Important note: Information in this article was accurate in 1990. The state of the art may have changed since the publication date.
AIDS: PATHOGENESIS AND TREATMENT
Immunol Ser; 44:1-632 1989. Unique Identifier : AIDSLINE ICDB/90656683 Anonymous; No affiliation given
Abstract:
The extent of the spread of AIDS and the degree of its pathogenicity match those of the great epidemics of the past. The virulence is due to several unique attributes of the AIDS agent, the human immunodeficiency virus. It is spread by intimate contact, affording little exposure to neutralizing antibodies. As a retrovirus, it is genetically highly variable in antigenicity because it lacks the remediation intrinsic to DNA replication. It integrates into the host cell genome, perhaps for the life of the host. It seems to circumvent an effective cytotoxic T-cell response. Among its major targets are the cell populations responsible for initiating and maintaining an immune response--the macrophage and helper/inducer lymphocyte. Review of the epidemiology, pathogenesis, and treatment of AIDS includes the following topics: AIDS in Africa and in Haiti; AIDS and hemophilia and in transfusion recipients; pediatric AIDS; heterosexual transmission of HIV; the HIVs (detection and pathogenesis); the molecular biology of HIV infection, including clues for possible therapy; immunologic effects of HIV infection; pathology of AIDS; the persistent lymphadenopathy syndrome and immune thrombocytopenic purpura in HIV-infected individuals; Kaposi's sarcoma, lymphomas, and other neoplasms associated with AIDS; CNS disorders in AIDS; pulmonary complications of AIDS; hairy leukoplakia and other oral features of HIV infection; other infections associated with AIDS; other virus infections associated with AIDS (cytomegalo-, herpes simplex, Epstein-Barr, and hepatitis B viruses); developing comprehensive care systems for individuals with HIV infection; and the pursuit of an AIDS virus vaccine.
Keywords: Acquired Immunodeficiency Syndrome/IMMUNOLOGY/*THERAPY Antiviral Agents/*THERAPEUTIC USE Human HIV/IMMUNOLOGY Immunotherapy/*METHODS MONOGRAPH 900228
M9020588
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