Microbial translocation is associated with residual viral replication in HAART-treated HIV+ subjects with <50 copies/ml HIV-1 RNA

Abstract Background Recent data have shown that plasma levels of lipopolysaccharide (LPS) are a quantitative indicator of microbial translocation in HIV infected individuals. Objectives To assess the impact of residual viral replication on plasma LPS in HAART-treated HIV+ subjects with

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Veröffentlicht in:Journal of clinical virology 2009, Vol.46 (4), p.367-370
Hauptverfasser: Baroncelli, Silvia, Galluzzo, Clementina Maria, Pirillo, Maria Franca, Mancini, Maria Grazia, Weimer, Liliana Elena, Andreotti, Mauro, Amici, Roberta, Vella, Stefano, Giuliano, Marina, Palmisano, Lucia
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container_end_page 370
container_issue 4
container_start_page 367
container_title Journal of clinical virology
container_volume 46
creator Baroncelli, Silvia
Galluzzo, Clementina Maria
Pirillo, Maria Franca
Mancini, Maria Grazia
Weimer, Liliana Elena
Andreotti, Mauro
Amici, Roberta
Vella, Stefano
Giuliano, Marina
Palmisano, Lucia
description Abstract Background Recent data have shown that plasma levels of lipopolysaccharide (LPS) are a quantitative indicator of microbial translocation in HIV infected individuals. Objectives To assess the impact of residual viral replication on plasma LPS in HAART-treated HIV+ subjects with
doi_str_mv 10.1016/j.jcv.2009.09.011
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Objectives To assess the impact of residual viral replication on plasma LPS in HAART-treated HIV+ subjects with &lt;50 copies/ml HIV-1 RNA and to evaluate LPS changes during repeated HAART interruptions not exceeding 2-month duration. Study design LPS was measured in 44 HIV+ subjects at T0 (during HAART) and at day 15 of the first and fourth HAART interruption. Ten uninfected, healthy donors were studied as well. Residual plasma HIV-1 RNA was measured at T0 by an ultra-ultrasensitive method with limit of detection of 2.5 copies HIV-1 RNA/ml. Subjects with less than 2.5 copies/ml (fully suppressed – FS) were compared to those with 2.5–50 copies/ml (partially suppressed – PS). Results At T0, plasma LPS levels were comparable in FS and uninfected subjects, whereas in PS they were higher than in uninfected subjects ( p = 0.049). After 4 HAART interruptions, they did not change significantly. However, LPS values were lower in FS than in PS ( p = 0.020). An inverse correlation was found between CD4 and LPS levels ( p = 0.044) in PS group only. Conclusions A reduced degree of microbial translocation was seen in subjects with a more complete suppression of viral replication. Repeated HAART interruptions had no significant impact on plasma LPS levels.</description><identifier>ISSN: 1386-6532</identifier><identifier>EISSN: 1873-5967</identifier><identifier>DOI: 10.1016/j.jcv.2009.09.011</identifier><language>eng</language><publisher>Amsterdam: Elsevier B.V</publisher><subject>Allergy and Immunology ; Biological and medical sciences ; Fundamental and applied biological sciences. Psychology ; HAART ; HIV infection ; Human viral diseases ; Infectious Disease ; Infectious diseases ; Lipopolysaccharide ; Medical sciences ; Microbial translocation ; Microbiology ; Miscellaneous ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; Viral suppression ; Virology</subject><ispartof>Journal of clinical virology, 2009, Vol.46 (4), p.367-370</ispartof><rights>Elsevier B.V.</rights><rights>2009 Elsevier B.V.