1999
DOI: 10.1038/4772
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Directly measured kinetics of circulating T lymphocytes in normal and HIV-1-infected humans

Abstract: The dynamic basis for T-cell depletion in late-stage HIV-1 disease remains controversial. Using a new, non-radioactive, endogenous labeling technique, we report direct measurements of circulating T-cell kinetics in normal and in HIV-1-infected humans. In healthy, HIV-1-seronegative subjects, CD4+ and CD8+ T cells had half-lives of 87 days and 77 days, respectively, with absolute production rates of 10 CD4+ T cells/microl per day and 6 CD8+ T cells/microl per day. In untreated HIV-1-infected subjects (with a me… Show more

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Cited by 535 publications
(463 citation statements)
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“…However, the pool of naïve CD8 + T cells is not increased because of their rapid maturation and transfer to the antigen-experienced compartment. This series of events is consistent with a high rate of lymphocyte turnover in patients with cancer, not unlike that seen in patients with HIV (Mohri et al, 1998;Hellerstein et al, 1999). The obvious downside of such rapid turnover in T cells is that the normal processes of maturation and differentiation of effector cells are disturbed, possibly leading to ineffective immune responses.…”
Section: Discussionsupporting
confidence: 71%
“…However, the pool of naïve CD8 + T cells is not increased because of their rapid maturation and transfer to the antigen-experienced compartment. This series of events is consistent with a high rate of lymphocyte turnover in patients with cancer, not unlike that seen in patients with HIV (Mohri et al, 1998;Hellerstein et al, 1999). The obvious downside of such rapid turnover in T cells is that the normal processes of maturation and differentiation of effector cells are disturbed, possibly leading to ineffective immune responses.…”
Section: Discussionsupporting
confidence: 71%
“…In vivo studies of T-cell dynamics in chronic HIV infection, using methods of direct DNA labeling of proliferating cells with stable deuterium isotope, have shown a state of high turnover of both CD4 and CD8 T cells and a decrease in memory CD4 and CD8 T cell half-life. 15,16 This was associated with persistent high viral load and was markedly reduced after initiation of HAART. [16][17][18] This concept of high turnover involves increased T-cell activation, expansion, shift from naive to memory/effector stage and activationinduced cell death.…”
Section: During Chronic Infectionmentioning
confidence: 99%
“…In the absence of exogenous antigen, memory and even naïve T cells exhibit a constant turnover. The daily replacement rate of T cells has been estimated to be on the order of 1%, which means that with about 3×10 11 T cells in a human body, approximately 3×10 9 T cells have to be generated each day Hellerstein et al, 1999;Neese et al, 2002). Memory T cells have higher homeostatic proliferation than naïve T cells , raising the question of whether they can out compete naïve T cells and, over time, significantly compromise the integrity of the naïve T-cell compartment.…”
mentioning
confidence: 99%