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Within and between race differences in lymphocyte, CD4+, CD8+ and neutrophil levels in HIV-uninfected children with or without HIV exposure in Europe and Uganda

Background: Racial immuno-haematological differences have been reported in children but to date have not been well quantified. Aim: To investigate differences in haemato-immunological markers over age between children born and living in Europe and Uganda. Subjects: HIV-uninfected children living in...

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Published in:Annals of tropical paediatrics 2006-09, Vol.26 (3), p.169-179
Main Authors: Bunders, Madeleine, Lugada, Eric, Mermin, Jonathan, Downing, Robert, Were, Willy, Thorne, Claire, Newell, Marie-Louise
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container_title Annals of tropical paediatrics
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description Background: Racial immuno-haematological differences have been reported in children but to date have not been well quantified. Aim: To investigate differences in haemato-immunological markers over age between children born and living in Europe and Uganda. Subjects: HIV-uninfected children living in Uganda (n=1633) with cross-sectional data. Black (n=604) and white children (n=1355) living in Europe, both with prospective data. The children born in Europe were HIV-uninfected but born to HIV-infected mothers and were included in the European Collaborative Study (ECS). Methods: Patterns and levels of total lymphocyte (TLC), CD4+, CD8+ counts and CD4% were visualised by smoothers (a line representing the weighted average of all measurements over age by study group). Differences between groups were quantified using age-standardised Z-scores for individual TLC, CD4+ and CD8+ counts in uni- and multivariate regression models. Results: In infancy, TLC, CD4+ and CD8+ counts were lower in Ugandan than black European children; neutrophil counts were similar. Thereafter, only neutrophil counts were lower in Ugandan children. To assess within-race differences, we compared Z-scores of ECS children born to Ugandan mothers with those of Ugandan children. Levels of all four markers were lower in Ugandan children at all ages. In Ugandan children, CD4+ counts were 0.5985 Z-score (p
doi_str_mv 10.1179/146532806X120255
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Aim: To investigate differences in haemato-immunological markers over age between children born and living in Europe and Uganda. Subjects: HIV-uninfected children living in Uganda (n=1633) with cross-sectional data. Black (n=604) and white children (n=1355) living in Europe, both with prospective data. The children born in Europe were HIV-uninfected but born to HIV-infected mothers and were included in the European Collaborative Study (ECS). Methods: Patterns and levels of total lymphocyte (TLC), CD4+, CD8+ counts and CD4% were visualised by smoothers (a line representing the weighted average of all measurements over age by study group). Differences between groups were quantified using age-standardised Z-scores for individual TLC, CD4+ and CD8+ counts in uni- and multivariate regression models. Results: In infancy, TLC, CD4+ and CD8+ counts were lower in Ugandan than black European children; neutrophil counts were similar. Thereafter, only neutrophil counts were lower in Ugandan children. To assess within-race differences, we compared Z-scores of ECS children born to Ugandan mothers with those of Ugandan children. Levels of all four markers were lower in Ugandan children at all ages. In Ugandan children, CD4+ counts were 0.5985 Z-score (p&lt;0.001) and neutrophil counts 0.3872 Z-score (p&lt;0.001) lower than in European children born to Ugandan mothers. Conclusions: There are differences in levels of haemato-immunological markers in children with comparable genetic backgrounds, suggesting that environmental factors such as nutrition and exposure to micro-organisms might have important effects on the developing immune system.</description><identifier>ISSN: 0272-4936</identifier><identifier>ISSN: 2046-9047</identifier><identifier>EISSN: 1465-3281</identifier><identifier>EISSN: 2046-9055</identifier><identifier>DOI: 10.1179/146532806X120255</identifier><identifier>PMID: 16925953</identifier><identifier>CODEN: ATPAD9</identifier><language>eng</language><publisher>Leeds: Taylor &amp; Francis</publisher><subject>Aging - immunology ; Biological and medical sciences ; Blacks ; CD4 Lymphocyte Count ; CD4-Positive T-Lymphocytes - immunology ; CD8-Positive T-Lymphocytes - immunology ; Europe ; Female ; General aspects ; HIV Infections - immunology ; HIV-1 ; Humans ; Infant, Newborn ; Leukocyte Count ; Lymphopenia - immunology ; Male ; Medical sciences ; Neutrophils - immunology ; Pregnancy ; Pregnancy Complications, Infectious ; Prospective Studies ; Sex Characteristics ; Uganda ; Whites</subject><ispartof>Annals of tropical paediatrics, 2006-09, Vol.26 (3), p.169-179</ispartof><rights>2006 Maney 2006</rights><rights>2006 INIST-CNRS</rights><rights>Copyright Taylor &amp; Francis Ltd. Sep 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-efce65fdcfc67bc4e1b8497cd41c4530936418f85f5531ebb1ba14ad5e79be783</citedby><cites>FETCH-LOGICAL-c406t-efce65fdcfc67bc4e1b8497cd41c4530936418f85f5531ebb1ba14ad5e79be783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=18022571$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16925953$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bunders, Madeleine</creatorcontrib><creatorcontrib>Lugada, Eric</creatorcontrib><creatorcontrib>Mermin, Jonathan</creatorcontrib><creatorcontrib>Downing, Robert</creatorcontrib><creatorcontrib>Were, Willy</creatorcontrib><creatorcontrib>Thorne, Claire</creatorcontrib><creatorcontrib>Newell, Marie-Louise</creatorcontrib><creatorcontrib>European