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jcv.2009.09.011$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,4022,27922,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=22153653$$DView record in Pascal Francis$$Hfree_for_read</backlink></links><search><creatorcontrib>Baroncelli, Silvia</creatorcontrib><creatorcontrib>Galluzzo, Clementina Maria</creatorcontrib><creatorcontrib>Pirillo, Maria Franca</creatorcontrib><creatorcontrib>Mancini, Maria Grazia</creatorcontrib><creatorcontrib>Weimer, Liliana Elena</creatorcontrib><creatorcontrib>Andreotti, Mauro</creatorcontrib><creatorcontrib>Amici, Roberta</creatorcontrib><creatorcontrib>Vella, Stefano</creatorcontrib><creatorcontrib>Giuliano, Marina</creatorcontrib><creatorcontrib>Palmisano, Lucia</creatorcontrib><title>Microbial translocation is associated with residual viral replication in HAART-treated HIV+ subjects with &lt;50 copies/ml HIV-1 RNA</title><title>Journal of clinical virology</title><description>Abstract Background Recent data have shown that plasma levels of lipopolysaccharide (LPS) are a quantitative indicator of microbial translocation in HIV infected individuals. Objectives To assess the impact of residual viral replication on plasma LPS in HAART-treated HIV+ subjects with &lt;50 copies/ml HIV-1 RNA and to evaluate LPS changes during repeated HAART interruptions not exceeding 2-month duration. Study design LPS was measured in 44 HIV+ subjects at T0 (during HAART) and at day 15 of the first and fourth HAART interruption. Ten uninfected, healthy donors were studied as well. Residual plasma HIV-1 RNA was measured at T0 by an ultra-ultrasensitive method with limit of detection of 2.5 copies HIV-1 RNA/ml. Subjects with less than 2.5 copies/ml (fully suppressed – FS) were compared to those with 2.5–50 copies/ml (partially suppressed – PS). Results At T0, plasma LPS levels were comparable in FS and uninfected subjects, whereas in PS they were higher than in uninfected subjects ( p = 0.049). After 4 HAART interruptions, they did not change significantly. However, LPS values were lower in FS than in PS ( p = 0.020). An inverse correlation was found between CD4 and LPS levels ( p = 0.044) in PS group only. Conclusions A reduced degree of microbial translocation was seen in subjects with a more complete suppression of viral replication. Repeated HAART interruptions had no significant impact on plasma LPS levels.</description><subject>Allergy and Immunology</subject><subject>Biological and medical sciences</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>HAART</subject><subject>HIV infection</subject><subject>Human viral diseases</subject><subject>Infectious Disease</subject><subject>Infectious diseases</subject><subject>Lipopolysaccharide</subject><subject>Medical sciences</subject><subject>Microbial translocation</subject><subject>Microbiology</subject><subject>Miscellaneous</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>Viral suppression</subject><subject>Virology</subject><issn>1386-6532</issn><issn>1873-5967</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNpdkUtLxDAUhYso-PwB7rJxJR3z6gtFGAZ1BB_gaxvS5AZvre2QdEZc-s9NHd0IhySQc0LOd5PkkNEJoyw_aSaNWU04pdVkFGMbyQ4rC5FmVV5sxrMo8zTPBN9OdkNoKGWZkMVO8nWLxvc16pYMXneh7Y0esO8IBqJD6A3qASz5wOGVeAhol9G5Qh9XD4sW_9wdmU-nD0_p4OEnML9-OSZhWTdghrCOn2WUmH6BEE7e29GQMvJwN91PtpxuAxz87nvJ8-XF02ye3txfXc-mNylwWgypMZKWmShkDiIvmJSUaqtr6SqTW6cdxDtn61xXURJkVbjaWcdKWwopuBF7ydH63YUORrcutjUY1MLju_afivNIJAKKvtO1D-JnVgheBYPQGbDoYxlle1SMqpG6alSkrkbqahRjMX3-L21a7CKm9g0-ITT90nexpWIqcEXV4ziXcSy0olTygotvRmqMPA</recordid><startdate>2009</startdate><enddate>2009</enddate><creator>Baroncelli, Silvia</creator><creator>Galluzzo, Clementina Maria</creator><creator>Pirillo, Maria Franca</creator><creator>Mancini, Maria Grazia</creator><creator>Weimer, Liliana Elena</creator><creator>Andreotti, Mauro</creator><creator>Amici, Roberta</creator><creator>Vella, Stefano</creator><creator>Giuliano, Marina</creator><creator>Palmisano, Lucia</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>IQODW</scope></search><sort><creationdate>2009</creationdate><title>Microbial translocation is associated with residual viral replication in HAART-treated HIV+ subjects with &lt;50 copies/ml HIV-1 RNA</title><author>Baroncelli, Silvia ; Galluzzo, Clementina Maria ; Pirillo, Maria Franca ; Mancini, Maria Grazia ; Weimer, Liliana Elena ; Andreotti, Mauro ; Amici, Roberta ; Vella, Stefano ; Giuliano, Marina ; Palmisano, Lucia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e207t-cc40853746e36714400adab4f9c6dfafe537fdb6a96a94e497fbfdf18d83432c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Allergy