Titre :
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Serum IgG antibodies to human herpesvirus-6 (HHV-6) do not predict the progression of HIV disease to AIDS. (1999)
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Auteurs :
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M. DORRUCCI ;
M.B. ALLIEGRO ;
M. ANDREONI ;
M. BARBANERA ;
F. CASTELLI ;
V. COLANGELI ;
G. MAZZARELLO ;
E. NICASTRI ;
L. ORTONA ;
P. PEZZOTTI ;
R. PRISTERA ;
G. REZZA ;
B. SALASSA ;
G. TARANTINI ;
M.A. URSITTI ;
L. VENTURA ;
M. ZIGNANI ;
Centro Operativo Aids. Istituto Superiore di Sanità. Rome. ITA ;
Infectious Diseases. University of Tor Vergata. Rome. ITA ;
Italian Seroconversion Study group. ITA
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Type de document :
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Article
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Dans :
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European journal of epidemiology (vol. 15, n° 4, 1999)
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Pagination :
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317-322
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Langues:
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Anglais
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Mots-clés :
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Sida
;
Virose
;
Infection
;
Virus
;
Anticorps
;
Plasma sanguin
;
Epidémiologie
;
Taux
;
Evolution
;
Pronostic
;
Homme
;
Italie
;
Europe
;
Immunopathologie
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Résumé :
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[BDSP. Notice produite par INIST 4HtsR0xm. Diffusion soumise à autorisation]. Objectives : To evaluate if different levels of human herpesvirus 6 (HHV-6) antibodies can predict HIV disease progression. Design : Longitudinal study of individuals with a documented date of HIV seroconversion. Setting : Clinical centers located throughout Italy. Patients : Individuals who serconverted for HIV between 1983 and 1995 in Italy. Methods : Sera were tested for IgG antibodies to HHV-6 using a commercial enzyme immunoassay. A serum sample with an optical density (OD) >=242 (i.e. the mean value of 10 negative controls+4 x standard deviation) was considered as HHV-6 positive ; the progression of HIV disease was evaluated estimating the relative hazards (RH) of AIDS (by Cox models) for individuals with higher levels vs. lower levels of HHV-6 antibodies or considering levels of antibodies based on 10% increase of the distribution (deciles). Rates of CD4 decline fitting linear regression were also estimated. Results : A total of 381 persons were followed for a median time of 4 years (range : 0.15-9 years) following the date of collection of the serum sample. The median OD value of HHV-6 antibodies was 306, with an interquartile range of 241-440 and a range of 48-2330. A slight inverse correlation was found between HHV-6 antibody levels and age of the individual at the time of serum collection (Spearman rank correlation coefficient, - 0.16 ; p=0.0013). (...)
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