Paper Details 
Original Abstract of the Article :
BACKGROUND: Immune recovery in people living with HIV (PLWHIV) is a residual aspect of antiretroviral treatment (ART) in most patients, but in a non-negligible proportion of them, the CD4+ lymphocytes count, or CD4/CD8 ratio remains suboptimal. METHODS: We performed a model of the immune response a...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917651/

データ提供:米国国立医学図書館(NLM)

Predicting the Effects of Dolutegravir Plus Lamivudine on Immune Responses in People Living with HIV

The field of HIV treatment is a vast desert of research, with scientists constantly searching for oases of new and effective therapies. This study, like a determined camel trekking through the sands, delves into the world of antiretroviral treatment (ART) and its impact on immune recovery in people living with HIV (PLWHIV). The researchers used a retrospective multicenter cohort to model the immune response after switching to a 2DR regimen with Dolutegravir (DTG) plus Lamivudine (3TC) in patients who had already achieved undetectable viral load. Their primary goal was to identify factors that predict successful immune response and identify potential obstacles. The study found that late HIV diagnosis, the stage of AIDS, and age over 50 years were significant predictors for immunological failure. Conversely, having a normalized immune status at the start of treatment was a positive predictor for success.

Understanding the Importance of Early HIV Diagnosis

This research highlights the critical importance of early HIV diagnosis. Similar to how a camel needs to find a reliable source of water in the vast desert, PLWHIV need early detection and treatment to ensure optimal immune recovery. The study shows that individuals diagnosed later in the disease progression may face more challenges in achieving robust immune recovery with DTG plus 3TC. This finding underscores the need for widespread access to HIV testing and early intervention programs.

Implications for Daily Life and Health

These findings have significant implications for PLWHIV and their healthcare providers. Understanding the factors that predict success or failure with DTG plus 3TC can help clinicians personalize treatment plans and optimize outcomes. For individuals living with HIV, it emphasizes the importance of early diagnosis and adherence to treatment regimens. The study also suggests that individuals over 50 years of age may require closer monitoring and potentially different treatment approaches.

Dr. Camel's Conclusion

This research, much like a camel's hump storing valuable energy for long journeys, holds valuable information about the effectiveness of DTG plus 3TC in individuals living with HIV. The researchers have successfully mapped out a key pathway in the desert of HIV research, providing clinicians with valuable insights to guide treatment decisions and improve outcomes for PLWHIV. This study further highlights the importance of early diagnosis and emphasizes that the path to achieving optimal immune recovery can be paved with knowledge and proactive care.

Date :
  1. Date Completed n.d.
  2. Date Revised 2023-02-14
Further Info :

Pubmed ID

36769822

DOI: Digital Object Identifier

PMC9917651

Related Literature

SNS
PICO Info
in preparation
Languages

English

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