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FP 1.6<br />

Analysis of plasma cytokines in Immunological and virological discordant HIV-1<br />

infected patients by Microarray system: A pilot study.<br />

Naresh Sachdeva 1 , H S Yoon 1 , Kyoko Oshima 1 , Luis Cintron 2 , Domingo Garcia 2 ,<br />

Karl Goodkin 1 and Deshratn Asthana 1 .<br />

1<br />

University of Miami and 2Borinquen Health care Center, Florida, USA.<br />

Background and Objectives<br />

There are some HIV infected patients in whom complete suppression of the viral load<br />

does not assure restoration of CD4+ T cell counts. Such discordant responses suggest<br />

that there are other factors in immune system that influence the restoration of CD4+ T cell<br />

numbers despite changes in the plasma HIV-1 levels. It is well established that the<br />

combined effect of multiple cytokines and chemokines in the immune response to<br />

disease or immune modulation by drugs is often more important than the function of<br />

specific cytokines. Therefore, the plasma cytokine milieu might be significant in influencing<br />

the immune response to HIV-1 during the course of infection. In this study we have used<br />

a commercially available biochip microarray system capable of measuring 12 cytokines<br />

(IL-2, IL-4, IL-6, IL-8, IL-10, IL-1α, IL-1ß, IFN-γ, TNF-α, MCP-1, VEGF, and EGF) in<br />

Immunological and virological discordant HIV-1 infected subjects to find out differences if<br />

any in their cytokine profiles compared to concordant HIV-1 infected individuals.<br />

Methods<br />

EDTA plasma samples were obtained from 25 discordant, 25 concordant HIV patients and<br />

12 normal healthy individuals. A sandwich chemiluminescent assay was performed with<br />

100 µl of plasma sample using reagents (including the calibrators and controls) and<br />

protocols supplied by the same manufacturer. Cytokine levels between study subjects<br />

were compared by paired samples t- tests using SPSS software (version 3.0).<br />

Results<br />

Overall there appeared to be a significant difference in the levels of TNF-α, MCP-1 and<br />

EGF between the patients versus the normal healthy controls (p

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