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pubmed-article:12792868pubmed:abstractTextT cell dynamics and viral genotype were studied in human immunodeficiency virus 1-infected individuals receiving antiretroviral therapy who were viremic and had either increasing (discordant immunological responders) or decreasing (nonresponders) CD4(+) T cell counts. A comparison was made with treated individuals who were not viremic and had increasing CD4(+) T cell counts (complete responders). Nonresponders had higher CD4(+) T cell proliferation (as assessed by Ki67 expression) and immune activation (as assessed by CD38 and human leukocyte antigen-DR expression), together with a reduction in T cell receptor excision circles, compared with discordant immunological responders and complete responders, which suggests that there is enhanced viral pathogenicity in both peripheral T cells and the thymus. Although there was a high prevalence of mutations in the protease and reverse transcriptase genes in discordant immunological responders, these changes were also observed in nonresponders.lld:pubmed
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pubmed-article:12792868pubmed:pagination1915-23lld:pubmed
pubmed-article:12792868pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:12792868pubmed:articleTitleImmunological and virological failure after antiretroviral therapy is associated with enhanced peripheral and thymic pathogenicity.lld:pubmed
pubmed-article:12792868pubmed:affiliationDepartment of Microbiology and Immunology, University of Melbourne, and Victorian Infectious Diseases Service, Royal Melbourne Hospital, Parkville, Australia.lld:pubmed
pubmed-article:12792868pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:12792868pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
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