Document 0696 DOCN M9440696 TI Differential expression of tumor necrosis factor alpha and interleukin 1 beta compared with interleukin 6 in monocytes from human immunodeficiency virus-positive individuals measured by polymerase chain reaction. DT 9404 AU Lathey JL; Kanangat S; Rouse BT; Department of Pediatrics, University of California, San Diego, La; Jolla 92093-0672. SO J Acquir Immune Defic Syndr. 1994 Feb;7(2):109-15. Unique Identifier : AIDSLINE MED/94133078 AB Expression of tumor necrosis factor alpha (TNF alpha), interleukin 1 beta (IL-1 beta), and interleukin 6 (IL-6) was evaluated in unstimulated peripheral blood monocytes obtained from human immunodeficiency virus-positive (HIV+) individuals using a reverse transcription-polymerase chain reaction (RT-PCR) method. In all, 40 subjects were included--13 asymptomatic, 11 with ARC, seven with AIDS, and nine HIV- controls. Of the asymptomatic individuals, 85% were positive for TNF alpha and IL-1 beta compared with only 27% of the ARC and 42% of the AIDS patients. Expression of IL-6 message was observed in lesser proportions, with no significant differences among disease states. Quantitation of IL-1 beta and TNF alpha mRNA from the positive samples fell into two categories, low responders (six of 17), with < 5,000 copies of IL-1 beta and TNF alpha mRNA, and high responders (11 of 17), with > 5,000 copies per 10 pg of total cellular RNA. There was no correlation of mRNA detection or concentration with CD4+ cell number or beta 2-microglobulin levels. However, the levels of mRNA, but not its presence alone, were positively correlated with neopterin levels. The data show differential cytokine regulation in monocytes, observed as an increase in the expression of TNF alpha and IL-1 beta compared with IL-6 in HIV+ patients. Our report also emphasizes the utility of an RT-PCR system in analyzing multiple cytokine transcript levels in small amounts of clinical materials. DE Acquired Immunodeficiency Syndrome/BLOOD/IMMUNOLOGY AIDS-Related Complex/BLOOD/IMMUNOLOGY Comparative Study CD4-CD8 Ratio *Gene Expression Regulation Human HIV Infections/BLOOD/*IMMUNOLOGY HIV Seropositivity/BLOOD/IMMUNOLOGY Interleukin-1/*BIOSYNTHESIS/GENETICS Interleukin-6/*BIOSYNTHESIS/GENETICS Monocytes/*IMMUNOLOGY Polymerase Chain Reaction Regression Analysis RNA, Messenger/ANALYSIS Support, Non-U.S. Gov't Transcription, Genetic Tumor Necrosis Factor/*BIOSYNTHESIS/GENETICS JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).