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Query: UMLS:C0019693 (HIV)
 170,526 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The human monocytic cell line U-937 clone 2 and two T-cell lines CEM and MOLT-4 clone 8 were infected with HIV-2ben, a recent isolate of HIV-2. Infection and subsequent antigen expression on the cell surface was monitored by flow cytometry using a rabbit-anti-serum against tween-ether-treated HIV-2ben and a fluorescein-isothiocyanate-conjugated IgG against rabbit-IgG. The sensitivity of the three cell lines to infection with HIV-2ben correlated with the percentages of CD4-expressing cells but not with the levels of CD4-expression on the cell. The appearance of viral surface antigens preceded the formation of syncytia and correlated closely with the infecting virus dose. After 1-2 weeks in culture, 20-85% of the cells of each line expressed viral surface antigens. The variation depended on the cell type and cell culture conditions. The MOLT-4 clone 8 and the U-937 clone 2 cells died around 10 or 20 days, respectively, after HIV-2ben infection. Only HIV-2ben infected CEM cells grew permanently. Flow cytometry was an appropriate method to monitor the expression of viral proteins on the cell surface of HIV-infected cell lines. Flow cytometry proved to be more sensitive than determination of RT activity in supernatants of HIV-infected cells and more precise than light microscopy examinations.
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PMID:Detection of viral surface antigens on HIV-2ben infected human tumor cell lines by flow cytometry. 137 6

The gastrointestinal tract is considered to be a major route of infection for human immunodeficiency virus (HIV). Infection of human colon epithelial cells by HIV is not blocked by anti-CD4 antibodies known to block infection of lymphoid cells (J. Fantini, N. Yahi, and J. C. Chermann, Proc. Natl. Acad. Sci. USA 88:9297-9301, 1991), suggesting the presence of an alternate receptor for HIV on these cells. In this report, we show that (i) a monoclonal antibody specifically directed against galactosyl ceramide inhibited the infection of HT29 cells by two markedly different strains of HIV-1, as assessed by polymerase chain reaction amplification and reverse transcriptase assay; (ii) this antibody strongly labeled the surface of HT29 cells by immunofluorescence and electron microscopic immunolocalization; (iii) the labeling was preferentially but not totally restricted to the basolateral membrane domain of differentiated colonic cells, in agreement with the ability of HIV to infect both the apical and basolateral surfaces of these epithelial cells; and (iv) in thin-layer chromatography-immunostaining experiments with neutral glycolipids prepared from HT29 cells, the antibody specifically reacted with a ceramide monoglycoside fraction corresponding to galactosyl ceramide. We did not detect this glycolipid in lymphoid cells, and anti-galactosyl ceramide antibodies consistently failed to inhibit HIV infection of these cells. These data suggest that galactosyl ceramide (or a derivative) is an essential component of the receptor for HIV on the surface of HT29 cells.
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PMID:Galactosyl ceramide (or a closely related molecule) is the receptor for human immunodeficiency virus type 1 on human colon epithelial HT29 cells. 137 11

Beside the risk of infection via HIV-1-contaminated blood, ophthalmologists are especially interested in the possibility of HIV-1 infection via tears. Therefore we tried to isolate HIV-1 from tears of 50 HIV-1-infected persons in different stages of disease by reverse transcriptase (RT) and by p24-antigen (p24-AG) in the cultures. Simultaneously we tried to isolate HIV-1 in the supernatant from peripheral blood lymphocytes (PBL), which was successful in 32 of the 50 examined specimens. HIV-1 could not be isolated from the tears of these persons. In addition, polymerasechain-reaction (PCR) was performed to detect proviral sequences (gag, pol, env) of HIV-1 in tears and blood of ten HIV-1-infected patients. While in all the examined patients gag, pol and env could be detected in the blood samples, only one tear sample was found positive for gag and pol DNA fragments. These results indicate that tears of HIV-1-positive contain extremely low quantities of tissue culture infectious doses (TCID) of HIV-1 in contrast to PBL. HIV-1 infection via tears therefore appears to be unlikely.
Infection
PMID:Infrequent detection of HIV-1 components in tears compared to blood of HIV-1-infected persons. 138 31

