Document 0680 DOCN M9650680 TI Changes in viral expression and cytokine profile induced by a polyantigenic immunomodulator in HIV-infected peripheral blood mononuclear cells. DT 9605 AU Rios Z; Rios EO; Garcia MI; De Leon C; Guzman LM; Rodriguez W; Romero D; Hunter R; Department of Microbiology and Immunology, Universidad Central; del Caribe, School of Medicine, Bayamon, Puerto Rico 00960-6032. SO Cell Mol Biol (Noisy-le-grand). 1995;41 Suppl 1:S93-101. Unique Identifier : AIDSLINE MED/96171639 AB This is the first time, to our knowledge, that evidence is presented showing that a polyantigenic immunomodulator (PAI), acting as a biological response modifier, can either induce or suppress HIV expression depending on the viral load of infected PBMC. PAI consists of a mixture of inactivated bacteria with influenza virus vaccine. PBMC from HIV-infected patients (asymptomatic, age 22-36, symptomatic, age 30-59 and pediatric, < 2 years old) were co-cultured with PHA-stimulated PBMC from uninfected individuals in medium containing IL-2 and PAI. Parallel co-cultures were carried out in a PAI-free medium. Cultures were fed with PHA-stimulated PBMC from uninfected donors on a weekly basis. HIV-p24 ag and cytokine profiles (IL-1 beta, IL-2, IL-4, IFN-gamma and TNF-alpha) were determined on supernatants on day 14. Peripheral blood samples from each patient were evaluated at the beginning of the experiment as to total CD3, total CD19, CD3/CD4, CD3/CD8, CD16/CD56, CD8/HLA-DR and CD8/CD38 markers through flow cytometry. PAI was able to induce viral expression (up to 11,881 pg/ml of p24 antigen) in cultures showing a low (less than 16 pg/ml) or no viral titer. In contrast, in those cultures with high viral titer (10(2)-10(5) pg/ml), a substantial reduction on the titer was observed upon exposure to PAI. PAI was able to induce the production of IFN-gamma and TNF-alpha while that of IL-4 and IL-1 beta was reduced. The predominant cell type detected in the blood samples of the studied subjects were CD8+, CD8+/CD38+ or CD8+/HLA-DR+.(ABSTRACT TRUNCATED AT 250 WORDS) DE Adjuvants, Immunologic/*PHARMACOLOGY Adult Age Factors Antigens, Differentiation/ANALYSIS Cells, Cultured Comparative Study CD8-Positive T-Lymphocytes/DRUG EFFECTS/SECRETION/VIROLOGY Female Human HIV Infections/BLOOD/*IMMUNOLOGY HIV-1/*PHYSIOLOGY Infant Infant, Newborn Influenza Vaccine/*PHARMACOLOGY Interferon Type II/SECRETION Interleukin-2/SECRETION Interleukin-4/SECRETION Leukocytes, Mononuclear/*DRUG EFFECTS/SECRETION/VIROLOGY Lymphocyte Count Lymphocyte Subsets Lymphokines/*SECRETION Male Middle Age Nucleosidases/ANALYSIS Support, U.S. Gov't, P.H.S. Tumor Necrosis Factor/SECRETION Virus Replication/*DRUG EFFECTS JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).