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Updated: May 8, 2026

Chronic, Acute, and Reactivated HIV Infection in Humanized Immunodeficient Mouse Models
Published on: December 3, 2019
Distinct phases of immune system programming during ART-suppressed immunodeficiency virus infection
Maanasa Kaza1, Benjamin Varco-Merth2, G W McElfresh1
1Oregon National Primate Research Center, Oregon Health and Science University, Beaverton, OR, 97006, USA.
Chronic immune activation persists in people living with HIV (PLWH) even with suppressive antiretroviral therapy (ART). This study reveals biphasic immune changes during long-term ART, impacting specific tissues and cell types.
Area of Science:
- Immunology
- Virology
- Genomics
Background:
- People living with HIV (PLWH) on suppressive antiretroviral therapy (ART) experience non-AIDS complications due to chronic immune activation.
- Understanding immune perturbations during ART-suppressed infection is crucial for managing long-term health outcomes.
Purpose of the Study:
- To define immune system changes in rhesus macaques during long-term SIV infection and ART treatment.
- To identify specific tissues and cell populations exhibiting immune dysregulation.
Main Methods:
- Longitudinal single-cell transcriptomic analysis.
- Plasma proteomic analysis of SIV-infected rhesus macaques under ART for 70 weeks.
Main Results:
- Identified broad, bi-phasic immune changes, including an early interferon-driven signature that resolved with viral control.
- Observed blunted interferon response in gut-associated lymph nodes, potentially contributing to viral reservoir persistence.
- Detected later alterations (54-66 weeks post-infection) involving TGF-β and NF-κB signaling and inflammatory monocytes in bone marrow.
Conclusions:
- Long-term ART-suppressed HIV infection involves biphasic immune remodeling.
- Specific tissues and cell populations show persistent immune dysregulation, offering targets for future therapeutic interventions.
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