The thymus in adults infected with the HIV-1 is generally thought to be inactive, both because of age-related involution and viral destruction. We have revisited the question of thymic function in adults, using chest-computed tomography (CT) to measure thymic tissue in HIV-1-seropositive (n = 99) or HIV-1-seronegative (n = 32) subjects, and correlating these results with the level of circulating CD4(+) and CD8(+) T cells that are phenotypically described as naive thymic emigrants. Abundant thymic tissue was detectable in many (47/99) HIV-1-seropositive adults, aged 20-59. Independent of age, radiographic demonstration of thymic tissue was significantly associated with both a higher CD4(+) T cell count (P = 0.02) and a higher percentage and absolute number of circulating naive (CD45RA+CD62L+) CD4(+) T cells (P < 0.04). The prevalence of an abundant thymus was especially high in younger HIV-1-seropositive adults ( 40 yr) regardless of CD4 count (P = 0.03). These studies suggest that the thymus is functional in some but not all adults with HIV-1 disease.
J M McCune, R Loftus, D K Schmidt, P Carroll, D Webster, L B Swor-Yim, I R Francis, B H Gross, R M Grant
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AIDS | 2001 |
CD4+,CD28? T cells in rheumatoid arthritis patients combine features of the innate and adaptive immune systems
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Human Immunodeficiency Virus Pathogenesis: Insights from Studies of Lymphoid Cells and Tissues
JM Kilby |
Clinical Infectious Diseases | 2001 |
Residual HIV-1 infection during antiretroviral therapy: the challenge of viral persistence
RJ Pomerantz |
AIDS | 2001 |
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Clinical & Experimental Immunology | 2001 |
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Journal of virology | 2001 |
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AIDS Research and Human Retroviruses | 2001 |
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2001 | |
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Functional Reconstitution of Thymopoiesis after Human Immunodeficiency Virus Infection
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Journal of virology | 2000 |
T-cell progenitor function during progressive human immunodeficiency virus-1 infection and after antiretroviral therapy
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The Human Thymus During Aging
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Journal of Clinical Investigation | 1999 |
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Journal of Clinical Investigation | 1999 |
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AIDS Research and Human Retroviruses | 1999 |
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Seminars in Immunology | 1999 |
Normal Telomere Lengths in Naive and Memory CD4+ T Cells in HIV Type 1 Infection: A Mathematical Interpretation
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AIDS Research and Human Retroviruses | 1999 |
Immune restoration does not invariably occur following long-term HIV-1 suppression during antiretroviral therapy
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AIDS | 1999 |
POPULATION BIOLOGY OF HIV-1 INFECTION: Viral and CD4+T Cell Demographics and Dynamics in Lymphatic Tissues
AT Haase |
Annual Review of Immunology | 1999 |
The human thymus: A new perspective on thymic function, aging, and hiv infection
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Proceedings of the National Academy of Sciences | 1999 |
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Journal of Experimental Medicine | 1999 |
Direct evidence for thymic function in adult humans
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Journal of Experimental Medicine | 1999 |
Reconstitution of human thymic implants is limited by human immunodeficiency virus breakthrough during antiretroviral therapy
RG Amado, BD Jamieson, R Cortado, SW Cole, JA Zack |
Journal of virology | 1999 |
Human herpesvirus 6 (HHV-6) causes severe thymocyte depletion in SCID-hu Thy/Liv mice
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Journal of Experimental Medicine | 1999 |
Increases in T Cell Telomere Length in HIV Infection after Antiretroviral Combination Therapy for HIV-1 Infection Implicate Distinct Population Dynamics in CD4+ and CD8+ T Cells
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HIV Infection and the Dynamic Interplay between the Thymus and the Peripheral T Cell Pool
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New England Journal of Medicine | 1999 |
Human Herpesvirus 6 (HHV-6) Causes Severe Thymocyte Depletion in SCID-hu Thy/Liv Mice
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Journal of Experimental Medicine | 1999 |
Direct Evidence for Thymic Function in Adult Humans
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Journal of Experimental Medicine | 1999 |
Measuring Recent Thymic Emigrants in Blood of Normal and HIV-1-Infected Individuals before and after Effective Therapy
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Immune reconstitution after combination antiretroviral therapy
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Generation of Functional Thymocytes in the Human Adult
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Paediatric HIV-1 infection
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The Lancet | 1999 |
Thymic Function, Aging, and AIDS
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Consistent Viral Evolutionary Changes Associated with the Progression of Human Immunodeficiency Virus Type 1 Infection
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Journal of virology | 1999 |
Thymocyte-Thymic Epithelial Cell Interaction Leads to High-Level Replication of Human Immunodeficiency Virus Exclusively in Mature CD4 + CD8 − CD3 + Thymocytes: a Critical Role for Tumor Necrosis Factor and Interleukin-7
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Journal of virology | 1999 |
CCR5- and CXCR4-utilizing strains of human immunodeficiency virus type 1 exhibit differential tropism and pathogenesis in vivo
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Delayed occurrence of Graves' disease after immune restoration with HAART
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The Lancet | 1998 |
Changes in thymic function with age and during the treatment of HIV infection
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