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Cumulative Antiretroviral Exposure Measured in Hair Is Not Associated With Measures of HIV Persistence or Inflammation Among Individuals on Suppressive ART.


ABSTRACT: Data on the relationship of antiretroviral exposure to measures of human immunodeficiency virus (HIV) persistence are limited. To address this gap, multiple viral, immunologic, and pharmacologic measures were analyzed from individuals with sustained virologic suppression on therapy (median 7 years) in the AIDS Clinical Trials Group A5321 cohort. Among 110 participants on tenofovir-(TFV)-disoproxil-fumarate (TDF)/emtricitabine (FTC)-containing regimens, we found no significant correlation between hair concentrations of individual antiretrovirals (ARVs) in the regimen and measures of HIV persistence (plasma HIV-1 RNA by single copy assay, cell-associated-DNA, cell-associated RNA) or soluble markers of inflammation. These findings suggest that higher systemic ARV exposure may not impact HIV persistence or inflammation.

SUBMITTER: Gandhi M 

PROVIDER: S-EPMC6009579 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature

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Cumulative Antiretroviral Exposure Measured in Hair Is Not Associated With Measures of HIV Persistence or Inflammation Among Individuals on Suppressive ART.

Gandhi Monica M   Gandhi Rajesh T RT   Stefanescu Andrei A   Bosch Ronald J RJ   Cyktor Joshua C JC   Horng Howard H   Louie Alexander A   Phung Nhi N   Eron Joseph J JJ   Hogg Evelyn E   Macatangay Bernard J C BJC   Hensel Christopher C   Fletcher Courtney V CV   Mellors John W JW   McMahon Deborah K DK  

The Journal of infectious diseases 20180601 2


Data on the relationship of antiretroviral exposure to measures of human immunodeficiency virus (HIV) persistence are limited. To address this gap, multiple viral, immunologic, and pharmacologic measures were analyzed from individuals with sustained virologic suppression on therapy (median 7 years) in the AIDS Clinical Trials Group A5321 cohort. Among 110 participants on tenofovir-(TFV)-disoproxil-fumarate (TDF)/emtricitabine (FTC)-containing regimens, we found no significant correlation between  ...[more]

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