Kinetics of lymphokine production in HIV+ patients treated with highly active antiretroviral therapy and interleukin 2

J Clin Immunol. 1999 Sep;19(5):317-25. doi: 10.1023/a:1020547826191.

Abstract

This study presents the kinetics of CD4/CD25 cell numbers, serum sCD25 levels, and intracellular production and release of interleukin-2 (IL-2) and interleukin-16 (IL-16) in 11 HIV+ patients treated with six cycles of highly active antiretroviral therapy (HAART) plus six MUI of subcutaneous IL-2 compared to 10 HIV+ patients treated with HAART alone. IL-2 therapy induced moderate effects on CD4 T cell recovery and increased CD4/CD25+ cells and sCD25 levels after 2 weeks, while intracellular and secreted IL-2 was reduced and IL-16 was increased at the same time point. After 24 weeks, while HAART-treated patients had increased IL-2 production, in IL-2 treated patients, cytokine production was unaltered compared to pretreatment values. Decreased in vitro IL-2 production may depend on a feedback inhibition by IL-2 infusion. Because of its known antiviral effects, the increased IL-16 production seen after 2 weeks in IL-2-treated individuals may produce beneficial effects on HIV disease. The kinetics of cytokine production may serve to define better the use IL-2 in clinical trials.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Anti-HIV Agents / therapeutic use*
  • Antigens, CD / blood
  • CD24 Antigen
  • CD4-CD8 Ratio
  • Cytokines / biosynthesis
  • Female
  • Flow Cytometry
  • HIV Protease Inhibitors / therapeutic use
  • HIV Seropositivity / drug therapy*
  • HIV Seropositivity / immunology
  • HIV Seropositivity / metabolism*
  • HIV Seropositivity / virology
  • Humans
  • Indinavir / therapeutic use
  • Interleukin-16 / biosynthesis
  • Interleukin-2 / biosynthesis
  • Interleukin-2 / metabolism
  • Interleukin-2 / therapeutic use*
  • Lymphokines / biosynthesis*
  • Male
  • Membrane Glycoproteins*
  • Middle Aged
  • Phytohemagglutinins / pharmacology
  • Receptors, Interleukin-2 / blood
  • Reverse Transcriptase Inhibitors / therapeutic use*
  • T-Lymphocyte Subsets / drug effects
  • T-Lymphocyte Subsets / immunology
  • Up-Regulation / drug effects

Substances

  • Anti-HIV Agents
  • Antigens, CD
  • CD24 Antigen
  • CD24 protein, human
  • Cytokines
  • HIV Protease Inhibitors
  • Interleukin-16
  • Interleukin-2
  • Lymphokines
  • Membrane Glycoproteins
  • Phytohemagglutinins
  • Receptors, Interleukin-2
  • Reverse Transcriptase Inhibitors
  • Indinavir