Document 3221 DOCN M94A3221 TI More apoptosis of T-cell subsets were observed in the more advanced HIV-infected individuals using BM-1/JIMRO mAb and flow cytometric analysis. DT 9412 AU Ruxrungtham K; Kashiwagi N; Adachi M; Sirivichayakul S; Maruyama I; Phanuphak P; Chulalongkom Hospital, Bangkok, Thailand. SO Int Conf AIDS. 1994 Aug 7-12;10(1):125 (abstract no. PA0119). Unique Identifier : AIDSLINE ICA10/94369354 AB BACKGROUND: Apoptosis is one of the proposed mechanisms of the depletion of CD4+ T-cells in AIDS. BM-1/JIMRO mAb recognizes Le(Y) carbohydrate antigen which is closely correlated with the process of apoptosis. OBJECTIVE: To analyse the expression of an apoptotic marker-BM-1 (Le(Y)) Ag on peripheral blood T-cell subsets from HIV-infected individuals with different stages of the disease. METHODS: Heparinized blood was collected from 60 patients (12 Asymp, 7 PGL, 25 ARC, 16 AIDS) and 20 HIV seronegative individuals. 93% of the patients were sexually-acquired (87% Heterosexual) and 7% IVDU. Sex: M/F = 48/12. PBMC's were prepared by Ficoll hypaque separation. Cells were then double stained with CD4/CD8, BM-1/CD4, BM-1/CD8 and HLA-DR/CD8 and analyzed using flow cytometry. RESULTS: CD4+ T cells expressing BM-1 antigen was significantly elevated, but only in the patients with AIDS (p < 0.001, by Mann-Whitney). Interestingly, BM-1 Ag was highly expressed on CD8+ T cells from all groups of patients (PGL, ARC and AIDS, p < 0.05, < 0.05 and < 0.001) except the asymptomatic. Whereas, HLA-DR+/CD8+ cells in all groups including the asymptomatic were significantly higher than the controls (p < 0.001, Mann-Whitney). DISCUSSION: In this preliminary study, more apoptosis of T-cell subsets (both CD4+ and CD8+) were observed in the more advanced HIV-infected patients than the controls. All groups of patients showed significantly high level of activated-CD8+ (DR+) cells. Interestingly, in the asymptomatic patients revealed significantly high DR+/CD8+ but not BM-1+/CD8+ cells which suggests that BM-1 may not be an activation marker. BM-1 may be a valuable marker for the management of AIDS and may also shed more light in HIV pathogenesis. DE *Antibodies, Monoclonal Antigens, CD/BLOOD Antigens, CD4/BLOOD Antigens, CD8/BLOOD *Apoptosis AIDS-Related Complex/BLOOD/IMMUNOLOGY Biological Markers/BLOOD Cells, Cultured Comparative Study Female Flow Cytometry/*METHODS Human HIV Infections/BLOOD/*IMMUNOLOGY HIV Seronegativity HIV Seropositivity/BLOOD/*IMMUNOLOGY Male T-Lymphocyte Subsets/*PATHOLOGY T4 Lymphocytes/*IMMUNOLOGY/PATHOLOGY MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).