HIV-1 Persistence in Children during Suppressive ART

There is a growing number of perinatally HIV-1-infected children worldwide who must maintain life-long ART. In early life, HIV-1 infection is established in an immunologically inexperienced environment in which maternal ART and immune dynamics during pregnancy play a role in reservoir establishment....

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Main Authors: Mary Grace Katusiime, Gert U. Van Zyl, Mark F. Cotton, Mary F. Kearney
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/13/6/1134
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author Mary Grace Katusiime
Gert U. Van Zyl
Mark F. Cotton
Mary F. Kearney
author_facet Mary Grace Katusiime
Gert U. Van Zyl
Mark F. Cotton
Mary F. Kearney
author_sort Mary Grace Katusiime
collection DOAJ
description There is a growing number of perinatally HIV-1-infected children worldwide who must maintain life-long ART. In early life, HIV-1 infection is established in an immunologically inexperienced environment in which maternal ART and immune dynamics during pregnancy play a role in reservoir establishment. Children that initiated early antiretroviral therapy (ART) and maintained long-term suppression of viremia have smaller and less diverse HIV reservoirs than adults, although their proviral landscape during ART is reported to be similar to that of adults. The ability of these early infected cells to persist long-term through clonal expansion poses a major barrier to finding a cure. Furthermore, the effects of life-long HIV persistence and ART are yet to be understood, but growing evidence suggests that these individuals are at an increased risk for developing non-AIDS-related comorbidities, which underscores the need for an HIV cure.
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spelling doaj.art-cbacd829ed6446989be258ff24f0800c2023-11-21T23:53:21ZengMDPI AGViruses1999-49152021-06-01136113410.3390/v13061134HIV-1 Persistence in Children during Suppressive ARTMary Grace Katusiime0Gert U. Van Zyl1Mark F. Cotton2Mary F. Kearney3HIV Dynamics and Replication Program, CCR, National Cancer Institute, Frederick, MD 21702, USADivision of Medical Virology, Stellenbosch University and National Health Laboratory Service Tygerberg, Cape Town 8000, South AfricaDepartment of Pediatrics and Child Health, Tygerberg Children’s Hospital and Family Center for Research with Ubuntu, Stellenbosch University, Cape Town 7505, South AfricaHIV Dynamics and Replication Program, CCR, National Cancer Institute, Frederick, MD 21702, USAThere is a growing number of perinatally HIV-1-infected children worldwide who must maintain life-long ART. In early life, HIV-1 infection is established in an immunologically inexperienced environment in which maternal ART and immune dynamics during pregnancy play a role in reservoir establishment. Children that initiated early antiretroviral therapy (ART) and maintained long-term suppression of viremia have smaller and less diverse HIV reservoirs than adults, although their proviral landscape during ART is reported to be similar to that of adults. The ability of these early infected cells to persist long-term through clonal expansion poses a major barrier to finding a cure. Furthermore, the effects of life-long HIV persistence and ART are yet to be understood, but growing evidence suggests that these individuals are at an increased risk for developing non-AIDS-related comorbidities, which underscores the need for an HIV cure.https://www.mdpi.com/1999-4915/13/6/1134HIV-1 persistenceperinatal HIV-1HIV-1 reservoirschildrenlong-term ART
spellingShingle Mary Grace Katusiime
Gert U. Van Zyl
Mark F. Cotton
Mary F. Kearney
HIV-1 Persistence in Children during Suppressive ART
Viruses
HIV-1 persistence
perinatal HIV-1
HIV-1 reservoirs
children
long-term ART
title HIV-1 Persistence in Children during Suppressive ART
title_full HIV-1 Persistence in Children during Suppressive ART
title_fullStr HIV-1 Persistence in Children during Suppressive ART
title_full_unstemmed HIV-1 Persistence in Children during Suppressive ART
title_short HIV-1 Persistence in Children during Suppressive ART
title_sort hiv 1 persistence in children during suppressive art
topic HIV-1 persistence
perinatal HIV-1
HIV-1 reservoirs
children
long-term ART
url https://www.mdpi.com/1999-4915/13/6/1134
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