Clinical Infectious Diseases, Tor Vergata University, Rome, Italy.
J Clin Microbiol. 2010 Jul;48(7):2586-8. doi: 10.1128/JCM.02125-09. Epub 2010 May 19.
After interruption of highly active antiretroviral therapy, 15 out of 53 patients with the X4 HIV strain had a significantly larger decrease in CD4(+) T cell count (P = 0.001) and shorter length of treatment interruption (P = 0.02) than patients with the R5 strain. At treatment resumption, HIV inferred tropism switched from the X4 strain to the R5 variant in 9 patients (60%). These patients had a prolonged length of treatment interruption compared to that of those who still carried the X4 strain.
在中断高效抗逆转录病毒治疗后,53 名携带 X4 艾滋病毒株的患者中有 15 名的 CD4(+)T 细胞计数明显下降(P = 0.001),中断治疗的时间也更短(P = 0.02),而携带 R5 株的患者则没有。在恢复治疗时,9 名(60%)患者的 HIV 推断嗜性从 X4 株转变为 R5 变体。与仍携带 X4 株的患者相比,这些患者的治疗中断时间更长。