Long-term Virologic and Immunologic Responses in Human Immunodeficiency Virus Type 1-Infected Children Treated with Indinavir, Zidovudine, and Lamivudine
Virologic and immunologic responses were examined for 33 human immunodeficiency virus (HIV)–infected children who participated for ⩾96 weeks in a phase 1/2 protocol of 16 weeks of indinavir monotherapy, followed by the addition of zidovudine and lamivudine. At week 96, a median increase of 199 CD4+...
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Veröffentlicht in: | The Journal of infectious diseases 2001-04, Vol.183 (7), p.1116-1120 |
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creator | Jankelevich, Shirley Mueller, Brigitta U. Mackall, Crystal L. Smith, Sharon Zwerski, Sheryl Wood, Lauren V. Zeichner, Steven L. Serchuck, Leslie Steinberg, Seth M. Nelson, Robert P. Sleasman, John W. Nguyen, Bach-Yen Pizzo, Philip A. Yarchoan, Robert |
description | Virologic and immunologic responses were examined for 33 human immunodeficiency virus (HIV)–infected children who participated for ⩾96 weeks in a phase 1/2 protocol of 16 weeks of indinavir monotherapy, followed by the addition of zidovudine and lamivudine. At week 96, a median increase of 199 CD4+ T cells/μL and a median decrease of 0.74 log10 HIV RNA copies/mL were observed. The relationship between control of viral replication and CD4+ T cell count was examined. Patients were categorized into 3 response groups on the basis of duration and extent of control of viral replication. Of 21 children with a transient decrease in virus load of ⩾0.7 log10 HIV RNA copies/mL from baseline, 7 experienced sustained increases in CD4+, CD4+CD45RA+, and CD4+CD45RO+ T cell counts. CD4+CD45RA+ (naive) T cells were the major contributor to CD4+ T cell expansion. Continued long-term immunologic benefit may be experienced by a subset of children, despite only transient virologic suppression |
doi_str_mv | 10.1086/319274 |
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At week 96, a median increase of 199 CD4+ T cells/μL and a median decrease of 0.74 log10 HIV RNA copies/mL were observed. The relationship between control of viral replication and CD4+ T cell count was examined. Patients were categorized into 3 response groups on the basis of duration and extent of control of viral replication. Of 21 children with a transient decrease in virus load of ⩾0.7 log10 HIV RNA copies/mL from baseline, 7 experienced sustained increases in CD4+, CD4+CD45RA+, and CD4+CD45RO+ T cell counts. CD4+CD45RA+ (naive) T cells were the major contributor to CD4+ T cell expansion. Continued long-term immunologic benefit may be experienced by a subset of children, despite only transient virologic suppression</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1086/319274</identifier><identifier>PMID: 11237839</identifier><identifier>CODEN: JIDIAQ</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>Adolescent ; AIDS ; Anti-HIV Agents - therapeutic use ; Antibiotics. Antiinfectious agents. Antiparasitic agents ; Antiviral agents ; Biological and medical sciences ; CD4 antigen ; CD4 Antigens - analysis ; CD4 Lymphocyte Count ; Child ; Child health services ; Child, Preschool ; Concise Communications ; Dosage ; Drug Therapy, Combination ; Female ; Follow-Up Studies ; HIV ; HIV - isolation & purification ; HIV Infections - drug therapy ; HIV Infections - immunology ; HIV Infections - virology ; HIV Protease Inhibitors - therapeutic use ; Human immunodeficiency virus 1 ; Human viral diseases ; Humans ; Immunology ; Indinavir ; Indinavir - therapeutic use ; Infectious diseases ; Lamivudine ; Lamivudine - therapeutic use ; Leukocyte Common Antigens - analysis ; Male ; Medical sciences ; Pharmacology. Drug treatments ; Protease inhibitors ; Protein Tyrosine Phosphatase, Non-Receptor Type 1 ; RNA ; RNA, Viral - analysis ; T lymphocytes ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. 