Effect of acyclovir on HIV-1 set point among herpes simplex virus type 2 seropositive persons during early HIV-1 infection

  • H. Nina Kim
  • , Jing Wang
  • , James Hughes
  • , Robert Coombs
  • , Jorge Sanchez
  • , Stewart Reid
  • , Sinead Delany-Moretlwe
  • , Frances Cowan
  • , Jonathan Fuchs
  • , Susan H. Eshleman
  • , Leila Khaki
  • , Moira A. McMahon
  • , Robert F. Siliciano
  • , Anna Wald
  • , Connie Celum

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

Abstract

We evaluated whether acyclovir suppression during human immunodeficiency virus type 1 (HIV-1) acquisition reduces HIV-1 set point, increases CD4 cell counts, and selects reverse- transcriptase mutations among 76 HIV-1 seroconverters identified in a placebo-controlled trial of twice-daily acyclovir (400 mg) for the prevention of HIV acquisition in herpes simplex virus type 2 (HSV-2)-seropositive persons(HIV Prevention Trials Network study 039). We found no significant difference in plasma HIV-1 RNA levels (Pp.30) or CD4 cell counts (Pp.85) between the acyclovir and placebo recipients. V75I and other mutations in HIV-1 reverse transcriptase reported from in vitro acyclovir studies were not observed. In conclusion, acyclovir suppression during HIV-1 seroconversion and the subsequent 6 months does not affect HIV-1 set point.
Original languageEnglish
Pages (from-to)734-738
Number of pages5
JournalJournal of Infectious Disease
Volume202
Issue number5
DOIs
Publication statusPublished - 1 Sept 2010
Externally publishedYes

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