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Science 9 May 1997:
Vol. 276. no. 5314, pp. 960 - 964
DOI: 10.1126/science.276.5314.960

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.


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The Unenlarged Lymph Nodes of HIV-1-infected, Asymptomatic Patients with High CD4 T Cell Counts Are Sites for Virus Replication and CD4 T Cell Proliferation. The Impact of Highly Active Antiretroviral Therapy.
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J. Exp. Med. 187, 949-959
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Human Immunodeficiency Virus Replication and Genotypic Resistance in Blood and Lymph Nodes after a Year of Potent Antiretroviral Therapy.
H. F. Gunthard, J. K. Wong, C. C. Ignacio, J. C. Guatelli, N. L. Riggs, D. V. Havlir, and D. D. Richman (1998)
J. Virol. 72, 2422-2428
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Kinetics of CD4+ T cell repopulation of lymphoid tissues after treatment of HIV-1 infection.
Z.-Q. Zhang, D. W. Notermans, G. Sedgewick, W. Cavert, S. Wietgrefe, M. Zupancic, K. Gebhard, K. Henry, L. Boies, Z. Chen, et al. (1998)
PNAS 95, 1154-1159
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Presence of an inducible HIV-1 latent reservoir during highly active antiretroviral therapy.
T.-W. Chun, L. Stuyver, S. B. Mizell, L. A. Ehler, J. A. M. Mican, M. Baseler, A. L. Lloyd, M. A. Nowak, and A. S. Fauci (1997)
PNAS 94, 13193-13197
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Targeting of HIV- and SIV-Infected Cells by CD4-Chemokine Receptor Pseudotypes.
M. J. Endres, S. Jaffer, B. Haggarty, J. D. Turner, B. J. Doranz, P. J. O'Brien, D. L. Kolson, and J. A. Hoxie (1997)
Science 278, 1462-1464
   Abstract »    Full Text »
Identification of a Reservoir for HIV-1 in Patients on Highly Active Antiretroviral Therapy.
D. Finzi, M. Hermankova, T. Pierson, L. M. Carruth, C. Buck, R. E. Chaisson, T. C. Quinn, K. Chadwick, J. Margolick, R. Brookmeyer, et al. (1997)
Science 278, 1295-1300
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Reduction of HIV-1 in blood and lymph nodes following potent antiretroviral therapy and the virologic correlates of treatment failure.
J. K. Wong, H. F. Gunthard, D. V. Havlir, Z.-Q. Zhang, A. T. Haase, C. C. Ignacio, S. Kwok, E. Emini, and D. D. Richman (1997)
PNAS 94, 12574-12579
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Viral Load in Lymphoid Tissue Following Triple Antiretroviral Therapy.
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AIDS Clinical Care 1997, 4
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LYMPHOID-TISSUE HIV RESPONDS TO COMBINATION THERAPY.
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Journal Watch (General) 1997, 2
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Influence of follicular dendritic cells on decay of HIV during antiretroviral therapy.
W. S. Hlavacek, N. I. Stilianakis, D. W. Notermans, S. A. Danner, and A. S. Perelson (2000)
PNAS 97, 10966-10971
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