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At week 96, a median increase of 199 CD4+ T cells/μL and a median decrease of 0.74 log10 HIV RNA copies/mL were observed. The relationship between control of viral replication and CD4+ T cell count was examined. Patients were categorized into 3 response groups on the basis of duration and extent of control of viral replication. Of 21 children with a transient decrease in virus load of ⩾0.7 log10 HIV RNA copies/mL from baseline, 7 experienced sustained increases in CD4+, CD4+CD45RA+, and CD4+CD45RO+ T cell counts. CD4+CD45RA+ (naive) T cells were the major contributor to CD4+ T cell expansion. Continued long-term immunologic benefit may be experienced by a subset of children, despite only transient virologic suppression</description><subject>Adolescent</subject><subject>AIDS</subject><subject>Anti-HIV Agents - therapeutic use</subject><subject>Antibiotics. Antiinfectious agents. Antiparasitic agents</subject><subject>Antiviral agents</subject><subject>Biological and medical sciences</subject><subject>CD4 antigen</subject><subject>CD4 Antigens - analysis</subject><subject>CD4 Lymphocyte Count</subject><subject>Child</subject><subject>Child health services</subject><subject>Child, Preschool</subject><subject>Concise Communications</subject><subject>Dosage</subject><subject>Drug Therapy, Combination</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>HIV</subject><subject>HIV - isolation & purification</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - immunology</subject><subject>HIV Infections - virology</subject><subject>HIV Protease Inhibitors - therapeutic use</subject><subject>Human immunodeficiency virus 1</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Immunology</subject><subject>Indinavir</subject><subject>Indinavir - therapeutic use</subject><subject>Infectious diseases</subject><subject>Lamivudine</subject><subject>Lamivudine - therapeutic use</subject><subject>Leukocyte Common Antigens - analysis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pharmacology. Drug treatments</subject><subject>Protease inhibitors</subject><subject>Protein Tyrosine Phosphatase, Non-Receptor Type 1</subject><subject>RNA</subject><subject>RNA, Viral - analysis</subject><subject>T lymphocytes</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>Viral Load</subject><subject>Virology</subject><subject>Viruses</subject><subject>Zidovudine</subject><subject>Zidovudine - therapeutic use</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkdFu0zAUhi0EYqXAG4A8JLhawCd24vgSOqCVKiGNgqbdWG7ibC6JHexk0EfhbXFJtEpICN9Yx__n_-icH6GnQF4DKfI3FETK2T00g4zyJM-B3kczQtI0gUKIE_QohB0hhNGcP0QnACnlBRUz9Gvt7HXSa9_ir8a7xl2bEitb4VXbDnaqL3TonA06YGPxcmiVneRK16Y02pb7w-8h4M2-0xiSla112esKL25MU3lt8cZrdXj4YfobvLKVserW-DN8ZSp3O8RSn_1pu1atGevH6EGtmqCfTPccffnwfrNYJutPH1eLt-ukZAX0SZy62tJUiFJBrgrGKdOQCyqY4FXOt5wrmhYpVDkwAoSxUtd0q2rIGNvWEZ-jV6Nv5933QYdetiaUummU1W4IkuciA8jEf0HgcdNFXPEcvfgL3LnB2ziETFMqYlwpO7qV3oXgdS07b1rl9xKIPEQqx0gj-HxyG7atro7YlGEEXk6ACqVqaq9sacKRY5DlIj1wpyPnhu7fzZ6NzC70zt9RlEA8HKKejLoJvf55pyv_Teac8kwuL6_kZ3rx7vxys5Tn9DcLo8qO</recordid><startdate>20010401</startdate><enddate>20010401</enddate><creator>Jankelevich, Shirley</creator><creator>Mueller, Brigitta U.</creator><creator>Mackall, Crystal L.</creator><creator>Smith, Sharon</creator><creator>Zwerski, Sheryl</creator><creator>Wood, Lauren V.</creator><creator>Zeichner, Steven L.</creator><creator>Serchuck, Leslie</creator><creator>Steinberg, Seth M.</creator><creator>Nelson, Robert P.</creator><creator>Sleasman, John W.</creator><creator>Nguyen, Bach-Yen</creator><creator>Pizzo, Philip A.