Post-treatment HIV controllers or spontaneous controllers in disguise?
@article{Wen2017PosttreatmentHC,
title={Post-treatment HIV controllers or spontaneous controllers in disguise?},
author={Ying Wen and Jonathan Z. Li},
journal={AIDS},
year={2017},
volume={31 4},
pages={
587-589
}
}It has been well described that interruption of antiretroviral therapy (ART) leads to rapid viral rebound in the vast majority of HIV-infected individuals, even after prolonged courses of suppressive ART [1]. Yet, intriguingly, a small subset of HIV-infected patients is able to maintain natural control of HIV replication after stopping ART [2,3] and this provides hope that such a goal is attainable in the general population of HIVinfected individuals. Such post-treatment controllers (PTCs) are…
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The goal is to devise a safe and effective means for replicating durable post-treatment control on a global scale and to devise methods to reduce the size of the reservoir and to control replication of this residual virus.
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- PsychologyThe Journal of infectious diseases
- 2018
Posttreatment control was more commonly identified amongst early treated individuals, frequently characterized by early transient viral rebound and heterogeneous durability of HIV remission.
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The natural history of elite and post-treatment control, the evidence from longitudinal studies of controllers who fail and studies of biologic sex, age, and simian immunodeficiency virus (SIV) demonstrate that the battle between the inflammatory and anti-inflammatory pathways during acute infection has long-term consequences.
References
SHOWING 1-10 OF 16 REFERENCES
Hiv-1 Control after Transient Antiretroviral Treatment Initiated in Primary Infection: Role of Patient Characteristics and Effect of Therapy
- MedicineAntiviral therapy
- 2012
Early patient characteristics were the main factors of viral control, although early initiation of ART and the effect of ART on reservoir might contribute to control.
Post-Treatment HIV-1 Controllers with a Long-Term Virological Remission after the Interruption of Early Initiated Antiretroviral Therapy ANRS VISCONTI Study
- Medicine, BiologyPLoS pathogens
- 2013
The results show that early and prolonged cART may allow some individuals with a rather unfavorable background to achieve long-term infection control and may have important implications in the search for a functional HIV cure.
Post-treatment control or treated controllers? Viral remission in treated and untreated primary HIV infection
- MedicineAIDS
- 2017
Consideration of spontaneous remission in untreated individuals will be critical to avoid overestimating the effect size of new interventions used in HIV cure studies.
How Often does Treatment of Primary HIV Lead to Post-Treatment Control?
- Medicine, BiologyAntiviral therapy
- 2015
The data suggest a low likelihood of post-treatment control even when highly active antiretroviral therapy is started within 12 weeks of HIV-1 infection.
Control of HIV despite the discontinuation of antiretroviral therapy.
- Medicine, BiologyThe New England journal of medicine
- 1999
To the Editor: Eradication of the human immunodeficiency virus (HIV) is a difficult goal to achieve, because a reservoir of replication-competent HIV is established in resting CD4 T lymphocytes soon…
Prolonged control of replication-competent dual- tropic human immunodeficiency virus-1 following cessation of highly active antiretroviral therapy
- Biology, MedicineRetrovirology
- 2011
It is suggested that some patients may be capable of controlling pathogenic HIV-1 isolates for extended periods of time after the cessation of HAART through a mechanism that is distinct from the potent cytotoxic T lymphocyte (CTL) mediated suppression that has been reported in many elite suppressors.
Clinical outcomes of elite controllers, viremic controllers, and long-term nonprogressors in the US Department of Defense HIV natural history study.
- MedicineThe Journal of infectious diseases
- 2009
Durable control of human immunodeficiency virus replication and lack of disease progression in the absence of antiretroviral therapy were studied in a military cohort of 4586 subjects to describe distinct populations whose differing clinical outcomes improve with the stringency of criteria.
The size of the expressed HIV reservoir predicts timing of viral rebound after treatment interruption
- Medicine, BiologyAIDS
- 2016
Higher levels of HIV expression while on ART are associated with shorter time to HIV rebound after treatment interruption, and Quantification of the active HIV reservoir may provide a biomarker of efficacy for therapies that aim to achieve ART-free HIV remission.
Long-term immunovirologic control following antiretroviral therapy interruption in patients treated at the time of primary HIV-1 infection
- MedicineAIDS
- 2010
Five out of 32 patients who received very early and prolonged antiretroviral therapy displayed an unusual, sustained immunovirological control after treatment discontinuation (mean duration: 77…
A low HIV-DNA level in peripheral blood mononuclear cells at antiretroviral treatment interruption predicts a higher probability of maintaining viral control
- Medicine, BiologyAIDS
- 2015
Patients who have low HIV-DNA levels at antiretroviral treatment interruption are more likely to maintain viral control for long periods.