CD4+ T cell recovery beyond the first year of complete suppression of viral replication during highly active antiretroviral therapy is not influenced by CD8+ T cell activation

Abstract

CD38 expression on CD8+ T cells was longitudinally assessed in 31 human immunodeficiency virus (HIV)-infected persons with undetectable plasma viremia who had undergone highly active antiretroviral therapy (HAART) for 12 months and were followed for a mean of 30 months thereafter. Overall, CD4 +T cell counts increased during follow-up, whereas CD38 expression remained stable. However, a subset of patients showed declines in CD38 expression, and, conversely, another subset showed increases in CD38 expression. No association could be found between long-term gains in CD4+ T cells and evolution of CD38 expression. Thus, activation of CD8+ T cells does not seem to be associated with the extent of CD4+ T cell recovery beyond the first year of successful HAART. © 2005 by the Infectious Diseases Society of America. All rights reserved.