2014
DOI: 10.1093/infdis/jiu206
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Tumor Necrosis Factor α Is Associated With Viral Control and Early Disease Progression in Patients With HIV Type 1 Infection

Abstract: Inflammation in early human immunodeficiency virus type 1 (HIV-1) disease progression is not well characterized. Ninety patients with untreated primary HIV-1 infection were studied to determine associations of inflammatory proteins with early disease progression. High plasma tumor necrosis factor α (TNF-α) levels (≥8.5 pg/mL) were significantly associated with an increased viral load set point and shorter times to reaching a CD4(+) T-cell count of <500 cells/mm(3) and initiating antiretroviral therapy. The inc… Show more

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Cited by 46 publications
(30 citation statements)
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“…Although there is no consensus on "biomarkers" of systemic immune activation, elevation of sCD14 has been shown to be a relatively sensitive marker for predicting HIV progression (Williams, Livak, Bahk, Keating, & Adeyemi, 2016). Other markers, such as TNF-α, have more controversial roles (de Medeiros et al, 2016;Vaidya et al, 2014). The association for sCD14 among PHIV but not PHEU underscore the potential risk of HIV progression.…”
Section: Discussionmentioning
confidence: 99%
“…Although there is no consensus on "biomarkers" of systemic immune activation, elevation of sCD14 has been shown to be a relatively sensitive marker for predicting HIV progression (Williams, Livak, Bahk, Keating, & Adeyemi, 2016). Other markers, such as TNF-α, have more controversial roles (de Medeiros et al, 2016;Vaidya et al, 2014). The association for sCD14 among PHIV but not PHEU underscore the potential risk of HIV progression.…”
Section: Discussionmentioning
confidence: 99%
“…High TNF levels have been associated with poor virus control and disease progression (85,86). TNF signaling induces NF-B translocation to the nucleus, where it may bind to regulatory sequences in the HIV-1 long terminal repeat (LTR) promoter to stimulate viral transcription (87).…”
mentioning
confidence: 99%
“…TNF-α is a pro-inflammatory cytokine that is associated with immune activation 27 . Increased levels of TNF-α prior to cART initiation have been associated with HIV progression 28 . Furthermore, people who progressed to AIDS one year after starting cART experienced a smaller decrease in the soluble TNF-α receptor compared to those who did not 29 , suggesting that cART-induced decreases in TNF-α are protective against HIV progression.…”
Section: Discussionmentioning
confidence: 99%