Document 3051 DOCN M94A3051 TI Activated CD8-cells--a new surrogate marker? DT 9412 AU Hoffmann UJ; Mischo M; Reichelt D; Busch H; Zidek W; Medizinische Poliklinik, University of Munster, Germany. SO Int Conf AIDS. 1994 Aug 7-12;10(1):165 (abstract no. PB0087). Unique Identifier : AIDSLINE ICA10/94369524 AB OBJECTIVE: To determine the usefullness of CD38+CD8+ and HLA-DR+CD8+ cells for monitoring of antiretroviral therapy. METHODS: HIV infected patients who started or changed an antiretroviral therapy were controlled for lymphocyte subsets, beta 2-microglobulin, p24 antigen and antibodies, and immunoglobulins at baseline and after 1, 2, 3, and 6 months. RESULTS: The expression of CD38+CD8+ and HLA-DR+CD8+ lymphoid phenotypic markers is increased after 1 month of zidovudine (ZDV) therapy with subsequent decrease. With didanosine (ddI) monotherapy only slight changes of these markers could be detected. Patients on combination therapy with ZDV and zalcitabine (ddC) showed an initial decrease of the number of CD38+CD8+ cells followed by an increase. Similar results were found for HLA-DR+CD8+ cells. CONCLUSIONS: The number of CD38+CD8+ and HLA-DR+CD8+ cells is modulated by antiretroviral therapy. The kind of modulation seems to be dependent on the choice of the nucleosid analogon. DE Antigens, CD8/*BLOOD Antigens, Differentiation/*BLOOD Didanosine/ADMINISTRATION & DOSAGE Drug Therapy, Combination Follow-Up Studies Human HIV Infections/DRUG THERAPY/*IMMUNOLOGY HLA-DR Antigens/*BLOOD Leukocyte Count/DRUG EFFECTS Lymphocyte Transformation/DRUG EFFECTS/*IMMUNOLOGY T-Lymphocyte Subsets/DRUG EFFECTS/*IMMUNOLOGY Zalcitabine/ADMINISTRATION & DOSAGE Zidovudine/ADMINISTRATION & DOSAGE MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).