Document 0273 DOCN M9460273 TI Expression of costimulatory molecule CD28 on T cells in human immunodeficiency virus type 1 infection: functional and clinical correlations. DT 9404 AU Brinchmann JE; Dobloug JH; Heger BH; Haaheim LL; Sannes M; Egeland T; Institute of Transplantation Immunology, National Hospital, Oslo,; Norway. SO J Infect Dis. 1994 Apr;169(4):730-8. Unique Identifier : AIDSLINE MED/94179880 AB To study the functional integrity of T cells from human immunodeficiency virus type 1 (HIV-1)-infected persons, CD4+ and CD8+ cells were examined for proliferation and secretion of interleukin-2 (IL-2) in response to staphylococcal superantigens and antibodies to CD3 and the alpha beta T cell receptor. A functional defect within CD8+ but not within CD4+ cells from HIV-1-infected persons was observed. Within CD8+ cells, proliferation and secretion of IL-2 was restricted to cells expressing the costimulatory molecule CD28. Such cells were proportionally reduced in HIV-1-infected persons. In patients with advanced immunodeficiency, however, evidence of functional derangement was found also within the CD28+ CD8+ cells. In a cross-sectional study of 73 HIV-infected persons and 15 controls, a significant correlation was observed between the number of CD28+ CD8+ cells and the presence of HIV-related disease. Our results suggest that regulation of expression of CD28 may play an important role in the immunopathogenesis of AIDS. DE Antigens, CD28/*BIOSYNTHESIS Antigens, CD4/ANALYSIS Antigens, CD8/ANALYSIS Case-Control Studies Cross-Sectional Studies CD4-CD8 Ratio Flow Cytometry Human HIV Infections/*IMMUNOLOGY *HIV-1 Interleukin-2/BIOSYNTHESIS Lymphocyte Transformation Support, Non-U.S. Gov't T-Lymphocytes/*IMMUNOLOGY T-Lymphocytes, Suppressor-Effector/IMMUNOLOGY T4 Lymphocytes/IMMUNOLOGY JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).