TY - JOUR
T1 - Immune reconstitution in the first year of potent antiretroviral therapy and its relationship to virologic response
AU - Connick, Elizabeth
AU - Lederman, Michael M.
AU - Kotzin, Brian L.
AU - Spritzler, John
AU - Kuritzkes, Daniel R.
AU - St. Clair, Marty
AU - Sevin, Anne D.
AU - Fox, Lawrence
AU - Chiozzi, Margo Heath
AU - Leonard, John M.
AU - Rousseau, Franck
AU - D'Arc Roe, Joana
AU - Martinez, Ana
AU - Kessler, Harold
AU - Landay, Alan
PY - 2000
Y1 - 2000
N2 - The effects of 1 year of zidovudine, lamivudine, and ritonavir treatment on immune reconstitution were evaluated in 34 human immunodeficiency virus (HIV)-infected individuals. After 48 weeks of therapy, 20 (59%) subjects had <100 copies HIV RNA/mL. CD4+ T cells increased from a median of 192/mm3 at baseline to 362/mm3 at week 48. Lymphocyte proliferative responses to Candida normalized within 12 weeks, but responses to HIV and tetanus remained depressed throughout therapy. Alloantigen responses increased within 12 weeks and then declined to baseline levels. Recovery of delayed-type hypersensitivity responses occurred after 12 weeks for Candida and after 48 weeks for mumps. The magnitude of virologic suppression was correlated with numeric increases in CD4+ T cells, but not with measures of functional immune reconstitution. Plasma virus suppression <100 copies/mL was not significantly correlated with increases in CD4+ T cells or functional immune reconstitution.
AB - The effects of 1 year of zidovudine, lamivudine, and ritonavir treatment on immune reconstitution were evaluated in 34 human immunodeficiency virus (HIV)-infected individuals. After 48 weeks of therapy, 20 (59%) subjects had <100 copies HIV RNA/mL. CD4+ T cells increased from a median of 192/mm3 at baseline to 362/mm3 at week 48. Lymphocyte proliferative responses to Candida normalized within 12 weeks, but responses to HIV and tetanus remained depressed throughout therapy. Alloantigen responses increased within 12 weeks and then declined to baseline levels. Recovery of delayed-type hypersensitivity responses occurred after 12 weeks for Candida and after 48 weeks for mumps. The magnitude of virologic suppression was correlated with numeric increases in CD4+ T cells, but not with measures of functional immune reconstitution. Plasma virus suppression <100 copies/mL was not significantly correlated with increases in CD4+ T cells or functional immune reconstitution.
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U2 - 10.1086/315171
DO - 10.1086/315171
M3 - Article
C2 - 10608789
AN - SCOPUS:0033984368
SN - 0022-1899
VL - 181
SP - 358
EP - 363
JO - Journal of Infectious Diseases
JF - Journal of Infectious Diseases
IS - 1
ER -