Sex-based differences in HIV type 1 pathogenesis
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Sex-based differences in HIV type 1 pathogenesis. / Addo, Marylyn Martina; Altfeld, Marcus.
in: J INFECT DIS, Jahrgang 209 Suppl 3, Nr. Suppl 3, 15.07.2014, S. S86-92.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Sex-based differences in HIV type 1 pathogenesis
AU - Addo, Marylyn Martina
AU - Altfeld, Marcus
N1 - © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.
PY - 2014/7/15
Y1 - 2014/7/15
N2 - Human immunodeficiency virus (HIV) remains a global infectious diseases threat that disproportionally affects women. Beyond social and political factors, biological and genetic differences have been identified that lead to differential disease courses and outcomes in men and women. Following HIV type 1 (HIV-1) seroconversion, women have up to 40% lower HIV loads and higher CD4(+) T-cell counts than men. However, at the same level of viremia, progression to AIDS is faster in women. After adjustment for viral load, HIV-positive women also display increased levels of generalized immune activation and experience the consequences of elevated inflammatory activity more frequently than men. Part of these observations are linked to sex-based differences in innate immunity, in which the differential ability of plasmacytoid dendritic cells to produce interferon α following stimulation of Toll-like receptor 7 and upregulation of interferon-stimulated genes play a central role. Here, we review the current knowledge and remaining gaps therein regarding sex-based differences in HIV-1 pathogenesis.
AB - Human immunodeficiency virus (HIV) remains a global infectious diseases threat that disproportionally affects women. Beyond social and political factors, biological and genetic differences have been identified that lead to differential disease courses and outcomes in men and women. Following HIV type 1 (HIV-1) seroconversion, women have up to 40% lower HIV loads and higher CD4(+) T-cell counts than men. However, at the same level of viremia, progression to AIDS is faster in women. After adjustment for viral load, HIV-positive women also display increased levels of generalized immune activation and experience the consequences of elevated inflammatory activity more frequently than men. Part of these observations are linked to sex-based differences in innate immunity, in which the differential ability of plasmacytoid dendritic cells to produce interferon α following stimulation of Toll-like receptor 7 and upregulation of interferon-stimulated genes play a central role. Here, we review the current knowledge and remaining gaps therein regarding sex-based differences in HIV-1 pathogenesis.
KW - Anti-HIV Agents
KW - Disease Susceptibility
KW - Female
KW - HIV Infections
KW - HIV-1
KW - Humans
KW - Male
KW - Sex Factors
U2 - 10.1093/infdis/jiu175
DO - 10.1093/infdis/jiu175
M3 - SCORING: Journal article
C2 - 24966195
VL - 209 Suppl 3
SP - S86-92
JO - J INFECT DIS
JF - J INFECT DIS
SN - 0022-1899
IS - Suppl 3
ER -