Expansion of monocyte subset could serve as a biomarker for HIV progressions

“This may actually provide an earlier window into what is happening with HIV-infected patients where we might be able to see that immune impairment is taking place before we see a dramatic loss of CD4+ T cells,” she said.

“It looks like, based on these correlations, that this particular cell type may be involved in immune impairment and the progression of HIV,” said Jay Rappaport, professor of neuroscience and neurovirology, who oversaw the study. “Is it a good prognostic indicator" If you have a lot of these monocytes, does it mean you are going to progress into AIDS faster" “Right now, all we know is what the correlations are,” he said.

Rappaport added that he believes the CD163+/CD16+ monocyte subset is the first biomarker that correlates with viral load and CD4+ count. “The fact that it actually correlates with both, we think, might make it a key cell type in the pathogenesis of AIDS.” Fischer-Smith said the researchers plan to expand this study by following a cohort of patients longitudinally to see if their findings really can provide doctors with an early warning system and help to design better therapeutic strategies.

“When you are just looking at a single time-point, you don’t know how changes in this monocyte subset might occur over time, and how these changes might relate to the viral load and T cell number in individual patients,” she said. “That is why we want to investigate this further with a longitudinal study of HIV patients.”

The study was supported by the National Institute of Neurological Disorders and Strokes (NINDS) and the National Institute on Drug Abuse (NIDA).

NOTE: Copies of this study are available to working journalists only and may be obtained by contacting Preston M. Moretz in Temple University’s Office of News Communications, 215/204-4380 or .

SOURCE CONTACT: Tracy Fischer-Smith, 215/204-0637; Jay Rappaport, 215/204-0605