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Clinical and Diagnostic Laboratory Immunology, November 2001, p. 1171-1176, Vol. 8, No. 6
Ethiopian Health and Nutrition Research
Institute-Ethiopian Netherlands AIDS Research Project
(EHNRI-ENARP),1 and Department of
Biology, Addis Ababa University,3 Addis Ababa,
and Department of Microbiology and Parasitology, Gondar College
of Medical Sciences, Gondar,2 Ethiopia, and
Department of Clinical Viro-Immunology, CLB and Laboratory
for Experimental and Clinical Immunology of the University of
Amsterdam, 1066 CX Amsterdam,4 and
Division of Public Health and Environment (GGGD), Municipal
Health Service, 1018 WT Amsterdam,5 The
Netherlands
Received 29 May 2001/Returned for modification 20 July
2001/Accepted 13 September 2001
Immunological values for 562 factory workers from Wonji, Ethiopia,
a sugar estate 114 km southeast of the capital city, Addis Ababa,
Ethiopia, were compared to values for 218 subjects from Akaki,
Ethiopia, a suburb of Addis Ababa, for whom partial data were
previously published. The following markers were measured: lymphocytes,
T cells, B cells, NK cells, CD4+ T cells, and
CD8+ T cells. A more in depth comparison was also made
between Akaki and Wonji subjects. For this purpose, various
differentiation and activation marker (CD45RA, CD27, HLA-DR, and CD38)
expressions on CD4+ and CD8+ T cells were
studied in 60 male, human immunodeficiency virus-negative subjects (30 from each site). Data were also compared with Dutch blood donor control
values. The results confirmed that Ethiopians have significantly
decreased CD4+ T-cell counts and highly activated immune
status, independent of the geographic locale studied. They also showed
that male subjects from Akaki have significantly higher
CD8+ T-cell counts, resulting in a proportional increase in
each of the CD8+ T-cell compartments studied: naïve
(CD45RA+CD27+), memory
(CD45RA
1071-412X/01/$04.00+0 DOI: 10.1128/CDLI.8.6.1171-1176.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Distribution of Lymphocyte Subsets in Healthy Human
Immunodeficiency Virus-Negative Adult Ethiopians from Two
Geographic Locales
CD27+), cytotoxic effector
(CD45RA+CD27
), memory/effector
(CD45RA
CD27
), activated
(HLA-DR+CD38+), and resting
(HLA-DR
CD38
). No expansion of a specific
functional subset was observed. Endemic infection or higher immune
activation is thus not a likely cause of the higher CD8 counts in the
Akaki subjects. The data confirm and extend earlier observations and
suggest that, although most lymphocyte subsets are comparable between
the two geographical locales, there are also differences. Thus, care
should be taken in extrapolating immunological reference values from
one population group to another.
*
Corresponding author. Mailing address: Ethiopian Health
and Nutrition Research Institute-Ethiopian Netherlands AIDS Research Project (EHNRI-ENARP), P.O. Box 1242, Addis Ababa, Ethiopia. Phone: 00-251-1-765266 or 00-251-1-130642. Fax: 00-251-1-756329. E-mail: aster{at}enarp.com.
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