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Science 9 May 1997: Vol. 276. no. 5314, pp. 960 - 964 DOI: 10.1126/science.276.5314.960
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Reports
Kinetics of Response in Lymphoid Tissues to Antiretroviral Therapy of HIV-1 Infection
Winston Cavert,
Daan W. Notermans,
Katherine Staskus,
Stephen W. Wietgrefe,
Mary Zupancic,
Kristin Gebhard,
Keith Henry,
Zhi-Qiang Zhang,
Roger Mills,
Hugh McDade,
Jaap Goudsmit,
Sven A. Danner,
Ashley T. Haase
*
In lymphoid tissue, where human immunodeficiency virus-type 1 (HIV-1) is produced and stored, three-drug treatment with viral protease and reverse transcriptase inhibitors markedly reduced viral
burden. This was shown by in situ hybridization and computerized quantitative analysis of serial tonsil biopsies from previously untreated adults. The frequency of productive mononuclear cells (MNCs)
initially diminished with a half-life of about 1 day. Surprisingly, the
amount of HIV-1 RNA in virus trapped on follicular dendritic cells
(FDCs) decreased almost as quickly. After 24 weeks, MNCs with very few
copies of HIV-1 RNA per cell were still detectable, as was proviral
DNA; however, the amount of FDC-associated virus decreased by 3.4 log
units. Thus, 6 months of potent therapy controlled active replication
and cleared >99.9 percent of virus from the secondary lymphoid tissue
reservoir.
W. Cavert, K. Staskus, S. W. Wietgrefe, M. Zupancic, K. Gebhard,
Z.-Q. Zhang, A. T. Haase, Department of Microbiology, University of
Minnesota Medical School, Minneapolis, MN 55455, USA.
D. W. Notermans, J. Goudsmit, S. A. Danner, Division of Infectious
Diseases, Tropical Medicine, and AIDS and National AIDS Therapy Center,
Academic Medical Center, University of Amsterdam, Post Office Box
22700, 1100 DE Amsterdam, Netherlands.
K. Henry, HIV Program, St. Paul-Ramsey Medical Center, St. Paul, MN
55101, USA, and Department of Medicine, University of Minnesota Medical
School, Minneapolis, MN 55455, USA.
R. Mills, Abbott Laboratories, Abbott Park, IL 60064, USA.
H. McDade, Glaxo Wellcome Research and Development, Greenford-Middlesex
UB6 0HE, UK.
*
To whom correspondence should be addressed.
Read the Full Text
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