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Selected Works of David Bangsberg
Article
Immunologic Pathways That Predict Mortality in HIV-Infected Ugandans Initiating Antiretroviral Therapy
Journal of Infectious Disesases
  • Sulggi Lee, University of California at San Francisco
  • Helen Byakwaga, Mbarara University of Science and Technology
  • Yap Boum, Mbarara University of Science and Technology
  • Tricia H. Burdo, Temple University
  • Kenneth C. Williams, Boston College
  • Michael M. Lederman, Case Western Reserve University
  • Yong Huang, University of California at San Francisco
  • Russell P. Tracy, University of Vermont
  • Huyen Cao, California Department of Public Health
  • Jessica E. Haberer, Harvard Medical School
  • Annet Kembabazi, Mbarara University of Science and Technology
  • David R. Bangsberg, Portland State University
  • Jeffrey N. Martin, University of California at San Francisco
  • Peter W. Hunt, University of California at San Francisco
Find in your library
Document Type
Citation
Publication Date
4-15-2017
Disciplines
Abstract

The plasma kynurenine/tryptophan (KT) ratio, a marker of adaptive immune defects, strongly predicts mortality during treated human immunodeficiency virus (HIV) disease in Ugandans as compared to US-based populations. Here, the KT ratio and T-cell and plasma biomarkers of immune activation were measured among 535 HIV-infected Ugandans prior to ART initiation and at month 6 of viral suppression. The month 6 KT ratio (adjusted hazard ratio [aHR], 2.74), soluble CD14 level (aHR, 2.32), interleukin 6 level (aHR, 2.34), and D-dimer level (aHR, 1.95) were associated with mortality occurring ≥6 months after ART initiation. The KT ratio remained significantly predictive of mortality even after adjustment for the additional biomarkers, suggesting an independent contribution to clinical outcomes in resource-limited settings.

Locate the Document

http://dx.doi.org/10.1093/infdis/jix113

DOI
10.1093/infdis/jix113
Persistent Identifier
http://archives.pdx.edu/ds/psu/21104
Citation Information
Sulggi Lee, Helen Byakwaga, Yap Boum, Tricia H. Burdo, Kenneth C. Williams, Michael M. Lederman, Yong Huang, Russell P. Tracy, Huyen Cao, Jessica E. Haberer, Annet Kembabazi, David R. Bangsberg, Jeffrey N. Martin, Peter W. Hunt; Immunologic Pathways That Predict Mortality in HIV-Infected Ugandans Initiating Antiretroviral Therapy, The Journal of Infectious Diseases, Volume 215, Issue 8, 15 April 2017, Pages 1270–1274