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Science 15 March 1996:
Vol. 271. no. 5255, pp. 1582 - 1586
DOI: 10.1126/science.271.5255.1582

Reports

HIV-1 Dynamics in Vivo: Virion Clearance Rate, Infected Cell Life-Span, and Viral Generation Time

Alan S. Perelson, Avidan U. Neumann, Martin Markowitz, John M. Leonard, David D. Ho *

A new mathematical model was used to analyze a detailed set of human immunodeficiency virus-type 1 (HIV-1) viral load data collected from five infected individuals after the administration of a potent inhibitor of HIV-1 protease. Productively infected cells were estimated to have, on average, a life-span of 2.2 days (half-life t1/2 = 1.6 days), and plasma virions were estimated to have a mean life-span of 0.3 days (t1/2 = 0.24 days). The estimated average total HIV-1 production was 10.3 × 109 virions per day, which is substantially greater than previous minimum estimates. The results also suggest that the minimum duration of the HIV-1 life cycle in vivo is 1.2 days on average, and that the average HIV-1 generation time--defined as the time from release of a virion until it infects another cell and causes the release of a new generation of viral particles--is 2.6 days. These findings on viral dynamics provide not only a kinetic picture of HIV-1 pathogenesis, but also theoretical principles to guide the development of treatment strategies.

A. S. Perelson and A. U. Neumann, Theoretical Division, Los Alamos National Laboratory, Los Alamos, NM 87545, USA.
M. Markowitz and D. D. Ho, Aaron Diamond AIDS Research Center, 455 First Avenue, New York, NY 10016, USA.
J. M. Leonard, Pharmaceutical Products Division, Abbott Laboratories, Abbott Park, IL 60064, USA.
* To whom correspondence should be addressed.



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J. Gen. Virol. 84, 1649-1661
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Short-Term Effect of Zidovudine on Plasma and Genital Human Immunodeficiency Virus Type 1 and Viral Turnover in These Compartments.
D. Mbori-Ngacha, B. A. Richardson, J. Overbaugh, D. D. Panteleeff, R. Nduati, M. Steele, and G. John-Stewart (2003)
J. Virol. 77, 7702-7705
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Evolutionary Indicators of Human Immunodeficiency Virus Type 1 Reservoirs and Compartments.
D. C. Nickle, M. A. Jensen, D. Shriner, S. J. Brodie, L. M. Frenkel, J. E. Mittler, and J. I. Mullins (2003)
J. Virol. 77, 5540-5546
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APHS can act synergically with clinically available HIV-1 reverse transcriptase and protease inhibitors and is active against several drug-resistant HIV-1 strains in vitro.
C. F. Pereira, J. T. M. L. Paridaen, M. van de Bovenkamp, J. Middel, J. Verhoef, and H. S. L. M. Nottet (2003)
J. Antimicrob. Chemother. 51, 1181-1189
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