Publication Date:
1997-11-21
Description:
The hypothesis that quiescent CD4+ T lymphocytes carrying proviral DNA provide a reservoir for human immunodeficiency virus-type 1 (HIV-1) in patients on highly active antiretroviral therapy (HAART) was examined. In a study of 22 patients successfully treated with HAART for up to 30 months, replication-competent virus was routinely recovered from resting CD4+ T lymphocytes. The frequency of resting CD4+ T cells harboring latent HIV-1 was low, 0.2 to 16.4 per 10(6) cells, and, in cross-sectional analysis, did not decrease with increasing time on therapy. The recovered viruses generally did not show mutations associated with resistance to the relevant antiretroviral drugs. This reservoir of nonevolving latent virus in resting CD4+ T cells should be considered in deciding whether to terminate treatment in patients who respond to HAART.〈br /〉〈span class="detail_caption"〉Notes: 〈/span〉Finzi, D -- Hermankova, M -- Pierson, T -- Carruth, L M -- Buck, C -- Chaisson, R E -- Quinn, T C -- Chadwick, K -- Margolick, J -- Brookmeyer, R -- Gallant, J -- Markowitz, M -- Ho, D D -- Richman, D D -- Siliciano, R F -- AI23871/AI/NIAID NIH HHS/ -- AI27670/AI/NIAID NIH HHS/ -- AI28108/AI/NIAID NIH HHS/ -- etc. -- New York, N.Y. -- Science. 1997 Nov 14;278(5341):1295-300.〈br /〉〈span class="detail_caption"〉Author address: 〈/span〉Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.〈br /〉〈span class="detail_caption"〉Record origin:〈/span〉 〈a href="http://www.ncbi.nlm.nih.gov/pubmed/9360927" target="_blank"〉PubMed〈/a〉
Keywords:
Anti-HIV Agents/pharmacology/*therapeutic use
;
CD4-Positive T-Lymphocytes/immunology/*virology
;
Cell Separation
;
Cross-Sectional Studies
;
Drug Resistance, Microbial/genetics
;
Drug Therapy, Combination
;
HIV Infections/*drug therapy/*virology
;
HIV-1/drug effects/genetics/isolation & purification/*physiology
;
Humans
;
Immunologic Memory
;
Lymphocyte Activation
;
Mutation
;
Proviruses/physiology
;
RNA, Viral/blood
;
Time Factors
;
Viral Load
;
Viremia
;
Virus Integration
;
*Virus Latency
;
*Virus Replication
Print ISSN:
0036-8075
Electronic ISSN:
1095-9203
Topics:
Biology
,
Chemistry and Pharmacology
,
Computer Science
,
Medicine
,
Natural Sciences in General
,
Physics
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