Longitudinal Intra- and Inter-individual variation in T-cell subsets of HIV-infected and uninfected men participating in the LA Multi-Center AIDS Cohort Study

To assess the intra-individual and inter-individuals biological variation and the effect of aging on lymphocyte T-cells subsets. We assessed lymphocyte phenotypes (CD3(+), CD4(+), and CD8(+) T-cells) in 89 HIV-1-infected and 88 uninfected white non-Hispanic men every 6 months, to examine the biological variation for those measurements, and the average change in lymphocyte phenotype over 34 years. The markers showed significant intra-individuality in HIV-infected and uninfected individuals with index of individuality of <1.4. No mean changes were seen over the 34 years, with the exception of percentage CD4(+)T-cells in HIV-uninfected individuals. In the pre-HAART era, HIV-infected individuals experienced an increase in mean absolute CD3(+) T-cell numbers (11.21 cells/mL, P = 0.02) and absolute CD8(+) T-cell numbers (34.57 cell/ml, P<.001), and in the percentage of CD8(+) T-cells (1.45%, P<.001) per year and a significant decrease in mean absolute CD4(+) T-cell numbers (23.68 cells/ml, P<.001) and in the percentage of CD4(+) T-cells (1.49%, P<.001) per year. In the post-HAART era, no changes in mean levels were observed in absolute CD3(+) T-cell count (P=.15) or percentage (P=.99). Significant decreases were seen in mean count (8.56 cells/ml, P<.001) and percentage (0.59%, P<.001) of CD8(+) T-cells, and increases in mean absolute count (10.72 cells/ml, P<.001) and percentage (0.47%, P<.001) of CD4(+) T-cells. With the exception of CD4 (%), no average changes per year were seen in lymphocyte phenotype of HIV-uninfected men. The results of coefficients of variation of intra and inter-individuals of this study can be useful for HIV-1 infection monitoring and in addition the observation could be a useful guide for intra-and inter-individual coefficient variations, and establishing quality goal studies of different blood biomarkers in healthy and other diseases.