复制能力强的艾滋病毒的恢复,尽管长时间抑制了血病毒病
J K Wong1, M Hezareh, H F Günthard
1Department of Medicine, University of California, San Diego, School of Medicine, 9500 Gilman Drive, La Jolla, CA 92093, USA.
概括
即使有有效的艾滋病毒治疗,潜伏病毒也可以从患者中分离出来. 这项研究在细胞中发现了活跃的病毒,尽管无法检测到血HIVRNA,这表明病毒储存存在.
科学领域:
- 病毒学 病毒学
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
背景情况:
- 目前人类免疫缺陷病毒 (HIV) 组合药物疗法旨在抑制病毒.
- 了解持久性病毒储库对于消除艾滋病毒至关重要.
- 潜伏的HIV储存库可以逃避当前的治疗策略.
研究的目的:
- 在接受组合药物治疗的患者中调查潜伏的HIV储存库的存在.
- 为了确定尽管长期抑制了血HIVRNA,但病毒的重新激活是否可能发生.
主要方法:
- 周围血液单核细胞 (PBMC) 从艾滋病毒患者和正常捐赠者中收集.
- 从PBMC中消耗了CD8细胞.
- 患者的CD4淋巴细胞通过对CD3和CD28.2的固定抗体被激活.
- 从PBMC中进行病毒隔离.
- 进行了HIV多基因的部分测序.
主要成果:
- 从六名血HIVRNA低于50拷贝/毫升的患者的PBMC中成功分离出HIV,长达2年.
- 对HIV多基因的部分测序没有显示出新的抗药性突变.
- 在测序的多基因片段中没有观察到可辨认的病毒进化.
结论:
- 这些发现提供了证据,证明存在持久的,潜伏的艾滋病毒储存库.
- 病毒延迟,而不是药物失效,解释了病毒从PBMCs中分离出来的原因.
- 这些潜伏的水库对彻底消灭艾滋病毒构成了挑战.
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