Abstract

CD4 T-cell Activation and Reduced Regulatory T-cell Populations are Associated with Early Development of Cataracts among HIV-infected Adults in Uganda

Highlights

  • Cataracts contribute 12% of visual loss among HIV-infected adults (HIV-positive) in Uganda

  • The HIV-1 virus has been attributed to nonspecific intraocular inflammation which could serve as a contributing factor in the pathogenesis of cataracts [8]

  • Rakai Health Sciences Program (RHSP) is a collaborative program between the Uganda Virus Research Institute (UVRI), scientists at Makerere and Johns Hopkins Universities (MU and JHU) and intramural National Institutes of Health (NIH) via an International Center of Excellence in Research (ICER) award

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Summary

Introduction

Cataracts contribute 12% of visual loss among HIV-infected adults (HIV-positive) in Uganda. Immuno-pathogenesis of cataracts may differ among HIV-negative and HIV-positive individuals; the need for innovative therapeutic interventions for cataracts among HIV-positive adults. Among HIV-infected individuals in Uganda, cataracts contributed to up to 12% of visual loss [4,5]. The HIV-1 virus has been attributed to nonspecific intraocular inflammation which could serve as a contributing factor in the pathogenesis of cataracts [8]. Most studies to understand cataract development among HIV-infected adults have described various aetiological pathogens including CMV retinitis, herpes simplex and toxoplasmosis among the immune suppressed individuals [4,5,9]. There is limited data on specific immunological pathways that increase risk of cataracts during HIV infection and subsequently little has been reported about immune modulation in the management of cataracts

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