Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1999-9-7
pubmed:abstractText
Antiretroviral therapy commenced during primary human immunodeficiency virus type 1 (HIV-1) infection (PHI) may limit the extent of viral replication and prevent early loss of HIV-specific CD4 lymphocyte function. We studied the effect of current standard therapy (2 nucleoside analogues and a protease inhibitor) in 16 patients with symptomatic PHI. In the 13 patients who completed 1 year of treatment, plasma HIV RNA was <50 copies/mL and median CD4 cell counts were comparable to HIV-uninfected controls, with naive (CD45RA+CD62L+), primed (CD45RO+), and T cell receptor Vbeta subsets all within normal ranges. However, HIV-1 DNA levels in treated and untreated PHI patients were similar. Furthermore, CD8 cell counts remained elevated, including activated (CD38+HLA-DR+), replicating (Ki-67+), and cytotoxic (perforin+CD28-) lymphocytes. In conclusion, early antiretroviral therapy resulted in clearance of viremia and prevented loss of crucial CD4 subsets. The persistence of HIV-1 DNA together with increased CD8 T lymphocyte turnover and activation indicate continued expression of viral antigens.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0022-1899
pubmed:author
pubmed:issnType
Print
pubmed:volume
180
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
320-9
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:10395845-Adult, pubmed-meshheading:10395845-Anti-HIV Agents, pubmed-meshheading:10395845-CD4-Positive T-Lymphocytes, pubmed-meshheading:10395845-CD8-Positive T-Lymphocytes, pubmed-meshheading:10395845-Cohort Studies, pubmed-meshheading:10395845-DNA, Viral, pubmed-meshheading:10395845-Drug Therapy, Combination, pubmed-meshheading:10395845-HIV Antibodies, pubmed-meshheading:10395845-HIV Infections, pubmed-meshheading:10395845-HIV-1, pubmed-meshheading:10395845-Humans, pubmed-meshheading:10395845-Indinavir, pubmed-meshheading:10395845-Lamivudine, pubmed-meshheading:10395845-Leukocytes, Mononuclear, pubmed-meshheading:10395845-Lymphocyte Activation, pubmed-meshheading:10395845-Male, pubmed-meshheading:10395845-Prospective Studies, pubmed-meshheading:10395845-RNA, Viral, pubmed-meshheading:10395845-T-Lymphocyte Subsets, pubmed-meshheading:10395845-Viremia, pubmed-meshheading:10395845-Zidovudine
pubmed:year
1999
pubmed:articleTitle
Potent antiretroviral therapy of primary human immunodeficiency virus type 1 (HIV-1) infection: partial normalization of T lymphocyte subsets and limited reduction of HIV-1 DNA despite clearance of plasma viremia.
pubmed:affiliation
Centre for Immunology, St. Vincent's Hospital, UNSW, Darlinghurst, Australia 2010 Australia. J.Zaunders@cfi.unsw.edu.au
pubmed:publicationType
Journal Article, Clinical Trial, Controlled Clinical Trial, Research Support, Non-U.S. Gov't