The Role of Cytomegalovirus in the Development of ARC-AIDS

Abstract

This was a study to determine whether cytomegalovirus (CMV) might be a cofactor with the human immunodeficiency virus type 1 (HIV-1) to accelerate immunosuppression. Over seven hundred healthy HIV-1 seropositive U.S. Air Force personnel consented to be a part of this study, of whom 63% were initially CMV- seronegative. The CMV-seroconversion rate among seronegatives was 19%/yr, indicating primary infection through close personnel contacts. Three groups of subjects were studied to compare their rates of CD4+T-cell decline: CMV- seronegatives, CMV-seropositives, and CMV-seroconverters. CD4+T-cell depletion in CMV-seropositive subject whose cell numbers were decreasing has been significantly faster than in CMV-seronegatives (P=0.003). Using a similar mean of analysis, herpes simplex virus type 2 (HSV-2) infection was not found to be associated with decline in CD4+T cell depletion in HIV-1 infected people. The variations in the rate of CD4+T-cell decline among CMV-seropositive subject were significantly greater than among CMV-seronegative subjects.

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Document Details

Document Type
Technical Report
Publication Date
Aug 30, 1991
Accession Number
ADA241733

Entities

People

  • Kendall O. Smith

Organizations

  • University of Texas Health Science Center at San Antonio

Tags

DTIC Thesaurus Topics

  • Air Force
  • Air Force Personnel
  • Antigens
  • Blood
  • Blood Transfusions
  • Cells
  • Classification
  • Coinfection
  • Frequency
  • Herpesviridae Infections
  • Hiv Infections
  • Infection
  • Lymphocytes
  • Materials
  • Medical Personnel
  • Natural History
  • Viruses

Fields of Study

  • Medicine

Readers

  • Immunology
  • Mathematics or Statistics