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HIV infection associated with tuberculosis in Primorskiy Krai: detection, clinical course and immune mechanisms of pathogenesis

Abstract

The paper provides results of regular medical checkup of 106 patients with HIV infection associated with tuberculosis and gives consideration to epidemiological, clinical and laboratory data as well as immunological examinations conducted at various stages of the disease. The studies allowed revealing T-cell immunodeficiency at all the HIV infection stages and close negative correlation between the HIV load level and absolute T-lymphocyte content (including T-helpers) at IVB and V stages. There was considerable increase in proinflammatory cytokine level. The hypocytokinemia correlated with the severity of the persistent infection. As far as the disease aggravated, there was differently directed character of dynamics of immunoglobulin level.

Keywords


УДК616-097-022:578-06:616-002.5(571.63)

About the Authors

S. A. Sotnichenko
Regional Clinical Centre of Prevention and Fight against AIDS
Russian Federation


E. V. Markelova
Regional Clinical Centre of Prevention and Fight against AIDS
Russian Federation


L. F. Sklyar
Vladivostok State Medical University
Russian Federation


References

1. Белозеров Е.С., Змушко Е.И. ВИЧ-инфекция. 2-е изд. СПб.: Питер, 2003. 368с.

2. Бутыльский А.Н., Кузник Б.И., Розенберг В.Я. Динамика показателей иммунитета у больных в различных стадиях ВИЧ-инфекции // Мед. иммунология. 2005. Т. 7, № 2-3. С. 153-154.

3. Карачунский М.А. Туберкулез при ВИЧ-инфекции // Проблемы туберкулеза. 2000. № 1. С. 47-52.

4. Некрасов С.П. Оказание противотуберкулезной помощи больным ВИЧ-инфекцией в Приморском крае // Пробл. туберкулеза у больных ВИЧ-инфекцией: мат. науч. -практ. конф. М., 2007. С. 38-39.

5. Пантелеев A.M., Иванов А.К., Виноградова Е.Н. Применение регионарной лимфотропной терапии в лечении туберкулеза легких у ВИЧ-инфицированных лиц//Проблемы туберкулеза. 2002. № 12. С. 26-28.

6. Сельцовский А.П., Ющук Н.Д., Поляков С.В. Социально-экономические последствия распространения ВИЧ-инфекции в России. М., 2002. 56 с.

7. Сизякина Л.П., Андреева И.И. Возможности и перспективы клинической иммунологии как мультидисциплинар-ной науки // Росс. аллергологический журнал. 2008. № 1, прил. 1. С. 268-269.

8. Фролова О.П., Якубовяк В., Кравченко А.В. и др. Рекомендации по снижению заболеваемости туберкулезом среди населения с высокой распространенностью ВИЧ-инфекции. М., 2004. 104 с.

9. Aliyu M.H., Salihu H.M. Tuberculosis and HIV coinfection - a symbiotic relationship // European journal of medicine. 2004. Vol. 115. P. 685-697.

10. Borrow P., Evans C., Oldstone M. Virus-induced immunosuppression: immune system-mediated destruction of virus-infected dendritic cells results in generalized immune suppression. // S. Virol. 1995. Vol. 65, No. 2. P. 1059-1070.

11. De Martino M., Rossi M.E. Different meaning of CD38 molecule expression on CD4 cells of children perinatally infected with HIV type 1 infection surving longer than five years // Pediatr. Res. 1998 Vol. 43. P. 752-758

12. Ferbas J. Perspectives on the role of CD8+ cell suppressor factors and cytotoxic T lymphocytes during HIV infection // AIDS Res. Hum. Retrovir. 1998. Vol. 14, suppl. 2. P. 153-160.

13. Govor O.V. A study of the trend in basic epidemiological indicators for tuberculosis in Primorye // European Respiratoru Journal. 2004 Vol. 24, suppl. 48. P. 194

14. Saile Mih В., Ramodori F. J. Apoptosis // Mediana Viral Join. 2003. Vol. 69, No. 1. P. 50-58


Review

For citations:


Sotnichenko S.A., Markelova E.V., Sklyar L.F. HIV infection associated with tuberculosis in Primorskiy Krai: detection, clinical course and immune mechanisms of pathogenesis. Pacific Medical Journal. 2009;(3):133-136. (In Russ.)

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ISSN 1609-1175 (Print)