Immune-based therapies: an adjunct to antiretroviral treatment.

被引:2
作者
Jacobson J.M. [1 ]
机构
[1] Beth Israel Medical Center, Albert Einstein College of Medicine, York, New10003, New York
关键词
Simian Immunodeficiency Virus; Keratinocyte Growth Factor; Simian Immunodeficiency Virus Infection; Recent Thymic Emigrant; General Immune Function;
D O I
10.1007/s11904-005-0024-4
中图分类号
学科分类号
摘要
Combination antiretroviral therapy potently suppresses HIV replication, but does not eradicate the infection. Drug resistance and long-term toxicities limit its use. The recovery of general immune function is often not complete. Immune-based therapies have the potential to boost HIV-specific immunity and reduce the need for antiretroviral drugs, and to promote general immune competence in situations in which antiretroviral treatment alone is inadequate. Strategies to reduce the immunopathogenic consequences of HIV infection with immunomodulating therapies are conceivable. Ultimately, eradication of the infection will require methods to target the latent memory T-cell reservoir of virus.
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页码:90 / 97
页数:7
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[1]  
Zhang L(1999)Quantifying residual HIV-1 replication in patients receiving combination antiretroviral therapy New Engl J Med 340 1605-1613
[2]  
Ramratnam B(2000)The decay of the latent reservoir of replication-competent HIV-1 is inversely correlated with the extent of residual viral replication during prolonged antiretroviral therapy Nat Med 6 82-85
[3]  
Tenner-Racz K(2003)In a subset of patients on highly active antiretroviral therapy, HIV type-1 RNA in plasma decays from 50 to less than five copies per milliliter, with a half-life of 6 months J Virol 77 2271-2275
[4]  
Ramratnam B(2003)Long-term follow-up studies confirm the stability of the latent reservoir for HIV-1 in resting CD4+ T cells Nat Med 9 727-728
[5]  
Mittler JE(2004)Treatment for adult HIV infection: 2004 recommendations of the International AIDS Society-USA panel JAMA 292 251-265
[6]  
Zhang L(2002)Addition of cyclophosphamide to antiretroviral therapy does not diminish the cellular reservoir in HIV-infected persons AIDS Res Hum Retroviruses 18 535-543
[7]  
Di Mascio M(2002)Intensification and stimulation therapy for HIV type-1 reservoirs in infected persons receiving virally suppressive highly active antiretroviral therapy J Infect Dis 186 1403-1411
[8]  
Dornadula G(2002)Effects of IL-2 plus highly active antiretroviral therapy on HIV-1 replication and proviral DNA (COSMIC trial) AIDS 16 1479-1487
[9]  
Zhang H(2000)Pre-HAART HIV burden approximates post-HAART viral levels following interruption of therapy in patients with sustained viral suppression AIDS 14 1357-1363
[10]  
Siliciano JD(2003)Nonpathogenic SIV infection of sooty mangabeys is characterized by limited bystander immunopathology despite chronic high-level viremia Immunity 18 441-452