Plasma But Not Cerebrospinal Fluid Interleukin 7 and Interleukin 5 Levels Pre–Antiretroviral Therapy Commencement Predict Cryptococcosis-Associated Immune Reconstitution Inflammatory Syndrome
Author(s) -
Ngomu Akeem Akilimali,
Christina C. Chang,
Daniel M. Muema,
Tarylee Reddy,
Mahomed-Yunus S. Moosa,
Sharon R. Lewin,
Martyn A. French,
Thumbi Ndung’u
Publication year - 2017
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cix598
Subject(s) - immune reconstitution inflammatory syndrome , medicine , cerebrospinal fluid , immunology , cytokine , hazard ratio , interleukin , chemokine , immune system , gastroenterology , confidence interval , viral load , antiretroviral therapy , virus
Patients with human immunodeficiency virus/AIDS-associated cryptococcal meningitis (CM) frequently experience clinical deterioration, known as cryptococcosis-associated immune reconstitution inflammatory syndrome (C-IRIS), upon initiation of antiretroviral therapy (ART). The immunological mechanisms underlying C-IRIS are incompletely defined and no reliable predictive biomarkers exist. We investigated whether plasma or cerebrospinal fluid (CSF) levels of cytokines and chemokines predicted C-IRIS and are potential predictive biomarkers.
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