Collaborative Study</creatorcontrib><creatorcontrib>The European Collaborative Study</creatorcontrib><title>Within and between race differences in lymphocyte, CD4+, CD8+ and neutrophil levels in HIV-uninfected children with or without HIV exposure in Europe and Uganda</title><title>Annals of tropical paediatrics</title><addtitle>Ann Trop Paediatr</addtitle><description>Background: Racial immuno-haematological differences have been reported in children but to date have not been well quantified. Aim: To investigate differences in haemato-immunological markers over age between children born and living in Europe and Uganda. Subjects: HIV-uninfected children living in Uganda (n=1633) with cross-sectional data. Black (n=604) and white children (n=1355) living in Europe, both with prospective data. The children born in Europe were HIV-uninfected but born to HIV-infected mothers and were included in the European Collaborative Study (ECS). Methods: Patterns and levels of total lymphocyte (TLC), CD4+, CD8+ counts and CD4% were visualised by smoothers (a line representing the weighted average of all measurements over age by study group). Differences between groups were quantified using age-standardised Z-scores for individual TLC, CD4+ and CD8+ counts in uni- and multivariate regression models. Results: In infancy, TLC, CD4+ and CD8+ counts were lower in Ugandan than black European children; neutrophil counts were similar. Thereafter, only neutrophil counts were lower in Ugandan children. To assess within-race differences, we compared Z-scores of ECS children born to Ugandan mothers with those of Ugandan children. Levels of all four markers were lower in Ugandan children at all ages. In Ugandan children, CD4+ counts were 0.5985 Z-score (p&lt;0.001) and neutrophil counts 0.3872 Z-score (p&lt;0.001) lower than in European children born to Ugandan mothers. 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Medical Complete (Alumni)</collection><jtitle>Annals of tropical paediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bunders, Madeleine</au><au>Lugada, Eric</au><au>Mermin, Jonathan</au><au>Downing, Robert</au><au>Were, Willy</au><au>Thorne, Claire</au><au>Newell, Marie-Louise</au><aucorp>European Collaborative Study</aucorp><aucorp>The European Collaborative Study</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Within and between race differences in lymphocyte, CD4+, CD8+ and neutrophil levels in HIV-uninfected children with or without HIV exposure in Europe and Uganda</atitle><jtitle>Annals of tropical paediatrics</jtitle><addtitle>Ann Trop Paediatr</addtitle><date>2006-09-01</date><risdate>2006</risdate><volume>26</volume><issue>3</issue><spage>169</spage><epage>179</epage><pages>169-179</pages><issn>0272-4936</issn><issn>2046-9047</issn><eissn>1465-3281</eissn><eissn>2046-9055</eissn><coden>ATPAD9</coden><abstract>Background: Racial immuno-haematological differences have been reported in children but to date have not been well quantified. Aim: To investigate differences in haemato-immunological markers over age between children born and living in Europe and Uganda. Subjects: HIV-uninfected children living in Uganda (n=1633) with cross-sectional data. Black (n=604) and white children (n=1355) living in Europe, both with prospective data. The children born in Europe were HIV-uninfected but born to HIV-infected mothers and were included in the European Collaborative Study (ECS). Methods: Patterns and levels of total lymphocyte (TLC), CD4+, CD8+ counts and CD4% were visualised by smoothers (a line representing the weighted average of all measurements over age by study group). Differences between groups were quantified using age-standardised Z-scores for individual TLC, CD4+ and CD8+ counts in uni- and multivariate regression models. Results: In infancy, TLC, CD4+ and CD8+ counts were lower in Ugandan than black European children; neutrophil counts were similar. Thereafter, only neutrophil counts were lower in Ugandan children. To assess within-race differences, we compared Z-scores of ECS children born to Ugandan mothers with those of Ugandan children. Levels of all four markers were lower in Ugandan children at all ages. In Ugandan children, CD4+ counts were 0.5985 Z-score (p&lt;0.001) and neutrophil counts 0.3872 Z-score (p&lt;0.001) lower than in European children born to Ugandan mothers. Conclusions: There are differences in levels of haemato-immunological markers in children with comparable genetic backgrounds, suggesting that environmental factors such as nutrition and exposure to micro-organisms might have important effects on the developing immune system.</abstract><cop>Leeds</cop><pub>Taylor &amp; Francis</pub><pmid>16925953</pmid><doi>10.1179/146532806X120255</doi><tpages>11</tpages></addata></record>
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subjects Aging - immunology
Biological and medical sciences
Blacks
CD4 Lymphocyte Count
CD4-Positive T-Lymphocytes - immunology
CD8-Positive T-Lymphocytes - immunology
Europe
Female
General aspects
HIV Infections - immunology
HIV-1
Humans
Infant, Newborn
Leukocyte Count
Lymphopenia - immunology
Male
Medical sciences
Neutrophils - immunology
Pregnancy
Pregnancy Complications, Infectious
Prospective Studies
Sex Characteristics
Uganda
Whites
title Within and between race differences in lymphocyte, CD4+, CD8+ and neutrophil levels in HIV-uninfected children with or without HIV exposure in Europe and Uganda
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