Document 0304 DOCN M9550304 TI A model for AIDS pathogenesis. DT 9505 AU Schenzle D; Department of Medical Biometry, University of Tubingen, Germany. SO Stat Med. 1994 Oct 15-30;13(19-20):2067-79. Unique Identifier : AIDSLINE MED/95149003 AB The idea is put forward and analysed numerically, that within an infected person HIV evolves to increase its reproductivity within the population of CD4+ cells. A mathematical model predicts initial viremia and CD4+ cell drop after HIV infection and thereafter a slow progressive decline in the number of CD4+ cells, although for an extended period HIV is kept at a relatively low level by an active immune response. The time span T until the number of CD4+ cells falls below 20 per cent of its normal value depends on several model parameters. Assuming Gaussian distributions for these parameters, the model predicts a distribution function for T which resembles the observed distribution function for the incubation period to AIDS. DE Acquired Immunodeficiency Syndrome/*IMMUNOLOGY Antibody Affinity Antigens, CD4 Binding Sites, Antibody Disease Progression Human HIV Infections/GENETICS/*IMMUNOLOGY/TRANSMISSION Immunity, Cellular/PHYSIOLOGY Lymphopenia/*IMMUNOLOGY *Models, Biological Mutation/IMMUNOLOGY Poisson Distribution Support, U.S. Gov't, P.H.S. T-Lymphocytes, Helper-Inducer/*IMMUNOLOGY Time Factors Viremia Virus Latency/*IMMUNOLOGY Virus Replication/IMMUNOLOGY JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).