Immunological changes during treatment interruptions: risk factors and clinical sequelae

被引:26
作者
Poulton, MB [1 ]
Sabin, CA
Fisher, M
机构
[1] Royal Sussex Cty Hosp, Brighton Hlth Care NHS Trust, Brighton BN2 5BE, E Sussex, England
[2] UCL Royal Free & Univ Coll, Sch Med, Dept Primary Care & Populat Sci, London NW3 2PF, England
关键词
D O I
10.1097/00002030-200301030-00019
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
This study highlights risk factors for CD4 cell losses and clinical consequences of antiretroviral treatment interruptions. The largest decreases in CD4 cell counts occur in patients with lower nadir CD4 cell counts or more advanced disease. Falls are greater in those with higher rates of CD4 cell loss before highly active antiretroviral therapy, and are associated with a significant increase in clinical/AIDS events during treatment interruption. Caution is therefore advised when considering treatment interruption in those with advanced disease.
引用
收藏
页码:126 / 128
页数:3
相关论文
共 7 条
[1]   Virologic and immunologic consequences of discontinuing combination antiretroviral-drug therapy in HIV-infected patients with detectable viremia. [J].
Deeks, SG ;
Wrin, T ;
Liegler, T ;
Hoh, R ;
Hayden, M ;
Barbour, JD ;
Hellmann, NS ;
Petropoulos, CJ ;
McCune, JM ;
Hellerstein, MK ;
Grant, RM .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (07) :472-480
[2]   The virological and immunological consequences of structured treatment interruptions in chronic HIV-1 infection [J].
García, F ;
Plana, M ;
Ortiz, GM ;
Bonhoeffer, S ;
Soriano, A ;
Vidal, C ;
Cruceta, A ;
Arnedo, M ;
Gil, C ;
Pantaleo, G ;
Pumarola, T ;
Gallart, T ;
Nixon, DF ;
Miró, JM ;
Gatell, JM .
AIDS, 2001, 15 (09) :F29-F40
[3]   Virological and immunological effects of treatment interruptions in HIV-1 infected patients with treatment failure [J].
Miller, V ;
Sabin, C ;
Hertogs, K ;
Bloor, S ;
Martinez-Picado, J ;
D'Aquila, R ;
Larder, B ;
Lutz, T ;
Gute, P ;
Weidmann, E ;
Rabenau, H ;
Phillips, A ;
Staszewski, S .
AIDS, 2000, 14 (18) :2857-2867
[4]   Reasons for modification and discontinuation of antiretrovirals: results from a single treatment centre [J].
Mocroft, A ;
Youle, M ;
Moore, A ;
Sabin, CA ;
Madge, S ;
Lepri, AC ;
Tyrer, M ;
Chaloner, C ;
Wilson, D ;
Loveday, C ;
Johnson, MA ;
Phillips, AN .
AIDS, 2001, 15 (02) :185-194
[5]  
SABIN C, 2001, 8 C RETR OPP INF CHI
[6]   Impact of occasional short interruptions of HAART on the progression of HIV infection:: results from a cohort study [J].
Taffé, P ;
Rickenbach, M ;
Hirschel, B ;
Opravil, M ;
Furrer, H ;
Janin, P ;
Bugnon, F ;
Ledergerber, B ;
Wagels, T ;
Sudre, P .
AIDS, 2002, 16 (05) :747-755
[7]   Changes in CD4 lymphocyte counts after interruption of therapy in patients with viral failure on protease inhibitor-containing regimens [J].
Youle, M ;
Janossy, G ;
Turnbull, W ;
Tilling, R ;
Loveday, C ;
Mocroft, A ;
Tyrer, M ;
Madge, S ;
Wilson, D ;
Dykhoff, A ;
Johnson, M ;
Phillips, AN .
AIDS, 2000, 14 (12) :1717-1720