Skip to main content

Advertisement

Log in

Urinary neopterin concentrations and T-cell subset data in HIV-1 infection

  • Originals
  • Published:
Klinische Wochenschrift Aims and scope Submit manuscript

Summary

We investigated the ability of urinary neopterin concentrations and T-cell subset data, and their ratios to discriminate between anti-HIV-1 seronegatives, seropositives, and AIDS cases. Using receiver-operated-characteristics curves, neopterin levels were shown to provide the best discrimination. Of the ratios derived from the single variables, neopterin per CD4+ cell counts and neopterin per CD4+/CD8+ cell ratio were superior to the CD4+/CD8+ cell ratio. Multivariate analyses were performed using a generalized likelihood ratio approach as well as linear discriminant analysis. The combination of neopterin concentration and CD4+ T-cell count is well suited to discriminate between various stages of HIV-1 infection and, therefore, we recommend using more than one assay to evaluate disease progression.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

HIV-1:

Human immunodeficiency virus type 1

AIDS:

acquired immunodeficiency syndrome

ROC:

receiver operated characteristics

LR:

likelihood ratio

References

  1. Albert A (1982) On the use and computation of likelihood ratios in clinical chemistry. Clin Chem 28:1113–1119

    Google Scholar 

  2. Birkett NJ (1988) Evaluation of diagnostic tests with multiple diagnostic categories. J Clin Epidemiol 41:491–494

    Google Scholar 

  3. Bogner JR, Matuschke A, Heinrich B, Eberle E, Goebel F-D (1988) Serum neopterin levels as predictor of AIDS. Klin Wochenschr 66:1015–1018

    Google Scholar 

  4. Crocchiolo PR, Lizioli A, Bedarida G, Panzeri MP (1988) CD4+: neopterin ratio significantly improves correlation with the Walter Reed staging system if compared with CD4+ and neopterin considered separately. AIDS 2:481–482

    Google Scholar 

  5. Eyster ME, Gail MH, Ballard JO, Al-Mondhiry H, Goedert JJ (1987) Natural history of human immunodeficiency virus infections in hemophiliacs: effects of T-cell subsets, platelet counts, and age. Ann Intern Med 107:1–6

    Google Scholar 

  6. Fuchs D, Hausen A, Reibnegger G, Werner ER, Dierich MP, Wachter H (1988) Neopterin as a marker for activated cell-mediated immunity: application in HIV infection. Immunol Today 9:150–155

    Google Scholar 

  7. Fuchs D, Banekovich M, Hausen A, Hutterer J, Reibnegger G, Werner ER, Gschnait F, Dierich MP, Wachter H (1988) Neopterin estimation compared with the ratio of T-cell subpopulations in persons infected with human immunodeficiency virus-1. Clin Chem 34:2415–2417

    Google Scholar 

  8. Fuchs D, Spira TJ, Hausen A, Reibnegger G, Werner ER, Werner-Felmayer G, Wachter H (1989) Neopterin as a predictive marker for disease progression in human immunodeficiency virus type 1 infection. Clin Chem 35:1746–1749

    Google Scholar 

  9. Goedert JJ, Biggar RJ, Winn DM, Mann DL, Byar DP, Strong DM, DiGioia RA, Grossmann RJ, Sanchez WC, Kase RG, Greene MH, Hoover RN, Blattner WA (1985) Decreased helper T lymphocytes in homosexual men: I. Sexual contact in high incidence areas for the acquired immunodeficiency syndrome. Am J Epidemiol 121:629–636

    Google Scholar 

  10. Goedert JJ, Biggar RJ, Winn DM, Mann DL, Byar DP, Strong DM, DiGioia RA, Grossmann RJ, Sanchez WC, Kase RG, Greene MH, Hoover RN, Blattner WA (1985) Decreased helper T lymphocytes in homosexual men: II. Sexual practices. Am J Epidemiol 121:637–644

    Google Scholar 

  11. Krämer A, Wiktor SZ, Fuchs D, Milstien S, Gail MH, Yellin FJ, Biggar RJ, Wachter H, Kaufman S, Blattner WA, Goedert JJ (1989) Neopterin: a predictive marker of acquired immunodeficiency syndrome in human immunodeficiency virus infection. J AIDS 2:291–296

    Google Scholar 

  12. Melmed RN, Taylor JMG, Detels R, Bozorgmehri M, Fahey JL (1989) Serum neopterin changes in HIV-infected subjects: indicator of significant pathology, CD4 T cell changes, and the development of AIDS. J AIDS 2:70–76

    Google Scholar 

  13. Reibnegger G, Fuchs D, Hausen A, Werner ER, Werner-Felmayer G, Wachter H (1989) Generalized likelihood ratio concept and logistic regression analysis for multiple diagnostic categories. Clin Chem 35:990–994

    Google Scholar 

  14. Reibnegger G, Fuchs D, Hausen A, Werner ER, Werner-Felmayer G, Wachter H (1989) Generalization of the likelihood ratio concept for diagnostic tests with multiple diagnostic categories. J Clin Epidemiol 42:477–478

    Google Scholar 

  15. Sachs L (1984) Angewandte Statistik, 6th edn. Springer, Berlin Heidelberg New York Tokyo, p 263

    Google Scholar 

  16. Wachter H, Fuchs D, Hausen A, Reibnegger G, Werner ER (1989) Neopterin as marker for activation of cellular immunity: immunologic basis and clinical application. Adv Clin Chem 27:81–141

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Reibnegger, G., Fuchs, D., Goedert, J.J. et al. Urinary neopterin concentrations and T-cell subset data in HIV-1 infection. Klin Wochenschr 68, 43–48 (1990). https://doi.org/10.1007/BF01648890

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01648890

Key words

Navigation