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Recovery of effective HIV-specific CD4+ T-cell activity following antiretroviral therapy in paediatric infection requires sustained suppression of viraemia.


ABSTRACT: BACKGROUND:The success of increasing access to antiretroviral therapy (ART) in paediatric HIV infection prompts the question of the potential for eradication of HIV infection in this age group. 'Shock-and-kill' HIV cure approaches, currently in development, may depend upon an effective antiviral T-cell response to eradicate virus-infected cells. METHOD:We here investigate the ability of HIV-infected children receiving ART from early childhood (median 24 months' age) to generate effective HIV-specific CD4 and CD8 T-cell immune responses that would facilitate future immune-based cure therapies. RESULTS:Initial analysis of ART-naive HIV-infected children demonstrated that maintenance of normal-for-age absolute CD4 T-cell counts was strongly linked to high IL-2 production and polyfunctional HIV-specific CD4 T-cell responses (P?

SUBMITTER: Adland E 

PROVIDER: S-EPMC6039399 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Recovery of effective HIV-specific CD4+ T-cell activity following antiretroviral therapy in paediatric infection requires sustained suppression of viraemia.

Adland Emily E   Mori Luisa L   Laker Leana L   Csala Anna A   Muenchhoff Maximilian M   Swordy Alice A   Mori Masa M   Matthews Philippa P   Tudor-Williams Gareth G   Jooste Pieter P   Goulder Philip P  

AIDS (London, England) 20180701 11


<h4>Background</h4>The success of increasing access to antiretroviral therapy (ART) in paediatric HIV infection prompts the question of the potential for eradication of HIV infection in this age group. 'Shock-and-kill' HIV cure approaches, currently in development, may depend upon an effective antiviral T-cell response to eradicate virus-infected cells.<h4>Method</h4>We here investigate the ability of HIV-infected children receiving ART from early childhood (median 24 months' age) to generate ef  ...[more]

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