Document 0588 DOCN M9610588 TI Immunologic and virologic markers determining progression to AIDS. DT 9601 AU Schellekens PT; Koot M; Roos MT; Tersmette M; Miedema F; Department of Clinical Viro-Immunology, Central Laboratory of the; Netherlands Red Cross Blood Transfusion Service, Amsterdam. SO J Acquir Immune Defic Syndr Hum Retrovirol. 1995;10 Suppl 2:S62-6. Unique Identifier : AIDSLINE MED/96033814 AB Infection with the human immunodeficiency virus type 1 (HIV-1) results in a severe immunodeficiency characterized by a depletion of CD4+ T-helper cells. Furthermore, it is well documented that in asymptomatic persons the number of CD4+ cells is also a good predictor of progression to AIDS. However, persons with similar CD4+ cell counts may differ with regard to clinical progression. For this reason the development of additional markers predictive of disease progression is of major clinical importance. In this review three additional progression markers are discussed: rate of decline of CD4+ cells, T-cell reactivity, and HIV biological phenotype. Besides their usefulness as independent progression markers they also provided insight into immunopathologic mechanisms responsible for the eventual development of AIDS. DE *Acquired Immunodeficiency Syndrome/DRUG THERAPY/IMMUNOLOGY/ VIROLOGY Antiviral Agents/THERAPEUTIC USE Biological Markers CD4 Lymphocyte Count Disease Progression Human *HIV-1/IMMUNOLOGY/PHYSIOLOGY Prognosis T-Lymphocytes/IMMUNOLOGY Zidovudine/THERAPEUTIC USE JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).