</creator><creator>Yarchoan, Robert</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20010401</creationdate><title>Long-term Virologic and Immunologic Responses in Human Immunodeficiency Virus Type 1-Infected Children Treated with Indinavir, Zidovudine, and Lamivudine</title><author>Jankelevich, Shirley ; Mueller, Brigitta U. ; Mackall, Crystal L. ; Smith, Sharon ; Zwerski, Sheryl ; Wood, Lauren V. ; Zeichner, Steven L. ; Serchuck, Leslie ; Steinberg, Seth M. ; Nelson, Robert P. ; Sleasman, John W. ; Nguyen, Bach-Yen ; Pizzo, Philip A. ; Yarchoan, Robert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-274db3299ca16a84734e16939497d67b77a32821d61401044cef3baf1544bf473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>AIDS</topic><topic>Anti-HIV Agents - therapeutic use</topic><topic>Antibiotics. Antiinfectious agents. Antiparasitic agents</topic><topic>Antiviral agents</topic><topic>Biological and medical sciences</topic><topic>CD4 antigen</topic><topic>CD4 Antigens - analysis</topic><topic>CD4 Lymphocyte Count</topic><topic>Child</topic><topic>Child health services</topic><topic>Child, Preschool</topic><topic>Concise Communications</topic><topic>Dosage</topic><topic>Drug Therapy, Combination</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>HIV</topic><topic>HIV - isolation & purification</topic><topic>HIV Infections - drug therapy</topic><topic>HIV Infections - immunology</topic><topic>HIV Infections - virology</topic><topic>HIV Protease Inhibitors - therapeutic use</topic><topic>Human immunodeficiency virus 1</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Immunology</topic><topic>Indinavir</topic><topic>Indinavir - therapeutic use</topic><topic>Infectious diseases</topic><topic>Lamivudine</topic><topic>Lamivudine - therapeutic use</topic><topic>Leukocyte Common Antigens - analysis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pharmacology. Drug treatments</topic><topic>Protease inhibitors</topic><topic>Protein Tyrosine Phosphatase, Non-Receptor Type 1</topic><topic>RNA</topic><topic>RNA, Viral - analysis</topic><topic>T lymphocytes</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. 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At week 96, a median increase of 199 CD4+ T cells/μL and a median decrease of 0.74 log10 HIV RNA copies/mL were observed. The relationship between control of viral replication and CD4+ T cell count was examined. Patients were categorized into 3 response groups on the basis of duration and extent of control of viral replication. Of 21 children with a transient decrease in virus load of ⩾0.7 log10 HIV RNA copies/mL from baseline, 7 experienced sustained increases in CD4+, CD4+CD45RA+, and CD4+CD45RO+ T cell counts. CD4+CD45RA+ (naive) T cells were the major contributor to CD4+ T cell expansion. Continued long-term immunologic benefit may be experienced by a subset of children, despite only transient virologic suppression</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>11237839</pmid><doi>10.1086/319274</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; JSTOR Archive Collection A-Z Listing; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
subjects | Adolescent AIDS Anti-HIV Agents - therapeutic use Antibiotics. Antiinfectious agents. Antiparasitic agents Antiviral agents Biological and medical sciences CD4 antigen CD4 Antigens - analysis CD4 Lymphocyte Count Child Child health services Child, Preschool Concise Communications Dosage Drug Therapy, Combination Female Follow-Up Studies HIV HIV - isolation & purification HIV Infections - drug therapy HIV Infections - immunology HIV Infections - virology HIV Protease Inhibitors - therapeutic use Human immunodeficiency virus 1 Human viral diseases Humans Immunology Indinavir Indinavir - therapeutic use Infectious diseases Lamivudine Lamivudine - therapeutic use Leukocyte Common Antigens - analysis Male Medical sciences Pharmacology. Drug treatments Protease inhibitors Protein Tyrosine Phosphatase, Non-Receptor Type 1 RNA RNA, Viral - analysis T lymphocytes Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Viral Load Virology Viruses Zidovudine Zidovudine - therapeutic use |
title | Long-term Virologic and Immunologic Responses in Human Immunodeficiency Virus Type 1-Infected Children Treated with Indinavir, Zidovudine, and Lamivudine |
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