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Prepublished online as a Blood First Edition Paper on April 17, 2002; DOI 10.1182/blood-2001-11-0078.
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Blood, 1 June 2002, Vol. 99, No. 11, pp. 4225-4227
BRIEF REPORT
Relationship of CD8+ T cell noncytotoxic anti-HIV
response to CD4+ T cell number in untreated asymptomatic
HIV-infected individuals
JoAnn C. Castelli,
Steven
G. Deeks,
Stephen Shiboski, and
Jay A. Levy
From the Department of Medicine and Department of
Biostatistics, University of California, San Francisco.
During chronic HIV infection, asymptomatic individuals demonstrate
a strong CD8+ cell noncytotoxic antiviral response (CNAR).
With the onset of symptoms or reduction in CD4+ cell
counts, CNAR decreases. Presently, it is recommended that infected
individuals receive antiretroviral therapy if CD4+ cell
counts fall below 350 cells/µL. To determine whether CNAR lends support to this recommendation for initiation of
antiretroviral treatment, we examined CNAR in 20 healthy, untreated,
HIV-infected men exhibiting a range of CD4+ cell numbers.
Our results indicate that the asymptomatic untreated HIV-infected
individuals with less than 300 CD4+ cells/µL had a
significantly lower CNAR than those with higher CD4+ cell
counts. These data on CNAR in untreated, healthy, HIV-infected individuals support the current recommendation for when to initiate antiretroviral therapy.

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