HIV-1 DNA predicts disease progression and post-treatment virological control
James P Williams, Jacob Hurst, Wolfgang Stöhr, Nicola Robinson, Helen Brown, Martin Fisher, Sabine Kinloch, David Cooper, Mauro Schechter, Giuseppe Tambussi, Sarah Fidler, Mary Carrington, Abdel Babiker, Jonathan Weber, Kersten K Koelsch, Anthony D Kelleher, Rodney E Phillips, John Frater, SPARTACTrial Investigators, A Breckenridge, P Clayden, C Conlon, F Conradie, J Kaldor, F Maggiolo, F Ssali, D A Cooper, P Kaleebu, G Ramjee, M Schechter, G Tambussi, J M Miro, J Weber, S Fidler, A Babiker, T Peto, A McLaren, V Beral, G Chene, J Hakim, A Babiker, K Porter, M Thomason, F Ewings, M Gabriel, D Johnson, K Thompson, A Cursley, K Donegan, E Fossey, P Kelleher, K Lee, B Murphy, D Nock, R Phillips, J Frater, L Ohm Laursen, N Robinson, P Goulder, H Brown, M McClure, D Bonsall, O Erlwein, A Helander, S Kaye, M Robinson, L Cook, G Adcock, P Ahmed, N Paton, S Fidler, A Kelleher, R Moore, R McFarlane, N Roth, R Finlayson, B Kiem Tee, T Read, M Kelly, N Doong, M Bloch, C Workman, P Grey, D A Cooper, A Kelleher, M Law, M Schechter, P Gama, M Mercon, M Barbosa de Souza, C Beppu Yoshida, J R Grangeiro da Silva, A Sampaio Amaral, D Fernandes de Aguiar, M de Fatima Melo, R Quaresma Garrido, G Tambussi, S Nozza, M Pogliaghi, S Chiappetta, L Della Torre, E Gasparotto, G DOffizi, C Vlassi, A Corpolongo, R Wood, J Pitt, C Orrell, F Cilliers, R Croxford, K Middelkoop, L G Bekker, C Heiberg, J Aploon, N Killa, E Fielder, T Buhler, H Rees, F Venter, T Palanee, W Stevens, C Ingram, M Majam, M Papathanasopoulos, G Ramjee, S Gappoo, J Moodley, A Premrajh, L Zako, H Grosskurth, A Kamali, P Kaleebu, U Bahemuka, J Mugisha, H F Njaj, J M Miro, M Lopez-Dieguez, C Manzardo, J A Arnaiz, T Pumarola, M Plana, M Tuset, M C Ligero, M T Garca, T Gallart, J M Gatell, M Fisher, K Hobbs, N Perry, D Pao, D Maitland, L Heald, F Mulcahy, G Courtney, S ODea, D Reidy, C Leen, G Scott, L Ellis, S Morris, P Simmonds, B Gazzard, D Hawkins, C Higgs, J Anderson, S Mguni, I Williams, N De Esteban, P Pellegrino, A Arenas-Pinto, D Cornforth, J Turner, J Ainsworth, A Waters, M Johnson, S Kinloch, A Carroll, P Byrne, Z Cuthbertson, C Orkin, J Hand, C De Souza, J Weber, S Fidler, E Hamlyn, E Thomson, J Fox, K Legg, S Mullaney, A Winston, S Wilson, P Ambrose, S Taylor, G Gilleran, S Keeling, A Becker, C Boocock, James P Williams, Jacob Hurst, Wolfgang Stöhr, Nicola Robinson, Helen Brown, Martin Fisher, Sabine Kinloch, David Cooper, Mauro Schechter, Giuseppe Tambussi, Sarah Fidler, Mary Carrington, Abdel Babiker, Jonathan Weber, Kersten K Koelsch, Anthony D Kelleher, Rodney E Phillips, John Frater, SPARTACTrial Investigators, A Breckenridge, P Clayden, C Conlon, F Conradie, J Kaldor, F Maggiolo, F Ssali, D A Cooper, P Kaleebu, G Ramjee, M Schechter, G Tambussi, J M Miro, J Weber, S Fidler, A Babiker, T Peto, A McLaren, V Beral, G Chene, J Hakim, A Babiker, K Porter, M Thomason, F Ewings, M Gabriel, D Johnson, K Thompson, A