Plasma HIV-1 load and disease progression in HIV-infected patients in Hungary

Judit Segesdi, Ágnes Gyuris, Dénes Bánhegyi, Dalma Vödrös, Ágnes Bakos, János Minárovits

Research output: Contribution to journalArticle

Abstract

Nucleic Acid Sequence Based Amplification (NASBA) is a suitable method for the quantification of HIV-1 RNA in plasma and serum samples. Since determination of the viral load appears to be a valuable marker for the prediction of disease progression and for monitoring the efficiency of antiretroviral therapy, the National AIDS Committee initiated the introduction of NASBA in Hungary at the end of 1996. We obtained plasma samples from patients with ARC and AIDS of the Szt. Laszlo Hospital, Budapest. We found an increased viral burden in untreated AIDS (CDC group C) patients compared to untreated ARC (CDC group B) patients. In plasma samples of clinically stable ARC and AIDS patients treated with antiretroviral drugs we detected relatively low HIV-1 RNA copy levels while similarly treated ARC and AIDS patients with progressive disease had high HIV-1 RNA copy numbers. The CD4+ T-cell count was lower in AIDS patients compared to ARC patients, as expected. In general, there was an inverse correlation (r = 0.487, P < 0.0001) between CD4+ T-cell counts and HIV-1 RNA levels. We concluded that measurement of HIV-1 RNA plasma level has an important role in assessing prognosis and effects of antiretroviral therapy in HIV-infected patients.

Original languageEnglish
Pages (from-to)52-55
Number of pages4
JournalPathology and Oncology Research
Volume4
Issue number1
DOIs
Publication statusPublished - Jan 1 1998

Keywords

  • AIDS
  • AIDS Related complex
  • NASBA
  • Plasma HIV-1 RNA copy number

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Oncology
  • Cancer Research

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