Two Distinct Mechanisms Leading to Loss of Virological Control in the Rare Group of Antiretroviral Therapy-Naive, Transiently Aviremic Children Living with HIV

Author:

Vieira Vinicius A.1ORCID,Adland Emily1,Grayson Nicholas E.1,Csala Anna1,Richards Fa’eeda2,Dacon Cherrelle3,Athavale Rohin1,Tsai Ming-Han1,D’Souza Reena1,Muenchhoff Maximilian45,Bonsall David67ORCID,Jooste Pieter2,Goulder Philip J. R.18

Affiliation:

1. Department of Paediatrics, University of Oxford, Oxford, United Kingdom

2. Department of Paediatrics, Kimberley Hospital, Kimberley, South Africa

3. Antibody Biology Unit, Laboratory of Immunogenetics, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Maryland, USA

4. Max von Pettenkofer Institute & Gene Center, Virology, National Reference Center for Retroviruses, LMU München, Munich, Germany

5. German Center for Infection Research, Munich, Germany

6. Big Data Institute, Li Ka Shing Centre for Health Information and Discovery, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom

7. Wellcome Centre for Human Genetics, University of Oxford, Oxford, United Kingdom

8. HIV Pathogenesis Programme, Doris Duke Medical Research Institute, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa

Abstract

Very early initiation of antiretroviral therapy (ART) in pediatric HIV infection offers a unique opportunity to limit the size and diversity of the viral reservoir. However, only rarely is ART alone sufficient to achieve remission.

Funder

HHS | National Institutes of Health

Wellcome

Publisher

American Society for Microbiology

Subject

Virology,Insect Science,Immunology,Microbiology

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