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10.1016/j.ijid.2020.10.049

http://scihub22266oqcxt.onion/10.1016/j.ijid.2020.10.049
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33115677!7585731!33115677
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suck abstract from ncbi


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pmid33115677      Int+J+Infect+Dis 2021 ; 102 (ä): 163-169
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  • HIV/SARS-CoV-2 co-infection: T cell profile, cytokine dynamics and role of exhausted lymphocytes #MMPMID33115677
  • Sharov KS
  • Int J Infect Dis 2021[Jan]; 102 (ä): 163-169 PMID33115677show ga
  • OBJECTIVES: The aim was to investigate if there is synergy in HIV infection and COVID-19 in their influence on human immunity, if there is an exacerbation of HIV patients' immune status caused by SARS-CoV-2; and if HIV infection without antiretroviral therapy (ART) leads to a more serious COVID-19 course than HIV infection with ART. DESIGN: Anonymised blood samples and clinical data were collected in 47 hospitals, clinics and medical centres in six Russian cities/regions in the period from 20 March to 15 June 2020. Three hundred and seventy-six HIV/COVID-19 patients were studied (171 without ART and 205 with ART). The control group consisted of 382 SARS-CoV-2-positive patients without HIV infection. Lymphocyte and cytokine amounts were measured by flow cytometry and ELISA. This work is a retrospective study. RESULTS: COVID-19 led to rapid augmentation of the process of T-cell exhaustion initially caused by HIV, and this T cell degradation was most pronounced in patients without ART. A rise in IL-10 and TGFbeta serum concentrations was observed. Diminishing CD4(+)/CD8(+) cell and Th1/Th2 cell ratios characteristic for HIV progression were accompanied by a surge in exhausted T cell count with simultaneous exacerbation of COVID-19-related respiratory distress. CONCLUSIONS: HIV infection without ART may be a very serious comorbidity of COVID-19, whereas immunity of HIV/COVID-19 patients with proper ART is not generally affected by SARS-CoV-2. HIV-1 and SARS-CoV-2 are likely to exhibit a synergic effect, and exhausted T lymphocyte dynamics may be its effective marker.
  • |*SARS-CoV-2[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19/*immunology[MESH]
  • |Coinfection/*immunology[MESH]
  • |Cytokines/*blood[MESH]
  • |HIV Infections/drug therapy/*immunology[MESH]
  • |Humans[MESH]
  • |Middle Aged[MESH]
  • |Retrospective Studies[MESH]
  • |T-Lymphocytes/*immunology/physiology[MESH]


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