Patterns of plasma human immunodeficiency virus type 1 RNA response to highly active antiretroviral therapy in infected children.

Patterns of plasma human immunodeficiency virus type 1 RNA response to highly active antiretroviral therapy in infected children.
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受感染儿童血浆人类免疫缺陷病毒 1 型 RNA 对高效抗逆转录病毒治疗的反应模式。

DOI:
10.1086/317621
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发表时间:
2000
期刊:
The Journal of infectious diseases.
影响因子:
--
通讯作者:
Starr,SE
Starr,SE
中科院分区:
--
文献类型:
--
作者:
Spector,SA;Hsia,K;Yong,FH;Cabral,S;Fenton,T;Fletcher,CV;McNamara,J;Mofenson,LM;Starr,SE

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This study examined the rate of decline in plasma human immunodeficiency virus type 1 (HIV-1) RNA levels to <400 and <50 copies/mL in children receiving highly active antiretroviral therapy (HAART) consisting of efavirenz, nelfinavir, and 1 or 2 nucleoside reverse-transcriptase inhibitors. Children receiving HAART achieved a plasma HIV-1 RNA level <400 copies/mL by a median of 4 weeks after initiation of therapy and a decline to <50 copies/mL by 20 weeks. Baseline plasma HIV-1 RNA levels affected the likelihood of achieving potent and sustained virus suppression, and children whose CD4 lymphocyte counts increased >70 cells/µL by 20 weeks on therapy were more likely to achieve durable virological and immunological benefit. These data provide time frames for virus suppression after the initiation of HAART that should be useful in evaluating the potential efficacy and durability of response of newly instituted combination antiretroviral therapy in HIV-1—infected children.
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