The applicants plan to evaluate the turnover of naive (CD45 RA) and memory (CD45RO) CD4 and CD8 lymphocytes in HIV-infected children and adolescents using several methods, specifically: DNA labeling with stable-isotope labeled glucose; telomere length; and, cell cycle/apoptosis by flow cytometry. Data will be obtained before and after 20 and 48 weeks of highly active antiretroviral therapy. Age- matched uninfected children will be tested for comparison. To define better the role of the thymus in turnover of naive and memory CD4 and CD8 cells, children who as infants underwent thymectomy during cardiac surgery and age-matched healthy children will be studied using the same methods as those used for HIV-infected children. The applicant states that these studies will provide information on 1) the role of the thymus in T cell lymphocyte homeostasis at different ages, 2) the effect of HIV infection on cell turnover and, 3) the effect of HAART on T cell turnover in HIV-infected children and adolescents.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21HD037594-01
Application #
2848524
Study Section
Special Emphasis Panel (ZRG5-AARR-2 (03))
Project Start
1998-09-30
Project End
2000-08-31
Budget Start
1998-09-30
Budget End
1999-08-31
Support Year
1
Fiscal Year
1998
Total Cost
Indirect Cost
Name
Children's Hospital of Philadelphia
Department
Type
DUNS #
073757627
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Starr, Stuart E; Sarr, Moussa; Campbell, Donald E et al. (2002) Increased proliferation within T lymphocyte subsets of HIV-infected adolescents. AIDS Res Hum Retroviruses 18:1301-10
Nissim, I; Starr, S E; Sullivan, K E et al. (2000) Rapid method for determining the rate of DNA synthesis and cellular proliferation. Anal Biochem 278:198-205