Cursley, K Donegan, E Fossey, P Kelleher, K Lee, B Murphy, D Nock, R Phillips, J Frater, L Ohm Laursen, N Robinson, P Goulder, H Brown, M McClure, D Bonsall, O Erlwein, A Helander, S Kaye, M Robinson, L Cook, G Adcock, P Ahmed, N Paton, S Fidler, A Kelleher, R Moore, R McFarlane, N Roth, R Finlayson, B Kiem Tee, T Read, M Kelly, N Doong, M Bloch, C Workman, P Grey, D A Cooper, A Kelleher, M Law, M Schechter, P Gama, M Mercon, M Barbosa de Souza, C Beppu Yoshida, J R Grangeiro da Silva, A Sampaio Amaral, D Fernandes de Aguiar, M de Fatima Melo, R Quaresma Garrido, G Tambussi, S Nozza, M Pogliaghi, S Chiappetta, L Della Torre, E Gasparotto, G DOffizi, C Vlassi, A Corpolongo, R Wood, J Pitt, C Orrell, F Cilliers, R Croxford, K Middelkoop, L G Bekker, C Heiberg, J Aploon, N Killa, E Fielder, T Buhler, H Rees, F Venter, T Palanee, W Stevens, C Ingram, M Majam, M Papathanasopoulos, G Ramjee, S Gappoo, J Moodley, A Premrajh, L Zako, H Grosskurth, A Kamali, P Kaleebu, U Bahemuka, J Mugisha, H F Njaj, J M Miro, M Lopez-Dieguez, C Manzardo, J A Arnaiz, T Pumarola, M Plana, M Tuset, M C Ligero, M T Garca, T Gallart, J M Gatell, M Fisher, K Hobbs, N Perry, D Pao, D Maitland, L Heald, F Mulcahy, G Courtney, S ODea, D Reidy, C Leen, G Scott, L Ellis, S Morris, P Simmonds, B Gazzard, D Hawkins, C Higgs, J Anderson, S Mguni, I Williams, N De Esteban, P Pellegrino, A Arenas-Pinto, D Cornforth, J Turner, J Ainsworth, A Waters, M Johnson, S Kinloch, A Carroll, P Byrne, Z Cuthbertson, C Orkin, J Hand, C De Souza, J Weber, S Fidler, E Hamlyn, E Thomson, J Fox, K Legg, S Mullaney, A Winston, S Wilson, P Ambrose, S Taylor, G Gilleran, S Keeling, A Becker, C Boocock
Abstract
In HIV-1 infection, a population of latently infected cells facilitates viral persistence despite antiretroviral therapy (ART). With the aim of identifying individuals in whom ART might induce a period of viraemic control on stopping therapy, we hypothesised that quantification of the pool of latently infected cells in primary HIV-1 infection (PHI) would predict clinical progression and viral replication following ART. We measured HIV-1 DNA in a highly characterised randomised population of individuals with PHI. We explored associations between HIV-1 DNA and immunological and virological markers of clinical progression, including viral rebound in those interrupting therapy. In multivariable analyses, HIV-1 DNA was more predictive of disease progression than plasma viral load and, at treatment interruption, predicted time to plasma virus rebound. HIV-1 DNA may help identify individuals who could safely interrupt ART in future HIV-1 eradication trials.
Keywords: HIV-1; antiretroviral therapy; cure; human; human biology; infectious disease; medicine; microbiology; primary infection; reservoir.
Conflict of interest statement
The authors declare that no competing interests exist.
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References
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