1995
DOI: 10.1136/gut.37.4.524
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Loss of CD4 T lymphocytes in patients infected with human immunodeficiency virus type 1 is more pronounced in the duodenal mucosa than in the peripheral blood. Berlin Diarrhea/Wasting Syndrome Study Group.

Abstract: Although changes in T lymphocyte subset distribution in the peripheral blood of patients infected with human immunodeficiency virus (HIV) controls).The ratio of duodenal to circulating CD4+ T cells was significantly reduced to 0.2 (0-1) in AIDS patients (p<0-001) and even to 0.1 (0.04-0.5) in asymptomatic HIV infected patients (p<0.002) compared with 0.72 (0.44-0.95) in controls. These findings show an early and preferential loss of duodenal CD4 T cells in HIV infection. Immunological abnormalities in HIV i… Show more

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Cited by 190 publications
(150 citation statements)
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“…Recent studies have highlighted the importance of early depletion of CD4 + T cells in the gut occurring after infection of humans with HIV-1 [1][2][3][4][5][6] and rhesus macaques with SIV [7][8][9][10][11]. These authors have observed a rapid and large reduction in the fraction of CD4 + T cells in the lamina propria (LP) of the gut, and several follow-up papers argued that this ''first cut'' is important for disease progression [12][13][14][15][16].…”
Section: Introductionmentioning
confidence: 99%
“…Recent studies have highlighted the importance of early depletion of CD4 + T cells in the gut occurring after infection of humans with HIV-1 [1][2][3][4][5][6] and rhesus macaques with SIV [7][8][9][10][11]. These authors have observed a rapid and large reduction in the fraction of CD4 + T cells in the lamina propria (LP) of the gut, and several follow-up papers argued that this ''first cut'' is important for disease progression [12][13][14][15][16].…”
Section: Introductionmentioning
confidence: 99%
“…The lamina propria shows decreased levels of CD4-positive cells and increased levels of CD8-positive cells (reviewed by Riecken et al, 1990). A decrease in CD4-positive cells can be even more pronounced in the lamina propria of intestinal mucosa than the decrease seen in blood (Schneider et al, 1995 ;Snijders et al, 1996). In addition, the mucosal humoral immune system may be compromised in HIV-infected patients (Janoff et al, 1994).…”
Section: Discussionmentioning
confidence: 99%
“…50 Notably, it has been reported that loss of CD4+ T cells in intestinal mucosa precedes the appearance of CD4+ T cell depletion in the peripheral blood of asymptomatic HIV infected patients. 51 Taking into consideration all these findings, it is conceivable that activated memory CD4+ T cells are the preferential target for both HIV-1 infection and apoptosis-mediated CD4+ T lymphocyte depletion in AIDS patients.…”
Section: Discussionmentioning
confidence: 99%