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HIV-1–specific immune responses in subjects who temporarily contain virus replication after discontinuation of highly active antiretroviral therapy
Gabriel M. Ortiz, … , David D. Ho, Martin Markowitz
Gabriel M. Ortiz, … , David D. Ho, Martin Markowitz
Published September 15, 1999
Citation Information: J Clin Invest. 1999;104(6):R13-R18. https://doi.org/10.1172/JCI7371.
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HIV-1–specific immune responses in subjects who temporarily contain virus replication after discontinuation of highly active antiretroviral therapy

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Abstract

Therapeutic intervention with highly active antiretroviral therapy (HAART) can lead to suppression of HIV-1 plasma viremia to undetectable levels for 3 or more years. However, adherence to complex drug regimens can prove problematic, and subjects may temporarily discontinue HAART for variable periods. We studied 6 HIV-1–infected individuals who stopped therapy. Off HAART, levels of viremia were suppressed to fewer than 500 copies/mL in 2 subjects for more than 12 and more than 24 months, respectively, and in 1 subject for 4 months on 1 occasion. Three subjects failed to contain plasma viremia. Broad and strong HIV-1–specific immune responses were detected in subjects with prolonged suppression of viral replication. This longitudinal study suggests that containment of HIV-1 replication to low or undetectable levels after discontinuation of HAART is associated with strong virus-specific immune responses. Boosting of HIV-1–specific immune responses should be considered as an adjunctive treatment strategy for HIV-1–infected individuals on HAART.

Authors

Gabriel M. Ortiz, Douglas F. Nixon, Alexandra Trkola, James Binley, Xia Jin, Sebastian Bonhoeffer, Peter J. Kuebler, Sean M. Donahoe, Marie-Ange Demoitie, William M. Kakimoto, Tom Ketas, Brian Clas, Jonas J. Heymann, Linqi Zhang, Yunzhen Cao, Arlene Hurley, John P. Moore, David D. Ho, Martin Markowitz

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Figure 1

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Longitudinal study of virological and immunological parameters in subjec...
Longitudinal study of virological and immunological parameters in subjects nos. 6 and 8. Plasma viremia is shown in a and e. The horizontal bars at the top of a and e represent the estimation of adherence to HAART. Filled bars reflect full adherence; gray bars intermittent adherence; and open bars no drug therapy. The frequency of HIV-1–specific CTLp/106 PBMCs is shown in b and f. Binding antibody titers to gp120 and p24 are shown in c and g. Neutralizing antibody titers to previral isolates (pre-ID90) and postviral isolates (post-ID90) are shown in d and h.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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