Source:http://linkedlifedata.com/resource/pubmed/id/11874164
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2002-3-4
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pubmed:abstractText |
Current antiretroviral therapy can induce considerable, sustained viral suppression followed by immunological recovery, in which naive CD4 + cells are important. Long-term immunological recovery was investigated during the first 3 y of highly active antiretroviral therapy (HAART) in 210 HIV-1-infected patients. The focus was on the naive CD4 + cell time course and associations between naive CD4 + cell counts and established prognostic markers. Total and naive CD4 + cell counts were measured using flow cytometry. The HIV-RNA detection limit was 20 copies/ml. During 36 months of HAART, the total CD4 + count followed a triphasic pattern, reflecting an initial phase of rapid redistribution from lymphoid tissues, followed by a slow increase, partially due to an increase in naive CD4+ cell count. From Month 18 onwards, both naive and total CD4 + cell counts stabilized, although viral suppression was sustained. There was no association between plasma viral load and the increase in naive CD4 + cell count. Importantly, baseline naive CD4 + cell count was significantly associated with the change in naive CD4 + cell count, suggesting that the naive cell count at baseline does influence the immunological recovery that can be obtained from treatment. Surprisingly, the naive CD4 + cell count tended to stabilize at a subnormal level after 18 months of HAART. This finding merits further investigation.
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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:issn |
0036-5548
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
34
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
45-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:11874164-Adult,
pubmed-meshheading:11874164-Antiretroviral Therapy, Highly Active,
pubmed-meshheading:11874164-CD4 Lymphocyte Count,
pubmed-meshheading:11874164-Drug Administration Schedule,
pubmed-meshheading:11874164-Female,
pubmed-meshheading:11874164-HIV Infections,
pubmed-meshheading:11874164-HIV-1,
pubmed-meshheading:11874164-Humans,
pubmed-meshheading:11874164-Male,
pubmed-meshheading:11874164-Middle Aged,
pubmed-meshheading:11874164-RNA, Viral,
pubmed-meshheading:11874164-T-Lymphocyte Subsets,
pubmed-meshheading:11874164-Time Factors
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pubmed:year |
2002
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pubmed:articleTitle |
The naive CD4+ count in HIV-1-infected patients at time of initiation of highly active antiretroviral therapy is strongly associated with the level of immunological recovery.
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pubmed:affiliation |
Department of Infectious Diseases, Hvidovre Hospital, Denmark.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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