis ( P=0.025). Neither CD4+ lymphocyte counts nor HIV RNA levels were predictive, but it should be noted that good antibody responses were not restricted to patients with high CD4+ cell counts or low HIV RNA levels.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>12373505</pmid><doi>10.1007/s10096-002-0803-4</doi><tpages>3</tpages></addata></record>
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ispartof European journal of clinical microbiology & infectious diseases, 2002-09, Vol.21 (9), p.688-690
issn 0934-9723
1435-4373
language eng
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source Springer Link
subjects Adult
Antibody Formation - physiology
Bacterial diseases
Biological and medical sciences
CD4 antigen
CD4 Lymphocyte Count
CD4-Positive T-Lymphocytes
Cell number
Female
HIV Infections - diagnosis
HIV Infections - immunology
HIV-1 - immunology
Human bacterial diseases
Human immunodeficiency virus
Human viral diseases
Humans
Immunodeficiency
Immunoglobulin G
Immunoglobulin M
Infection
Infectious diseases
Logistic Models
Male
Medical sciences
Middle Aged
Pneumococcal Infections - immunology
Pneumococcal Infections - prevention & control
Pneumococcal Vaccines - administration & dosage
Polysaccharides
Predictive Value of Tests
Probability
Prognosis
Prospective Studies
Regression analysis
RNA
RNA, Viral - analysis
Sensitivity and Specificity
Staphylococcal infections, streptococcal infections, pneumococcal infections
Streptococcus pneumoniae
Vaccination
Vaccines
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
title Predictive value of immunologic parameters and HIV RNA in relation to humoral pneumococcal polysaccharide vaccine responses in patients with HIV infection
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