Method for measurement of the size of the HIV cell reservoir and for its determination in patients who are not experienced with ART


DOI: https://dx.doi.org/10.18565/epidem.2021.11.4.66-72

Kvasov N.A., Polyakova A.K., Lopatukhin A.E., Murzakova A.V., Shemshura A.B., Kireev D.E.

1) Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; 2) Cinical Center for AIDS Prevention and Control, Ministry of Health of the Krasnodar Territory, Krasnodar, Russia
Objective. To develop a method for measurement of the size of the reservoir for its determination in HIV-infected individuals who are not experienced with ART and to analyze its relationship to viral load (VL), duration of infection, and immune status.
Materials and methods. Examinations were made in 268 HIV-infected patients with no ART experience with known dates of infection. At the time of blood sampling, VL and the immune status index were determined in patients. DNA was isolated from peripheral blood mononuclear cells (PBMC) and quantified by real-time PCR. The size of the reservoir was calculated as the number of copies of the proviral DNA to the total number of cells. Results are expressed as log10 copies/106 PBMC.
Results. HIV DNA concentration ranged from 0.04 to 3.84 log10 HIV DNA copies/106 PBMC (median 2.22, interquartile range 1.74–2.72 log10 HIV DNA copies/106 PBMC). The teservoir size correlated with VL (r = 0.526; p < 0.01), immune status (r = -0.189; p < 0.05) and duration of infection (r = -0.282; p < 0.01).
Conclusion. The concentration of HIV DNA as a marker of the size of the viral reservoir provides additional information about the course of the disease. It can be recommended to use this indicator in conjunction with VL and immune status for early infections.

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About the Autors


Nikita A. Kvasov, Junior Researcher, Central Research Institute of Epidemiology, Federal Center of Hygiene and Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being,Moscow, Russia; kvasov.bio@gmail.com; https://orcid.org/0000-0001-7153-8615
Angelina K. Polyakova, Junior Researcher, Central Research Institute of Epidemiology, Federal Center of Hygiene and Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; angelina.polya@gmail.com; https://orcid.org/0000-0001-8763-2331
Alexey E. Lopatukhin, Researcher, Central Research Institute of Epidemiology, Federal Center of Hygiene and Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being,Moscow, Russia; a.lopatukhin@gmail.com; https://orcid.org/0000-0002-2826-699X
Anastasia V. Murzakova, Researcher, Central Research Institute of Epidemiology, Federal Center of Hygiene and Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being; Moscow, Russia; murzakova_a.v@mail.ru; https://orcid.org/0000-0002-1390-8021
Andrey B. Shemshura, Cand. Med. Sci., Clinical Laboratory Diagnostician, Clinical Centre for AIDS Control, Ministry of Health of the Krasnodar Region, Krasnodar, Russia; shemsh@mail.ru; https://orcid.org/0000-0003-1637-4229
Dmitry E. Kireev, Cand. Biol. Sci., Head, Researcher Group, Central Research Institute of Epidemiology, Federal Center of Hygiene and Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; dmitkireev@yandex.ru; https://orcid.org/0000-0002-7896-2379


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