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Blood, 1 August 2005, Vol. 106, No. 3, pp. 1003-1007.
Prepublished online as a Blood First Edition Paper on April 12, 2005; DOI 10.1182/blood-2004-12-4642.


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IMMUNOBIOLOGY
Brief report

Conservation of unique cell-surface CD antigen mosaics in HIV-1–infected individuals

Adrian Woolfson, Justin Stebbing, Brian D. M. Tom, Kerryn J. Stoner, Walter R. Gilks, David P. Kreil, Stephen P. Mulligan, Larissa Belov, Jeremy S. Chrisp, Will Errington, Adrian Wildfire, Wendy N. Erber, Mark Bower, Brian Gazzard, Richard I. Christopherson, and Mike A. Scott

From the University of Cambridge School of Clinical Medicine and the Department of Haematology, Addenbrooke's Hospital, Cambridge, United Kingdom; Chelsea and Westminster Hospital, London, United Kingdom; Medical Research Council Biostatistics Unit, Institute of Public Health, Cambridge, United Kingdom; University of Cambridge Department of Physics, Cavendish Laboratory, United Kingdom; and School of Molecular and Microbial Biosciences, University of Sydney, New South Wales, Australia.

Cluster of differentiation (CD) antigens are expressed on cells of myeloid and lymphoid lineages. As most disease processes involve immune system activation or suppression, these antigens offer unique opportunities for monitoring host responses. Immunophenotyping using limited numbers of CD antigens enables differentiation states of immune system cells to be determined. Extended phenotyping involving parallel measurement of multiple CD antigens may help identify expression pattern signatures associated with specific disease states. To explore this possibility we have made a CD monoclonal antibody array and scanner, enabling the parallel immunophenotyping of leukocyte cell suspensions in a single and rapid analysis. To demonstrate this approach, we used the specific example of patients infected with human immunodeficiency virus type-1 (HIV-1). An invariant HIV-induced CD antigen signature has been defined that is both robust and independent of clinical outcome, composed of a unique profile of CD antigen expression levels that are both increased and decreased relative to internal controls. The results indicate that HIV-induced changes in CD antigen expression are disease specific and independent of outcome. Their invariant nature indicates an irreversible component to retroviral infection and suggests the utility of CD antigen expression patterns in other disease settings.


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