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HIV-1 is not a major driver of increased plasma IL-6 levels in chronic HIV-1 disease.


ABSTRACT: OBJECTIVE:Increased plasma IL-6 levels have been associated with HIV-1 disease progression risk, yet the drivers of IL-6 production in HIV-1 infection are not known. This study was designed to explore the relationship between HIV-1 replication and IL-6 induction. DESIGN:Correlations between plasma levels of IL-6 and HIV-1 RNA were examined in 2 clinical studies. To more directly assess the induction of IL-6 by HIV-1, several cell and tissue types that support HIV-1 replication in vivo were infected with HIV-1, and expression of IL-6 was measured. METHODS:Spearman rank correlations were used to examine the relationship between plasma levels of IL-6 and HIV-1 RNA. Macrophages and colonic and lymph node histocultures were infected with HIV-1 or stimulated with bacterial products, lipopolysaccharide (LPS) or flagellin, and IL-6 levels in supernatant were measured by enzyme-linked immunosorbent assay or multiplex bead assay. RESULTS:In the clinical studies, there was weak or no correlation between plasma levels of IL-6 and HIV-1 RNA, but IL-6 levels were correlated with plasma levels of the LPS coreceptor CD14. Macrophages stimulated with LPS or flagellin showed robust production of IL-6, but there was no increase in IL-6 production after HIV-1 infection. IL-6 expression was not increased in lymph node histocultures obtained from HIV-1-infected subjects nor after productive HIV-1 infection of colonic or lymph node histocultures ex vivo. CONCLUSIONS:We find no evidence that HIV-1 replication is an important driver of IL-6 expression in vivo or in in vitro systems.

SUBMITTER: Shive CL 

PROVIDER: S-EPMC3458159 | biostudies-literature | 2012 Oct

REPOSITORIES: biostudies-literature

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HIV-1 is not a major driver of increased plasma IL-6 levels in chronic HIV-1 disease.

Shive Carey L CL   Biancotto Angélique A   Funderburg Nicholas T NT   Pilch-Cooper Heather A HA   Valdez Hernan H   Margolis Leonid L   Sieg Scott F SF   McComsey Grace A GA   Rodriguez Benigno B   Lederman Michael M MM  

Journal of acquired immune deficiency syndromes (1999) 20121001 2


<h4>Objective</h4>Increased plasma IL-6 levels have been associated with HIV-1 disease progression risk, yet the drivers of IL-6 production in HIV-1 infection are not known. This study was designed to explore the relationship between HIV-1 replication and IL-6 induction.<h4>Design</h4>Correlations between plasma levels of IL-6 and HIV-1 RNA were examined in 2 clinical studies. To more directly assess the induction of IL-6 by HIV-1, several cell and tissue types that support HIV-1 replication in  ...[more]

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