Literature DB >> 32496516

Maintenance of Viral Suppression in Human Immunodeficiency Virus Controllers Despite Waning T-Cell Responses During Antiretroviral Therapy.

Nikolaus Jilg1, Pilar Garcia-Broncano2, Michael Peluso3, Florencia P Segal4, Ronald J Bosch5, Carla Roberts-Toler5, Samantha M Y Chen2, Cornelius N Van Dam6, Michael C Keefer7, Daniel R Kuritzkes4, Alan L Landay8, Steven Deeks3, Xu G Yu2, Paul E Sax4, Jonathan Z Li4.   

Abstract

AIDS Clinical Trials Group study A5308 found reduced T-cell activation and exhaustion in human immunodeficiency virus (HIV) controllers start antiretroviral therapy (ART). We further assessed HIV-specific T-cell responses and post-ART viral loads. Before ART, the 31% of participants with persistently undetectable viremia had more robust HIV-specific T-cell responses. During ART, significant decreases were observed in a broad range of T-cell responses. Eight controllers in A5308 and the Study of the Consequences of the Protease Inhibitor Era (SCOPE) cohort showed no viremia above the level of quantification in the first 12 weeks after ART discontinuation. ART significantly reduced HIV-specific T-cell responses in HIV controllers but did not adversely affect controller status after ART discontinuation.
© The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

Entities:  

Keywords:  HIV controllers; T-cell response; antiretroviral therapy; elite controllers; treatment interruption; viremic control

Mesh:

Substances:

Year:  2020        PMID: 32496516      PMCID: PMC7896274          DOI: 10.1093/infdis/jiaa294

Source DB:  PubMed          Journal:  J Infect Dis        ISSN: 0022-1899            Impact factor:   5.226


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6.  Antiretroviral Therapy Reduces T-cell Activation and Immune Exhaustion Markers in Human Immunodeficiency Virus Controllers.

Authors:  Jonathan Z Li; Florencia P Segal; Ronald J Bosch; Christina M Lalama; Carla Roberts-Toler; Heloise Delagreverie; Rachel Getz; Pilar Garcia-Broncano; Jennifer Kinslow; Randall Tressler; Cornelius N Van Dam; Michael Keefer; Mary Carrington; Mathias Lichterfeld; Daniel Kuritzkes; Xu G Yu; Alan Landay; Paul E Sax
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