Document 0256 DOCN M94A0256 TI Deficiency in antibody response to human cytomegalovirus glycoprotein gH in human immunodeficiency virus-infected patients at risk for cytomegalovirus retinitis. DT 9412 AU Rasmussen L; Morris S; Wolitz R; Dowling A; Fessell J; Holodniy M; Merigan TC; Stanford University School of Medicine, Center for AIDS Research; and Division of Infectious Diseases and Geographic Medicine,; California 94305. SO J Infect Dis. 1994 Sep;170(3):673-7. Unique Identifier : AIDSLINE MED/94358505 AB Human immunodeficiency virus (HIV)-infected patients at risk for symptomatic human cytomegalovirus (CMV) infection were studied for serum antibody to CMV glycoproteins gH and gB. Antibody titers to gB in HIV-seropositive patients, irrespective of CD4 cell counts or presence of CMV retinitis, were significantly higher than titers in HIV-seronegative, CMV-seropositive patients but were comparable to titers detected in HIV-seronegative patients with CMV mononucleosis. In contrast, antibody to gH was rarely detected in HIV-seropositive patients with CD4 cell counts > 100/mm3 compared with patients with counts > 100/mm3. The inability to detect gH antibody at a time of high risk for symptomatic CMV retinitis suggests that immune intervention with either gH-specific vaccine or passive immunotherapy may benefit HIV-infected persons at risk for symptomatic CMV disease. DE Antibodies, Viral/*BLOOD *Antibody Formation AIDS-Related Opportunistic Infections/*EPIDEMIOLOGY Comparative Study Cytomegalovirus/*IMMUNOLOGY Cytomegalovirus Retinitis/*EPIDEMIOLOGY Enzyme-Linked Immunosorbent Assay Human *HIV Seronegativity HIV Seropositivity/BLOOD/*MICROBIOLOGY IgG/*BLOOD Leukocyte Count Reference Values Risk Factors Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. T4 Lymphocytes/IMMUNOLOGY Viral Envelope Proteins/*IMMUNOLOGY JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).