• Title/Summary/Keyword: LTNP

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Biological Characterization of HIV-1 Isolates from Long-term non-progressors (LTNP) and Rapid Progressors (RP) in Korea

  • Nam, Jeong-Gu;Kang, Chun;Lee, Sung-Rae;Lee, Joo-Shil
    • The Journal of Korean Society of Virology
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    • v.28 no.4
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    • pp.347-358
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    • 1998
  • To analyze the correlation between biological phenotypes of HIV-1 isolates and disease progression, we selected 9 long-term non-progressors (LTNP) and 12 rapid progressors (RP) from HIV-1 infected Korean. We isolated HIV-1 isolates by culture of PBMC of LTNP and RP with normal PBMC and measured HIV-1 p24 antigen production. The HIV-1 isolation rate from LTNP was 55.6% (5/9). And 4 HIV-1 LTNP isolates were non-syncytium inducing (NSI) phenotype and showed slow/low replication. The HIV-1 isolation rate from RP was 91.7% (11/12) which was higher than that from LTNP. Besides 3 RP HIV-1 isolates which showed syncytium inducing (SI) phenotype, 8 RP HIV-1 isolates showed NSI phenotype in normal PBMC and MT-2 cell line. All RP HIV-1 isolates replicated more rapidly than LTNP HIV-1 isolates. Comparing the replication kinetics and syncytium forming capacity of HIV-1 isolates from LTNP and RP, we suggest that the difference of biological phenotype of HIV-1 isolates could be related with disease progression of HIV-1 infected persons.

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Treatment to induce long-term non-progressor with constant drug dosage (일정한 약물 투여를 통한 HIV 환자의 long-term non-progressor 전환 치료)

  • Kim, Jin-Young;Kim, Won-Hee;Ko, Ji-Hyun;Chung, Chung-Choo
    • Proceedings of the KIEE Conference
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    • 2004.07d
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    • pp.2233-2235
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    • 2004
  • This paper presents a therapy that uses a constant drug dosage for leading a HIV patient to a LTNP (Long-Tenn Non-Progressor). From analysis of CTLp (Cytotoxic T Lymphocyte precursor) concentration at equilibrium point and bifurcation of equilibrium points, we found the therapy with a drug whose efficacy is less than one brings higher CTLp concentration at the equilibrium point. From this fact, we propose a treatment with constant drug dosage. which can induce LTNP.

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Treatment for HIV-Infected Patients to Induce Long-Term Non-Progressor with Constant Drug Dosage (일정한 약물 투여를 통한 HIV 감염자의 long-term Non-Progressor 전환 치료)

  • Kim Jinyoung;Kim Won Hee;Ko Ji Hyun;Chung Han Byul;Chung Chung Choo
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.54 no.4
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    • pp.259-266
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    • 2005
  • This paper presents a therapy that uses a constant drug dosage for leading HIV-infected patient to LTNP (Long-Term Non-Progressor). Based on analysis of CTLp (Cytotoxic T Lymphocyte precursor) concentration at equilibrium point and its bifurcation, we found the therapy with a drug whose efficacy is less than a certain level brings higher CTLp concentration at the equilibrium point. We observed a treatment with constant drug dosage whose efficacy is less than full treatment may lead HIV-infected patient to LTNP. It turns out that the treatment whose efficacy is less than full treatment is better in the point of performance on controllability.

Analysis of Treatment for HIV infected Patients Considering CD4 T Cell Count in STI (HIV 감염자를 치료하기 위한 CD4 T 세포가 고려된 STI 기법의 성능 분석)

  • Park, Ki-Yeon;Chung, Han-Byul;Chung, Chung-Choo
    • Proceedings of the KIEE Conference
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    • 2005.07d
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    • pp.2699-2701
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    • 2005
  • 최근에 인상적으로 건강한 CD4 T 세포의 수치를 기준으로 약물의 투여 여부를 결정하는 STI 치료 기법이 제안되었다. 본 논문에서는 수학적 생물학 관점에서 이 치료 방법의 유효성을 알아보고, 환자의 면역 시스템을 분석한다. CD4 T 세포의 수치가 고려된 STI 기법은 기존에 제시된 STI 방법과 비교하여 치료기간과 약물 투여량을 각각 감소시켰고, 환자를 LTNP의 상태로 치료하였다. 또한, CD4 T 세포의 수치를 기준으로 약물 투여 여부를 결정하는 방법이 CTLp의 수치를 증가시키는 것과도 관련이 있음을 확인하였다.

