1. Activity of Cellular Thymidine Kinase 1 in PBMC of HIV-1-Infected Patients: Novel Therapy Marker
- Author
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Groschel, B., Miller, V., Doerr, H. W., and Cinatl Jr., J.
- Subjects
Antiviral agents -- Dosage and administration ,Drug therapy, Combination -- Usage ,HIV infection -- Drug therapy ,Phosphotransferases -- Properties ,Health - Abstract
Byline: B. Groschel (1), V. Miller (2), H. W. Doerr (1), J. Cinatl Jr. (1) Keywords: Key Words Cellular resistance; TK1 activity; HIV-1; Zidovudine; Antiretroviral therapy Abstract: Cellular cytoplasmatic thymidine kinase 1 (TK1) catalyzes the intracellular phosphorylation of anti-HIV-1 nucleoside analogs zidovudine (AZT) and stavudine (d4T) to the corresponding monophosphate form. In HIV-1-infected patients, treated with combination therapy including one of these compounds for more than 1 year, enzymatic activity of TK1 in peripheral blood mononuclear cells (PBMC) was determined by radioactive assay. TK1 activity in PBMC of HIV-1-infected patients correlated with CD4 cell count (r = 0.4, p < 0.05) and HIV-1 RNA copy number (r = 0.4, p < 0.05), being lower in patients with decreased CD4 cell count and high viral load. Furthermore, TK1 activity differs between HIV-1-infected individuals treated for more than 6 months (13.5 pmol/mg/h) compared to patients treated for less than 6 months (28.1 pmol/mg/h p < 0.05) with chemotherapeutic agents including thymidine analogs. The results demonstrate that TK1 deficiency in PBMC of HIV-1 infected patients may develop due to continuous treatment with thymidine analogs and correlates with a more progressed stage of disease expressed as diminished CD4 cell count and increased viral load. Author Affiliation: (1) Institute of Medical Virology, Johann Wolfgang Goethe University, Paul-Ehrlich Str. 40, D-60596 Frakfurt, Germany Phone: +49-69-63017747, Fax: +49-69-63014302, e-mail: Groeschel@em.uni-frankfurt.de, DE (2) Center of Internal Medicine, Johann Wolfgang Goethe University, Theodor-Stern-Kai 7, D-60596 Frankfurt, Germany, DE Article note: Received: August 28, 1999 * Revision accepted: May 20, 2000
- Published
- 2000