2017
DOI: 10.1016/j.jneuroim.2017.07.014
|View full text |Cite
|
Sign up to set email alerts
|

Soluble membrane attack complex in the blood and cerebrospinal fluid of HIV-infected individuals, relationship to HIV RNA, and comparison with HIV negatives

Abstract: The soluble membrane attack complex (sMAC) represents the terminal product of the complement cascade. We enrolled 47 HIV+ adults (12 of whom underwent a second visit at least 24 weeks after starting therapy) as well as 11 HIV negative controls. At baseline, cerebrospinal fluid (CSF) sMAC was detectable in 27.7% of HIV+ individuals. CSF sMAC correlated with CSF HIV RNA levels and was more likely to be detectable in HIV+ individuals on cART compared to HIV negative controls. In HIV+ participants, there were nega… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1

Citation Types

0
3
0

Year Published

2018
2018
2021
2021

Publication Types

Select...
5

Relationship

1
4

Authors

Journals

citations
Cited by 5 publications
(3 citation statements)
references
References 26 publications
0
3
0
Order By: Relevance
“…It may be speculated that subjects susceptible to VTE exhibit a certain pathophysiological milieu in the valvular sinuses, which makes them prone to complement activation and thereby development of VTE. Alternatively, other inflammatory conditions associated with increased plasma levels of TCC may be differentially distributed between subjects who will and will not develop VTE. However, because the inflammatory response, in our study assessed by plasma CRP levels, secondary to such conditions would be in the causal pathway between plasma TCC and VTE risk, it would be methodological incorrect to adjust for plasma CRP levels in the statistical analyses.…”
Section: Discussionmentioning
confidence: 99%
“…It may be speculated that subjects susceptible to VTE exhibit a certain pathophysiological milieu in the valvular sinuses, which makes them prone to complement activation and thereby development of VTE. Alternatively, other inflammatory conditions associated with increased plasma levels of TCC may be differentially distributed between subjects who will and will not develop VTE. However, because the inflammatory response, in our study assessed by plasma CRP levels, secondary to such conditions would be in the causal pathway between plasma TCC and VTE risk, it would be methodological incorrect to adjust for plasma CRP levels in the statistical analyses.…”
Section: Discussionmentioning
confidence: 99%
“…As a result, normal levels of sMAC in CSF have frequently been derived from cohorts with “other neurological diseases” or from patients who underwent lumbar puncture as a part of standard clinical care and had negative bacterial cultures. In most studies using the Quidel sC5b-9 ELISA, CSF sMAC levels range from undetectable to the low nanogram/ml range (10–20 ng/ml) ( 130 , 142 , 144 , 172 , 173 ). Studies analyzing the sMAC CSF/serum quotient using Reiber–Felgenhauer nomograms of IgM suggest that sMAC is intrathecally produced rather than diffusing across the blood brain barrier (BBB) as has been shown for C9 ( 173 , 174 ).…”
Section: Introductionmentioning
confidence: 99%
“…HIV-infected cells provide almost all resources and environments for HIV survival and generation, such as the storage of viral genes, expression of viral proteins, and packaging of viral particles. Killing HIV-infected cells has been a crucial means for decreasing HIV production and inhibiting disease progress . Immune attacks from cytotoxic lymphocytes (CTLs), natural killer cells, and complement membrane attack complex play important roles in clearing HIV-infected cells in vivo. Strikingly, HIV-specific CTLs can produce tumor necrosis factor alpha (TNF-α) to effectively induce the death of HIV-infected cells. Given such an important role of CTLs-derived TNF-α, we hypothesize that developing a nanomaterial to facilitate CTL-derived TNF-α will significantly promote the death of HIV-infected cells.…”
mentioning
confidence: 99%