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Review article| Volume 22, ISSUE 3, P651-680, September 2002

HIV-1 reservoirs

      In most infected individuals, HIV-1 replicates high levels throughout the duration of infection, including the clinically quiescent phase of disease. The level of this active viral replication correlates directly with disease progression and survival [
      • Ho D.D.
      • Neumann A.U.
      • Perelson A.S.
      • Chen W.
      • Leonard J.M.
      • Markowitz M.
      Rapid turnover of plasma virions and CD4 lymphocytes in HIV-1 infection.
      ,
      • Mellors J.
      • Rinaldo C.
      • Gupta P.
      • White R.M.
      • Todd J.A.
      • Kingsley L.A.
      Prognosis in HIV infection predicted by the quantity of virus in plasma.
      ,
      • Piatak M.
      • Saag M.S.
      • Yang L.C.
      • Clar S.J.
      • Kappes J.C.
      • Luk K.C.
      • et al.
      High levels of HIV-1 in plasma during all stages of infection determined by competitive PCR.
      ]. The advent of combination therapeutics for HIV-1 (ie, highly active antiretroviral therapy [HAART]) has led to dramatic reductions in viral replication in vivo and morbidity and mortality, at least in the developed world [
      • Gulick R.M.
      • Mellors J.W.
      • Havlir D.
      • Eron J.J.
      • Gonzalez C.
      • McMahon D.
      • et al.
      Treatment with indinavir, zidovudine, and lamivudine in adults with human immunodeficiency virus infection and prior antiretroviral therapy.
      ,
      • Pallela Jr., F.J.
      • Delaney K.M.
      • Moorman A.C.
      • et al.
      Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. HIV Outpatient Study Investigators.
      ,
      • Hammer S.M.
      • Squires K.E.
      • Hughes M.D.
      • Grimes J.M.
      • Demeter L.M.
      • Currier J.S.
      • et al.
      A controlled trial of two nucleoside analogous plus indinavir in persons with human immunodeficiency virus infection and CD4 cell counts of 200 per cubic millimeter or less. AIDS Clin. Trial Grp. 320 Study Team.
      ].
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      Further reading

        • Aleman S.
        • Visco-Comandini U.
        • Lore K.
        • Sonnerborg A.
        Long-term, effects of antiretroviral combination therapy on HIV type I DNA levels.
        AIDS Res Hum Retroviruses. 2000; 15: 1249-1254
      1. Altfeld M, Rosenberger ES, Eldridge RL, Poon S, Mukherjee JS, Phillips M, et al. Increase in breadth and frequency of CTL responses following structured therapy interruptions in individuals treated with HAART during acute HIV-1 infection [abstract 357]. Presented at the 7th Conference on Retroviruses and Opportunistic Infections. San Francisco, January 30–February 2, 2000.

      2. Altfeld M, Rosenberg ES, Mukhergee J, Eldridge RL, Poon SH, Phillips MN, et al. Enhancement of HIV-1 specific CTL responses during structured treatment interruptions (STI) following treated acute HIV-1-infection is associated with control of HIV-1 viremia [abstract ThOrB750]. Presented at the XIII International Conference on AIDS. Durban, South Africa, July 9–14, 2000.

        • Berger E.A.
        • Moss B.
        • Pastan L.
        Reconsidering targeted toxins to eliminate HIV infection: You gotta have HAART.
        Proc Natl Acad Sci USA. 1998; 95: 11511-11513
        • Binley J.M.
        • Schiller D.S.
        • Ortiz G.M.
        • Hurley A.
        • Nixon D.F.
        • Markowitz M.M.
        • et al.
        The relationship between T cell proliferative responses and plasma viremia during treatment of human immunodeficiency virus type 1 infection with combination antiretroviral therapy.
        J Infect Dis. 2000; 181: 1249-1263
      3. Brodier SJ, Berrey MM, Patterson BK, Zhu T, Diem K, Wood BL, et al. Comparison of cell-associated HIV-1 DNA and RNA in triple-drug-treated versus untreated persons with primary HIV-1: evidence for persistent viral reservoirs [abstract 561]. Presented at the 7th Conference on Retroviruses and Opportunistic Infections. San Francisco, January 30–February 2, 2000.

        • Brooks D.G.
        • Kitchen S.G.
        • Kitchen C.M.R.
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        • Campbell T.B.
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        Changes in human immunodeficiency virus type 1 virus load during mobilization and harvesting of hemopoietic progenitor cells.
        Blood. 2000; 95: 48-55
      4. Capobianchi MR, Abbate L, Dianzani F, Turriziani O, Antonelli G, D'Offizi G, et al. Host cell-derived differentiation, activation and co-stimulatory/adhesion molecules acquired by circulating HIV-1: longitudinal analysis in patients undergoing controlled therapy interruption [abstract ThOrB749]. Presented at the XIII International Conference on AIDS. Durban, South Africa, July 9–14, 2000.

      5. Carcelain G, Tubiana R, Mollet L, Samri A, Calvez V, Delaugerre C, et al. Intermittent interruptions of antiretroviral therapy in chronically HIV-1 infected patients do not induce immune control of HIV [abstract 356]. Presented at the 7th Conference on Retroviruses and Opportunistic Infections. San Francisco, January 30–February 2, 2000.

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