Document Detail


The clinical benefits of tenofovir for simian immunodeficiency virus-infected macaques are larger than predicted by its effects on standard viral and immunologic parameters.
MedLine Citation:
PMID:  15220696     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Previous studies have demonstrated that tenofovir (9-[2-(phosphonomethoxy)propyl]adenine; PMPA) treatment is usually very effective in suppressing viremia in macaques infected with simian immunodeficiency virus (SIV). The present study focuses on a subset of infant macaques that were chronically infected with highly virulent SIVmac251, and for which prolonged tenofovir treatment failed to significantly suppress viral RNA levels in plasma despite the presence of tenofovirsusceptible virus at the onset of therapy. While untreated animals with similarly high viremia developed fatal immunodeficiency within 3-6 months, these tenofovir-treated animals had significantly improved survival (up to 3.5 years). This clinical benefit occurred even in animals for which tenofovir had little or no effect on CD4 and CD8 lymphocyte counts and antibody responses to SIV and test antigens. Thus, the clinical benefits of tenofovir were larger than predicted by plasma viral RNA levels and other routine laboratory parameters.
Authors:
Koen K A Van Rompay; Raman P Singh; Laurie L Brignolo; Jonathan R Lawson; Kimberli A Schmidt; Bapi Pahar; Don R Canfield; Ross P Tarara; Donald L Sodora; Norbert Bischofberger; Marta L Marthas
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of acquired immune deficiency syndromes (1999)     Volume:  36     ISSN:  1525-4135     ISO Abbreviation:  J. Acquir. Immune Defic. Syndr.     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-06-28     Completed Date:  2005-09-28     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  100892005     Medline TA:  J Acquir Immune Defic Syndr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  900-14     Citation Subset:  IM; X    
Affiliation:
The California National Primate Research Center, Davis, 95616, USA. kkvanrompay@ucdavis.edu
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MeSH Terms
Descriptor/Qualifier:
Adenine / administration & dosage,  analogs & derivatives*,  therapeutic use
Animals
Animals, Newborn
Anti-HIV Agents / administration & dosage,  therapeutic use*
Antibodies, Viral / blood
CD4-Positive T-Lymphocytes / immunology
CD8-Positive T-Lymphocytes / immunology
Chronic Disease
Drug Evaluation, Preclinical
Female
Injections, Subcutaneous
Lymphocyte Count
Macaca mulatta
Male
Phosphonic Acids / administration & dosage,  therapeutic use*
Simian Acquired Immunodeficiency Syndrome / blood,  drug therapy*,  immunology,  virology
Simian immunodeficiency virus* / immunology
Survival Analysis
Viral Load
Grant Support
ID/Acronym/Agency:
DE12926/DE/NIDCR NIH HHS; R01 AI46320-01/AI/NIAID NIH HHS
Chemical
Reg. No./Substance:
0/Anti-HIV Agents; 0/Antibodies, Viral; 0/Phosphonic Acids; 107021-12-5/tenofovir; 73-24-5/Adenine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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