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Normal values (95% confidence intervals) are approximately 30-60% CD4 and 10-30% CD8 depending on age (ratio 0.9 to 3.7 in adults). [1] One reason for abnormal results is the loss of CD4-positive cells to the human immunodeficiency virus (HIV) infection. The loss of CD4-positive cells to HIV infection can result in various distortions in the ...
CD4 is found on the surface of immune cells such as helper T cells, monocytes, macrophages, and dendritic cells. It was discovered in the late 1970s and was originally known as leu-3 and T4 (after the OKT4 monoclonal antibody that reacted with it) before being named CD4 in 1984. [5] In humans, the CD4 protein is encoded by the CD4 gene. [6] [7]
The results of a viral load test help determine when a CD4 count is indicated. [1] CD4 cells are the primary target of HIV. A CD4 test quantifies Helper T cells and is often combined with viral load testing to monitor the progression of HIV. CD4 testing shows the strength of the immune system, but does not report viral activity.
Confirming the test result (i.e., by repeating the test, if this option is available) could reduce the ultimate likelihood of a false positive to about 1 result in 250,000 tests given. The sensitivity rating, likewise, indicates that, in 1,000 test results of HIV infected people, 3 will actually be a false negative result.
Stage 0: the time between a negative or indeterminate HIV test followed less than 180 days by a positive test; Stage 1: CD4 count ≥ 500 cells/μL and no AIDS-defining conditions; Stage 2: CD4 count 200 to 500 cells/μL and no AIDS-defining conditions; Stage 3: CD4 count ≤ 200 cells/μL or AIDS-defining conditions
An inverted CD4 + /CD8 + ratio (namely, less than 1/1) indicates an impaired immune system. [3] [4] [5] Conversely, an increased CD4 + /CD8 + ratio corresponds to increased immune function. [6] Obesity and dysregulated lipid metabolism in the liver leads to loss of CD4 +, but not CD8 + cells, contributing to the induction of liver cancer. [7]
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