Intensification and stimulation therapy for human immunodeficiency virus type 1 reservoirs in infected persons receiving virally suppressive highly active antiretroviral therapy.

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TítuloIntensification and stimulation therapy for human immunodeficiency virus type 1 reservoirs in infected persons receiving virally suppressive highly active antiretroviral therapy.
Publication TypeJournal Article
Year of Publication2002
AutoresKulkosky, J, Nunnari, G, Otero, M, Calarota, S, Dornadula, G, Zhang, H, Malin, A, Sullivan, J, Xu, Y, DeSimone, J, Babinchak, T, Stern, J, Cavert, W, Haase, A, Pomerantz, RJ
JournalJ Infect Dis
Volume186
Issue10
Pagination1403-11
Date Published2002 Nov 15
ISSN0022-1899
Palabras claveAdult, Anti-HIV Agents, Antiretroviral Therapy, Highly Active, HIV Infections, HIV-1, Humans, Immunity, Male
Abstract

Highly active antiretroviral therapy (HAART) has led to significant changes in mortality and morbidity in the human immunodeficiency virus type 1 (HIV-1) epidemic. Nevertheless, because of molecular mechanisms of viral persistence, HAART does not eradicate HIV-1. Didanosine and hydroxyurea were added to the antiretroviral regimens of 3 HIV-1-infected men who were receiving stable HAART and who had HIV-1 RNA levels <50 copies/mL at the initiation of the study protocol, as a novel intensification to attack cryptic viral replication; low-dose OKT3 was then administered, followed by a course of interleukin-2, to stimulate latent provirus. Replication-competent virus was undetectable after treatment, and plasma viral RNA was either undetectable or <5 copies/mL. In trial periods during which no antiretroviral therapy was administered, the patients developed plasma viral rebound. This translational approach combines novel intensification and stimulation therapy to deplete residual HIV-1 reservoirs. Additional experimental approaches must be developed if HIV-1 eradication is to become possible in patients receiving virally suppressive HAART.

DOI10.1086/344357
Alternate JournalJ. Infect. Dis.
PubMed ID12404155
Grant ListAI-46289 / AI / NIAID NIH HHS / United States