Gewählte Publikation:
Fuchs, D; Milstien, S; Krämer, A; Reibnegger, G; Werner, ER; Goedert, JJ; Kaufman, S; Wachter, H.
Urinary neopterin concentrations vs total neopterins for clinical utility.
Clin Chem. 1989; 35(12):2305-2307
Doi: 10.1093/clinchem/35.12.2305
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- Co-Autor*innen der Med Uni Graz
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Reibnegger Gilbert
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- Abstract:
- Neopterin measurements are especially useful as an early marker in (e.g.) allograft rejections and in patients infected with human immunodeficiency virus type 1 (HIV-1). An increased concentration of total neopterins (neopterin + dihydroneopterin) is also a significant marker in patients with HIV-1 infection. In this study we compared concentrations of neopterin and total neopterins in urine samples from 77 homosexual men with and 73 without established HIV-1 infection. HIV-1-seropositive homosexual men had higher concentrations of neopterin and total neopterins (and 7,8-dihydroneopterin) in their urine than did those who were HIV-1-seronegative, and there was a close correlation between neopterin and total neopterins. Both neopterin variables correlated inversely with CD4+ T-cell counts and CD4+/CD8+ T-cell ratios but not with CD8+ T-cell counts in the HIV-1-seropositive men. Our data indicate that measurements of neopterin and total neopterins are of almost equal potential for clinical diagnosis. However, when measuring total neopterins, which includes oxidation of 7,8-dihydroneopterin to neopterin, more strict requirements of sample collection and handling are necessary to avoid degradation of the 7,8-dihydro derivative.
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Acquired Immunodeficiency Syndrome - immunology
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Adult - immunology
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Antigens, CD - immunology
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Biopterin - analogs and derivatives
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HIV Seropositivity - urine
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Homosexuality - urine
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Humans - urine
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Male - urine
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Neopterin - urine
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Pteridines - urine
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T-Lymphocytes - immunology