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Blood, 9 July 2009, Vol. 114, No. 2, pp. 328-337.
Prepublished online as a Blood First Edition Paper on May 5, 2009; DOI 10.1182/blood-2008-12-192203.
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Submitted December 5, 2008
Accepted April 22, 2009
Non-invasive in vivo imaging of CD4 cells in SHIV infected non-human primates
Michele Di Mascio*, Chang H. Paik, Jorge A. Carrasquillo, Jin-Soo Maeng, Beom-Su Jang, In Soo Shin, Sharat Srinivasula, Russ Byrum, Achilles Neria, William Kopp, Marta Catalfamo, Yoshiaki Nishimura, Keith Reimann, Malcolm Martin, and H. Clifford Lane
National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, United States
Warren G. Magnuson Clinical Center, National Institutes of Health, Bethesda, MD, United States
Memorial Sloan Kettering Cancer Center, New York, NY, United States
Biostatistics Research Branch, SAIC Frederick, Inc., NCI-Frederick, Frederick, MD, United States
Bioqual, Rockville, MD, United States
Clinical Services Program, SAIC Frederick, Inc., NCI-Frederick, Frederick, MD, United States
Beth Israel Deaconess Medical Center, Boston, MA, United States
* Corresponding author; email: mdimascio{at}niaid.nih.gov.
Since the earliest days of the HIV epidemic, the number of CD4+ T cells per unit volume of blood has been recognized as a major prognostic factor for the development of AIDS in persons with HIV infection. It has also been generally accepted that approximately 2% of total body lymphocytes circulate in the blood. In the present study we have utilized a non-depleting humanized anti-CD4 monoclonal antibody labeled with the gamma emitter 111Indium to visualize the CD4+ T cell pool in vivo in non-human primates with SHIV infection. A strong correlation was noted between radiotracer uptake in spleen, tonsil, axillary lymph nodes and peripheral blood CD4 T cell counts (p = 0.75, 0.93 and 0.85, respectively, P < 0.005). The relationship between radiotracer retention in lymphoid tissues and CD4+ T cell counts in the circulation was governed by an exponential law. These data provide an estimate for the total number of lymphocytes in the body as being between 1.9 and 2.9x1012 and suggest that the partition between peripheral blood and lymphoid tissue is between 0.3% and 0.5%.

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