scholarly journals A Cloned Antigen (Recombinant K39) ofLeishmania chagasiDiagnostic for Visceral Leishmaniasis in Human Immunodeficiency Virus Type 1 Patients and a Prognostic Indicator for Monitoring Patients Undergoing Drug Therapy

1998 ◽  
Vol 177 (5) ◽  
pp. 1339-1344 ◽  
Author(s):  
Raymond L. Houghton ◽  
Madalina Petrescu ◽  
Darin R. Benson ◽  
Yasir A. W. Skeiky ◽  
Aldo Scalone ◽  
...  
2007 ◽  
Vol 81 (20) ◽  
pp. 11543-11548 ◽  
Author(s):  
A. C. Karlsson ◽  
J. M. Chapman ◽  
B. D. Heiken ◽  
R. Hoh ◽  
E. G. Kallas ◽  
...  

ABSTRACT Antiretroviral drug therapy and cytotoxic T lymphocytes (CTL) both exert selective pressures on human immunodeficiency virus type 1, which influence viral evolution. Compared to chronically infected, antiretroviral-untreated patients, most chronically infected, treated patients with detectable viremia lack a cellular immune response against the Gag 77-85(SL9) epitope but show a new immunodominant response against an epitope in protease PR 76-84. Hence, mutations induced by antiretroviral therapy likely alter the profile of epitopes presented to T cells and thus the direction of the response. The consequences of dual pressures from treatment and CTL need to be considered in monitoring of drug therapy.


1998 ◽  
Vol 36 (1) ◽  
pp. 315-316 ◽  
Author(s):  
J. Delgado ◽  
J. A. Pineda ◽  
J. Macías ◽  
C. Regordán ◽  
J. A. Gallardo ◽  
...  

The peripheral blood smear is an easy method for the diagnosis of symptomatic visceral leishmaniasis (VL) in human immunodeficiency virus type 1 (HIV-1)-infected patients. However, its efficiency in diagnosing subclinical VL remains unknown. In this study,Leishmania amastigotes were seen in blood smears from 1 of 13 HIV-1-positive individuals with subclinical VL. This shows that this procedure is not suitable for subclinical-VL diagnosis.


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