HIV-1 proviral DNA loads (as determined by quantitative PCR) in patients subjected to structured treatment interruption after antiretroviral therapy failure

J Clin Microbiol. 2012 Jun;50(6):2132-3. doi: 10.1128/JCM.00393-12. Epub 2012 Mar 14.

Abstract

The impact of Structured Treatment Interruption (STI) in peripheral blood mononuclear cell (PBMC) proviral reservoirs in 41 highly active antiretroviral therapy (HAART)-treated viremic individuals at baseline and 12 weeks after STI was determined using quantitative PCR (qPCR). Viral load increased 0.7 log(10) and CD4 decreased 97.5 cells/mm(3) after 12 weeks. A total of 28 of the 41 individuals showed an increased proviral load, 19 with a statistically significant increase above 10%. An increase in active viral replication is an important factor in the replenishment of the proviral reservoir even for short time periods.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anti-HIV Agents / administration & dosage*
  • Antiretroviral Therapy, Highly Active / methods*
  • CD4 Lymphocyte Count
  • Cells, Cultured
  • DNA, Viral / isolation & purification*
  • Female
  • HIV Infections / drug therapy*
  • HIV Infections / virology
  • HIV-1 / isolation & purification
  • Humans
  • Leukocytes, Mononuclear / virology
  • Male
  • Middle Aged
  • Proviruses / isolation & purification*
  • Real-Time Polymerase Chain Reaction / methods
  • Treatment Failure
  • Viral Load*
  • Withholding Treatment*

Substances

  • Anti-HIV Agents
  • DNA, Viral