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
Hauptverfasser: 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
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container_end_page 1120
container_issue 7
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container_title The Journal of infectious diseases
container_volume 183
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
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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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