Immunomodulatory effects of intravenous immunoglobulins (IVIGs) in HIV-1 disease: a systematic review

Int Rev Immunol. 2011 Feb;30(1):44-66. doi: 10.3109/08830185.2010.529975. Epub 2010 Dec 20.

Abstract

Intravenous immunoglobulins (IVIGs) are generally used as replacement therapy for humoral immunodeficiencies. In consideration of their immune-modulating properties, they are also employed as "immune-modulating/anti-inflammatory" treatment in different clinical conditions. In HIV-1 infection, an increased incidence of autoimmune and auto-inflammatory manifestations has been described, probably as a consequence of the chronic immune activation associated with the disease. The initial use in the treatment of bacterial infections in children with HIV/AIDS has been replaced by the treatment, in combination with antiretroviral therapy, of these autoimmune/inflammatory conditions. We review the results obtained with IVIGs therapy in these HIV-1-associated clinical manifestations.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • AIDS-Related Opportunistic Infections / drug therapy
  • AIDS-Related Opportunistic Infections / immunology*
  • AIDS-Related Opportunistic Infections / microbiology
  • AIDS-Related Opportunistic Infections / virology
  • Antiretroviral Therapy, Highly Active / adverse effects
  • Chemotherapy, Adjuvant
  • Child
  • Drug Administration Schedule
  • Drug Dosage Calculations
  • HIV-1 / immunology*
  • Humans
  • Immunoglobulins, Intravenous / administration & dosage*
  • Immunoglobulins, Intravenous / therapeutic use
  • Immunologic Factors / administration & dosage*
  • Immunologic Factors / therapeutic use

Substances

  • Immunoglobulins, Intravenous
  • Immunologic Factors