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Table 2 Change in biomarkers since cART initiation among HIV-infected patients in the ClinSurv HIV cohort, 1999-2013

From: Immunological recovery in tuberculosis/HIV co-infected patients on antiretroviral therapy: implication for tuberculosis preventive therapy

Biomarkers

Estimated change over time on cART (per year)

P value

CD4+ count

43.9 cells per μl (95% CI 43.1 to 44.6)

<0.001

CD8+ count

−27.9 cells per μl (95% CI −28.6 to −27.2)

<0.001

CD4:CD8 ratio

0.06 (95% 0.06 to 0.07)

<0.001

Viral load

−0.1 log10 copies per ml (95% CI −0.1 to −0.1)

<0.001

Biomarkers

Estimated mean of difference in change of biomarkers between cART-treated patients developing TB vs. those who remained free of TB

P value

CD4+ count

−33 cells per μl (95% CI −44.6 to 21.2)

0.001

CD8+ count

−72 cells per μl (95% CI −84.6 to 1.7)

0.1

CD4:CD8 ratio

−0.01 (95% CI −0.03 to 0.01)

0.2

Viral load

0.01 log10 copies per ml (−0.04 to 0 .06)

0.7

  1. cART combination antiretroviral therapy, TB tuberculosis, IQR interquartile range
  2. Longitudinal mixed models adjusted for sex, geographical origin, HIV transmission routes, age, year of cART initiation and baseline value of biomarkers (CD4+ count, CD8+ count, and viral load) and including interaction term between time and TB