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The in vitro lymphocyte proliferative response (LPR) and interferon (IFN)-gamma production in the presence of Toxoplasma antigen were evaluated in 97 human immunodeficiency virus (HIV)-1-infected patients with CD4 cell counts of &lt;100 cells/microL (group 1), currently &gt;300 cells/microL but previously &lt;100 cells/microL (group 2), or always &gt;300 cells/microL (group 3) and in 28 non-HIV-infected blood donors (group 4), all seropositive to Toxoplasma. In group 2, 81% of patients had a positive LPR, versus 20% in group 1 (P&lt;10(-3)). IFN-gamma production was greater in group 2 than in group 1 (922 vs. 0 Deltapg/mL; P=10(-4)). Multivariate analysis found a significant association between a positive LPR to Toxoplasma antigen and a CD4 count &gt;300 cells/microL (odds ratio [OR], 16.3; 95% confidence interval [CI], 5.3-50.2) and anti-Toxoplasma IgG titer &gt;150 IU/mL (OR, 5; 95% CI, 1.6-15.2). Immune reconstitution under highly active antiretroviral therapy was associated with a restoration of immune responses against Toxoplasma.

the journal of infectious diseases (online. university of chicago press)/the journal of infectious diseases

Immune Recovery under Highly Active Antiretroviral Therapy Is Associated with Restoration of Lymphocyte Proliferation and Interferon‐γ Production in the Presence of<i>Toxoplasma gondii</i>Antigens

Immune Recovery under Highly Active Antiretroviral Therapy Is Associated with Restoration of Lymphocyte Proliferation and Interferon‐γ Production in the Presence ofToxoplasma gondiiAntigens