Document 0077 DOCN M9550077 TI Immunological and virological markers determining progression to AIDS. DT 9505 AU Schellekens PT; Koot M; Roos MT; Tersmette M; Miedema F; Department of Clinical Viro-Immunology, Central Laboratory of The; Netherlands Red Cross Blood Transfusion Service, Amsterdam. SO Neth J Med. 1994 Dec;45(6):238-43. Unique Identifier : AIDSLINE MED/95140113 AB Infection with the human immunodeficiency virus (HIV-1) results in a severe immunodeficiency characterized by a depletion of CD4+ T-helper cells. Furthermore it is well documented that in asymptomatic persons the number of CD4+ cells is also a good predictor of progression to AIDS. However, persons with similar CD4+ cell counts may differ with regard to clinical progression. For this reason the development of additional markers predictive of disease progression is of major clinical importance. In this review three additional progression markers are discussed: rate of decline of CD4+ cells, T-cell reactivity and HIV biological phenotype. Besides their usefulness as independent progression markers they also provide insight into the immunopathological mechanisms responsible for the final development of AIDS. DE Biological Markers *CD4 Lymphocyte Count Disease Progression Human HIV Infections/DRUG THERAPY/*IMMUNOLOGY *HIV-1/GENETICS Lymphocyte Transformation Phenotype Predictive Value of Tests Prognosis Zidovudine/THERAPEUTIC USE JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).