The importance of bacterial infections in children with AIDS was emphasized when they were included within the CDC classification system for children under 13 years of age infected with the HIV. The information available in Mexico on frequency, types of infections and causative agents is scarce. In this study, the frequency and microbiology of bacterial infections in children with AIDS seen at the Hospital Infantil de Mexico Federico Gomez is reported. From September 1985 to December 1991, we found 72 HIV infected children, 6 were classified P0, 6 as asymptomatic (P1) and 60 as symptomatic infections (P2). From this last group, 50 were secondarily infected with bacteria; there was a total of 129 episodes of bacterial infections, averaging 2.5 episodes per patient. Respiratory infections were the most frequent (74.41%), followed by septicemia (10.07%), skin and underlying tissue infections (6.96%) and urinary tract infections (6.17%). Infections of the CNS and deep abscesses were less frequent. Overall mortality rate was 76%, however only in 18 children (36%) was it directly attributed to the bacterial infections. Etiology was documented in 46 episodes (33.65%) of which 30 (65.31%) were gram-negative bacteria and 16 (34.78%) were gram-positive. The best possible methodology must be used for the etiologic diagnosis of bacterial infections in children with AIDS in order to select the most appropriate treatment for severe or recurrent bacterial infections.
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PMID:[Bacterial infections in children with AIDS]. 138 83

Identifying people who are infected with HIV has drawn significant media attention over the past decade. This is an ethical issue that must be dealt with by health care workers, urgently. Services to people with HIV are being compromised by the attitudes and practices of some health care workers. Infection control nurses should provide leadership to health care workers who share the challenge of delivering effective and efficient services to people with HIV/AIDS.
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PMID:HIV infection and universal precautions: why are health workers so fearful given the facts? 139 32

The focus of infection with HIV is the lymphatic system, resulting in a specific HIV-related pathology in the parotid. Of the salivary glands, the parotid gland is unusual in including lymphoid tissue within its capsule. Infection by HIV is accompanied by a characteristic follicular hyperplasia of lymphoid tissue which can be recognized histologically as primary HIV lymphadenopathy and presents clinically as persistent generalized lymphadenopathy. Subsequent opportunistic infections and HIV-related neoplasia can result in secondary HIV lymphadenopathy. Parotid lymph nodes reflect these HIV-related changes. Diffuse enlargement of the parotid glands are further manifestations of HIV infection. All patients who presented to a general surgical unit of the University Teaching Hospital, Lusaka, Zambia, over the 2-year period of 1989-1991 were studied in a prospective clinicopathological study of lymphadenopathy. The diagnosis of HIV infection was made clinically and with a single serological test. Parotid lymphadenopathy was present in 69 of 261 HIV-seropositive patients with generalized lymphadenopathy who underwent lymph node biopsy during the 2-year period. In all but one patient, biopsy of a node other than the parotid provided the histological diagnosis. 9 patients presented with bilateral parotid enlargement. 8 of the patients had generalized lymphadenopathy caused by primary HIV lymphadenopathy in 5, Kaposi's disease in 2 and tuberculous lymphadenitis in 1. 4 patients presented with multiple cystic parotid lesions of between 1 month and 4 years duration. Unilateral extraparotid lymphoepithelial cysts of a diameter of 2 and 3 cm were removed from the jugulodigastric area of 2 patients with generalized lymphadenopathy. Parotid disease not related to HIV included: 1 case each of papillary carcinoma and pleomorphic adenoma; 7 patients with parotid lymph nodes, and 3 patients with diffuse bilateral parotid enlargement.
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PMID:Parotid disease and human immunodeficiency virus infection in Zambia. 836 52

Infection from human immunodeficiency virus (HIV) is well known for the particular host susceptibility to a variety of opportunistic infections and unusual malignant neoplasms. Although no tumor develops exclusively in concomitance with HIV infection, malignancies in these patients have different clinical behaviour, response to treatment and prognosis than the pattern observed in HIV negative hosts. Kaposi's sarcoma (EKS) and non-Hodgkin's lymphoma (NHL) are tumors per se diagnostic of AIDS in patients with HIV infection. From 1987 to 1991, 210 HIV positive patients underwent ENT examination without symptom-related selection: 128 were intravenous drug users, 50 homosexual males, 22 heterosexuals, 4 intravenous male homosexual drug users, 3 blood recipients and 3 subjects without known risk factors. Sixteen were allocated in group II, 37 in III, 9 in IV A, 2 in IV B, 31 in IV C1, 37 in IV C2, 48 in IV D and 30 in IV E. Fourteen had head and neck EKS localization. All were males, with a median age of 40 of which 11/14 were homosexuals. The concomitant involvement of skin and mucosa was the most common manifestation and the palate was the most frequently affected mucosal site. Twenty-four had NHL localized within the head and neck: 21 males and 4 females with a average age of 38, 10 intravenous drug users, 9 homosexual males, 3 heterosexuals, 1 blood recipient, 1 subject without known risk factors. Extranodal localization was the most frequent characteristic while the gums were the most commonly involved site. The main characteristics of head and neck manifestations of EKS and NHL are reported with references to literature. The majority of HIV infected patients with EKS or NHL have ENT localizations, perhaps because lymphatic tissue, a HIV target, is well represented in this area and contamination by infectious agents (such as Epstein-Barr virus and cytomegalovirus, probably involved in the pathogenesis of EKS and NHL) can easily occur in the head and neck. The otolaryngologist should be aware of the various, and sometimes misleading, characteristics of these diseases.
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PMID:[The cervicofacial manifestations of Kaposi's sarcoma and of non-Hodgkin's lymphomas in HIV-infected patients]. 141 19

