Source:http://linkedlifedata.com/resource/pubmed/id/10969342
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2000-9-22
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pubmed:abstractText |
We have described a peripheral blood mononuclear cell (PBMC) culture system in which control of endogenous virus and resistance to exogenous HIV-1 correlates with low viremia among HIV-1-positive people. Nineteen patients remained consistently resistant or susceptible for more than 5 years of follow-up. On the fifth year, 5 consistently susceptible volunteers with high viral loads began receiving highly active anti-retroviral therapy (HAART). After >6 months on HAART, 5 of 5 became completely or predominantly resistant on four visits over the next 6 months. Among HIV-1-positive donors, we had never observed reversal of PBMC phenotype from consistently susceptible to consistently resistant. Resistance correlated with suppression of plasma viremia and rebound in CD4+ T-cell counts and percentages. When resistant PBMCs were challenged after CD8+ T-cell depletion, 38 of 41 and 40 of 59 cultures became susceptible to HIV-1MN and HIV-1BaL, respectively. After combined CD8+ T-cell depletion and antibody neutralization of beta-chemokines, 16 of 18 cultures became susceptible to HIV-1BaL. Overall, the finding that >90% of these cultures depleted of relevant antiviral effector arms could become infected indicates resistance was not due to residual antiretroviral drug metabolites in vitro. For 2 volunteers who discontinued therapy because of side effects, pretreatment viral load correlated with loss of in vitro resistance and viral rebound. In addition to resistance to laboratory strains of HIV-1, all patients developed resistance to at least one of two CCR5-tropic, clade B primary isolates: HIV-1P15 and HIV-1P27.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
1525-4135
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
24
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
197-202
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:10969342-Acquired Immunodeficiency Syndrome,
pubmed-meshheading:10969342-Anti-HIV Agents,
pubmed-meshheading:10969342-Antibodies,
pubmed-meshheading:10969342-CD4 Lymphocyte Count,
pubmed-meshheading:10969342-CD8-Positive T-Lymphocytes,
pubmed-meshheading:10969342-Cell Line,
pubmed-meshheading:10969342-Chemokines,
pubmed-meshheading:10969342-Cohort Studies,
pubmed-meshheading:10969342-Drug Therapy, Combination,
pubmed-meshheading:10969342-HIV Core Protein p24,
pubmed-meshheading:10969342-HIV Infections,
pubmed-meshheading:10969342-HIV-1,
pubmed-meshheading:10969342-Humans,
pubmed-meshheading:10969342-Macrophages,
pubmed-meshheading:10969342-Substance Withdrawal Syndrome,
pubmed-meshheading:10969342-Viral Load,
pubmed-meshheading:10969342-Viremia
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pubmed:year |
2000
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pubmed:articleTitle |
Rapid communication: development of in vitro resistance to macrophage-tropic- and T-cell-line-adapted HIV-1 strains among HIV-positive volunteers treated with highly active antiretroviral therapy.
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pubmed:affiliation |
Department of Molecular Microbiology and Immunology, The Johns Hopkins University, School of Hygiene and Public Health, Baltimore, Maryland 21205, USA.
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pubmed:publicationType |
Journal Article,
Comparative Study,
In Vitro,
Research Support, U.S. Gov't, P.H.S.
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