2004
DOI: 10.1086/382030
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Mycobacterium tuberculosis/HIV‐1 Coinfection and Disease: Role of Human Leukocyte Antigen Variation

Abstract: Genetic variation influences immune responses and may contribute to differential development of tuberculosis (TB), particularly in immunosuppressed individuals. To examine the risk of Mycobacterium tuberculosis infection progressing to disease in the context of M. tuberculosis/human immunodeficiency virus (HIV) type 1 coinfection, HIV-1 RNA load and human leukocyte antigen (HLA) genotypes were determined among subjects from Harare, Zimbabwe, an area where both TB and HIV-1 are endemic. Patients with TB were co… Show more

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Cited by 27 publications
(18 citation statements)
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“…Considering the stage of HIV/AIDS infection at the time of testing and exposure to M. tuberculosis, several significant differences in antibody detection may be observed (33,37,42). While reports vary greatly on the effectiveness of various antigens, it is clear that additional work is necessary before accurate claims about the effectiveness of M. tuberculosis serology in HIV patients can be made.…”
Section: Discussionmentioning
confidence: 99%
“…Considering the stage of HIV/AIDS infection at the time of testing and exposure to M. tuberculosis, several significant differences in antibody detection may be observed (33,37,42). While reports vary greatly on the effectiveness of various antigens, it is clear that additional work is necessary before accurate claims about the effectiveness of M. tuberculosis serology in HIV patients can be made.…”
Section: Discussionmentioning
confidence: 99%
“…For TNF ␣ , heterozygote advantage may be plausible because an intermediate level of TNF ␣ may be favored, since an overabundance of TNF ␣ is associated with severe TB pathology [16] , and defi ciency or blockage of TNF ␣ is associated with an increased risk for TB [2,18] . Anecdotal reports have suggested a role for natural selection in TB susceptibility (reviewed by Stead [48] ) and, more recently, heterozygote advantage for rapidly progressive TB disease among HIV infected individuals has been suggested [49] .…”
Section: Discussionmentioning
confidence: 99%
“…31 Details on specificities, primer sequences, and reaction conditions of the Cytokine CTS-PCR-SSP Tray Kit are available for IL10, TGFB1, TNF, IL4R, IL1B, IL1RN, IL1R1, IL1A, IL4, and IL6. [32][33][34] Typing results for SNP rs2243248 did not meet quality requirements for interpretation and were therefore excluded from additional analysis.…”
Section: Cytokine Genotyping and Dna Preparationmentioning
confidence: 99%