Infection with human immunodeficiency virus (HIV) results in progressive deterioration of the cell-mediated immune system characterized by T-helper-cell dysfunction and loss in the face of signs of generalized immune-system activation. The final stage of HIV disease, AIDS, has a myriad of opportunistic infections and malignancies as its hallmarks. The causal relationship between HIV and this complex disease pattern is clear but the mechanisms by which it occurs are not well understood. There are a number of new developments in our understanding of the natural history of HIV infection from a laboratory standpoint. Our review of this information raises further questions as to the validity of the conventional "cytopathic" model and all its direct descendants. In response to these conflicts, we have developed and present an alternative hypothesis in which AIDS pathogenesis, in all its manifestations, is seen as the outcome of one central process, excess immune activation generated by the interaction of virus with the CD4 receptor. The implications of this hypothesis on therapy of HIV infections are discussed.
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PMID:The natural history and pathogenesis of HIV infection. 144 66

Infection of the central nervous system by HIV-1, the agent of AIDS, is characterized by the presence of infected and giant microglial cells as well as astrocytosis, demyelination, and neuronal loss. To determine whether cells of neuroectoderm origin can be infected by HIV-1, we have inoculated primary cultures derived from adult human brain with a lymphotropic virus (LAV) or a neurotropic virus (Jr-FL) isolated from a patient with AIDS dementia. While Jr-FL invariably causes productive infection of cultured brain microglia, neither astrocytes nor oligodendrocytes became productively infected by these viral strains. Moreover, the cultured oligodendrocytes develop a normal network of processes and express differentiation antigens in the presence of an ongoing lytic infection of microglial cells. No HIV-1 proviral DNA was detected in primary astrocyte cultures devoid of microglial after inoculation of either HIV-1 strain. Similarly, the neuronal cell line HCN-1 in its differentiated state did not allow the virus to go through cycles of reverse transcription and replication. LAV, however, was able to replicate in undifferentiated HCN-1 cells. Thus, tropism of HIV-1 appears tightly restricted to only one type of differentiated cell in the CNS, the microglia.
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PMID:The restricted nature of HIV-1 tropism for cultured neural cells. 144 25

HIV-1 has been spreading according to pattern 1 in Europe and North America. In Kenya and Nigeria, where pattern 2 transmission is established, large increases in the prevalence of antibodies to HIV-1 in non-intravenous drug using (IVDU) female prostitutes were documented before HIV-1 disseminated into the general population. 519 non-IVDU female prostitutes in Spain were studied to assess the prevalence of HIV-1 infection among them and to determine the risk factors for infection in the population. The cross-sectional seroepidemiological study was conducted in four university hospitals in Andalusia, southern Spain. Subjects were of mean age 30 years with range 18-55 years; had an average 59 sex partners/month with range 1-600; and had worked as a prostitute for an average 50 months with range 2-420 months. Respondents answered questionnaires and provided serum samples for analysis. 12/519 or 2.31% were seropositive for HIV-1. Infection was associated with the presence of antibodies to hepatitis C and Treponema pallidum, multiple sex partners, longer history f prostitution, and history of genital ulcers and anal intercourse. Condom use was associated with HIV-1 seronegativity. In sum, relatively low prevalence of HIV-1 infection was found among these sex workers, thereby offering no evidence of a shift from pattern 1 to pattern 2 transmission in the broader population.
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PMID:HIV-1 infection among non-intravenous drug user female prostitutes in Spain. No evidence of evolution to pattern II. 147 40


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