Abstract

Background HIV-1 infection generates numerous abnormalities in the B cell population. The majority of these defects are reverted by antiretroviral therapy. Our aim was to evaluate the effects of re-exposure to HIV antigens on the frequency and functionality of antibody secreting cells (ASC) in patients undergoing structured treatment interruptions (STI). As re-exposure to viral antigens may also boost the production of (neutralizing) antibodies, we also assessed the neutralizing activities during STI cycles. Methods Retrospective study of 10 patients undergoing 3 cycles of STI with 2 weeks on and 4 weeks off HAART. ASC frequencies were determined by flow cytometry in samples obtained at the beginning and the end of STI. Neutralization capacity, total IgG concentration and anti-gp120-IgG titres were evaluated.

Highlights

  • HIV-1 infection generates numerous abnormalities in the B cell population

  • Our aim was to evaluate the effects of re-exposure to HIV antigens on the frequency and functionality of antibody secreting cells (ASC) in patients undergoing structured treatment interruptions (STI)

  • In one patient the neutralizing activity remained constant while the second patient showed elevated neutralizing Ab after first STI and once treatment was reinitiated after the 2nd STI

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Summary

Background

HIV-1 infection generates numerous abnormalities in the B cell population. The majority of these defects are reverted by antiretroviral therapy. Our aim was to evaluate the effects of re-exposure to HIV antigens on the frequency and functionality of antibody secreting cells (ASC) in patients undergoing structured treatment interruptions (STI). As re-exposure to viral antigens may boost the production of (neutralizing) antibodies, we assessed the neutralizing activities during STI cycles

Methods
Conclusion
Results
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