and Immunology</topic><topic>Biological and medical sciences</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>HAART</topic><topic>HIV infection</topic><topic>Human viral diseases</topic><topic>Infectious Disease</topic><topic>Infectious diseases</topic><topic>Lipopolysaccharide</topic><topic>Medical sciences</topic><topic>Microbial translocation</topic><topic>Microbiology</topic><topic>Miscellaneous</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>Viral suppression</topic><topic>Virology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baroncelli, Silvia</creatorcontrib><creatorcontrib>Galluzzo, Clementina Maria</creatorcontrib><creatorcontrib>Pirillo, Maria Franca</creatorcontrib><creatorcontrib>Mancini, Maria Grazia</creatorcontrib><creatorcontrib>Weimer, Liliana Elena</creatorcontrib><creatorcontrib>Andreotti, Mauro</creatorcontrib><creatorcontrib>Amici, Roberta</creatorcontrib><creatorcontrib>Vella, Stefano</creatorcontrib><creatorcontrib>Giuliano, Marina</creatorcontrib><creatorcontrib>Palmisano, Lucia</creatorcontrib><collection>Pascal-Francis</collection><jtitle>Journal of clinical virology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baroncelli, Silvia</au><au>Galluzzo, Clementina Maria</au><au>Pirillo, Maria Franca</au><au>Mancini, Maria Grazia</au><au>Weimer, Liliana Elena</au><au>Andreotti, Mauro</au><au>Amici, Roberta</au><au>Vella, Stefano</au><au>Giuliano, Marina</au><au>Palmisano, Lucia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Microbial translocation is associated with residual viral replication in HAART-treated HIV+ subjects with &lt;50 copies/ml HIV-1 RNA</atitle><jtitle>Journal of clinical virology</jtitle><date>2009</date><risdate>2009</risdate><volume>46</volume><issue>4</issue><spage>367</spage><epage>370</epage><pages>367-370</pages><issn>1386-6532</issn><eissn>1873-5967</eissn><abstract>Abstract Background Recent data have shown that plasma levels of lipopolysaccharide (LPS) are a quantitative indicator of microbial translocation in HIV infected individuals. Objectives To assess the impact of residual viral replication on plasma LPS in HAART-treated HIV+ subjects with &lt;50 copies/ml HIV-1 RNA and to evaluate LPS changes during repeated HAART interruptions not exceeding 2-month duration. Study design LPS was measured in 44 HIV+ subjects at T0 (during HAART) and at day 15 of the first and fourth HAART interruption. Ten uninfected, healthy donors were studied as well. Residual plasma HIV-1 RNA was measured at T0 by an ultra-ultrasensitive method with limit of detection of 2.5 copies HIV-1 RNA/ml. Subjects with less than 2.5 copies/ml (fully suppressed – FS) were compared to those with 2.5–50 copies/ml (partially suppressed – PS). Results At T0, plasma LPS levels were comparable in FS and uninfected subjects, whereas in PS they were higher than in uninfected subjects ( p = 0.049). After 4 HAART interruptions, they did not change significantly. However, LPS values were lower in FS than in PS ( p = 0.020). An inverse correlation was found between CD4 and LPS levels ( p = 0.044) in PS group only. Conclusions A reduced degree of microbial translocation was seen in subjects with a more complete suppression of viral replication. Repeated HAART interruptions had no significant impact on plasma LPS levels.</abstract><cop>Amsterdam</cop><pub>Elsevier B.V</pub><doi>10.1016/j.jcv.2009.09.011</doi><tpages>4</tpages></addata></record>
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subjects Allergy and Immunology
Biological and medical sciences
Fundamental and applied biological sciences. Psychology
HAART
HIV infection
Human viral diseases
Infectious Disease
Infectious diseases
Lipopolysaccharide
Medical sciences
Microbial translocation
Microbiology
Miscellaneous
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Viral suppression
Virology
title Microbial translocation is associated with residual viral replication in HAART-treated HIV+ subjects with <50 copies/ml HIV-1 RNA
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