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Previous Article | Table of Contents | Next Article 
Human immunodeficiency virus-type 1 replication can be increased in
peripheral blood of seropositive patients after influenza vaccination
WA O'Brien, K Grovit-Ferbas, A Namazi, S Ovcak-Derzic, HJ Wang, J Park, C Yeramian, SH Mao and JA Zack
Veterans Affairs Medical Center, Department of Medicine, West Los Angeles,
CA, USA.
Despite considerable evidence that cell activation enhances human
immunodeficiency virus-type 1 (HIV-1) replication in vitro, there is very
little data on the role of immune activation on in vivo HIV-1 replication.
In this study, we examined the effect of influenza vaccination on HIV-1
replication in the peripheral blood of 20 study subjects, and in 14 control
subjects who did not receive influenza vaccination. Blood was obtained from
each subject on three occasions during the month before vaccination and
again on three occasions during the following month. Over the study period,
there was little change in levels of proviral DNA in peripheral blood
mononuclear cells (PBMCs). However, peak PBMC viral RNA levels after
influenza vaccination were significantly increased over the mean of
prevaccination values. This change was not observed to the same extent in
unvaccinated controls. Therefore, this is the first report showing that
HIV-1 replication can increase in temporal association with influenza
vaccination. Our results suggest that continued immunologic (antigenic)
stimulation may result in increased virus load in vivo. To address the
appropriateness of influenza vaccination in HIV-infected patients, expanded
studies will be required to examine specific and generalized immune
responses to vaccination, and differences in patient response based on
disease stage.
Volume 86,
Issue 3,
pp. 1082-1089,
08/01/1995
Copyright © 1995 by The American Society of Hematology

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