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An HIV model with CTL and drug-resistant mutants, and optimal drug scheduling (CTL과 바이러스 변이를 고려한 HIV 모형과 최적 제어를 이용한 약물 투여 전략)

  • Lee, J.H.;Yoon, T.W.
    • Proceedings of the IEEK Conference
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    • 2009.05a
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    • pp.135-137
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    • 2009
  • Mathematical models for describing the Human Immunodeficiency Virus(HIV) infection can be devised to better understand how the HIV causes Acquired Immune Deficiency Syndrome(AIDS). The HIV models can then be used to find clues to curing AIDS from a control theoretical point of view. Some models take Cytotoxic T Lymphocytes(CTL) response to HIV infection into account, and others consider mutants against the drugs. However, to the best of our knowledge, there has been no model developed, which describes CTL response and mutant HIV together. Hence we propose a unified model to consider both of these. On the basis of the resulting model, we also present a Model Predictive Control(MPC) scheme to find an optimal treatment strategy. The optimization is performed under the assumption that the Structured Treatment Interruption(STI) policy is employed.

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Complete Sequences of HIV-1 in a Korean Long-term Nonprogressor with HIV-1 Infection (장기간 진행하지 않는 인면역결핍바이러스(Human Immunodeficiency Virus, HIV)-1 감염자로부터 분리한 HIV-1의 전체 염기서열 결정)

  • Cho, Young-Keol;Lee, Hee-Jung;Desrosiers, Ronald C.
    • The Journal of Korean Society of Virology
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    • v.29 no.2
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    • pp.107-118
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    • 1999
  • To characterize the molecular nature of human immunodeficiency virus (HIV)-1, we determined the full-length HIV-1 sequences from cultured peripheral blood mononuclear cells (PBMC) of a Korean long-term nonprogressor (LTNP). Without antiretroviral therapy, the individual has maintained CD4+ T counts over $500/{\mu}l$ from 1989 to 1999. Plasma viral RNA copy was 992 U/ml in 1998. Culture supernatant showed positive from culture days 9. A series of 9 overlapping PCR products were amplified from cultured PBMC and cloned About 9.2 kb from R of 5' LTR to R of 3' LTR was determined by automated sequencing. The G-to-A hypermutations were shown throughout the entire region. As a result of G to A hypermutations, premature stop codon was found in integrase coding region. Though there was no recombination between subtypes over all genomes, TATA box in both LTRs was TAAAA which is detected in subtype E instead of TATAA in subtype B. And, there were nucleotide GC insertion between $NF-{\kappa}B$ I and Sp1 III, and duplication of $TCF-1{\alpha}$ in LTR. We could not find any deletion of amino acid in Nef, Gag, Pol and Env gene. This study is the first report on molecular nature of full genomes of HIV-1 isolated in Korea.

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High Frequencies of the CCR2b-64I and SDF1-3'A Mutations with HIV Infection in Koreans

  • Choi, Byeong-Sun;Cha, Seung-Hun;Kim, Sung Soon;Park, Yong-Keun;Lee, Joo-Shil
    • IMMUNE NETWORK
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    • v.2 no.2
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    • pp.86-90
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    • 2002
  • Background: Host genetic polymorphisms in the HIV-1 co-receptor CCR5 and CCR2b and SDF-1, ligand for co-receptor CXCR4, have been known to be associated with the resistance of HIV infection and/or the delayed disease progression in HIV-infected patients. Methods: We examined the frequencies of SDF1-3'A and CCR2b-64I alleles of 354 Koreans including 100 HIV-uninfected persons, 13 discordant spouses of HIV-infected persons, and 241 HIV-infected persons. The genotyping assays of SDF1 and CCR2b genes were carried out by polymerase chain reaction-restriction fragment length polymorphism. Results: The frequencies of CCR2b-64I and SDF1-3'A alleles in Koreans were very high compared with Caucasians and blacks. Observed frequencies of CCR2b-64I and SDF1-3'A allelic variants were 25.1% and 28.7%, respectively. The frequency of the CCR2b-64I allele in Koreans was 2~4 times higher than those of other ethnic groups with the exception of Asian. The frequencies of CCR2b-64I and SDF1-3'A genotypes did not show the significant difference between HIV-infected and uninfected Koreans. However, the prevalence of CCR2b-64I genotype of the LTNP group was about two times higher than that of the remainder group (P< 0.05). Four (45%) out of 9 LTNPs (long-term nonprogressors) showed having the SDF1-3'A allele and 7 (78%) out of 9 LTNPs carried the CCR2b-64I allele. 3 (33%) out of 9 LTNPs had both SDF1-3'A and CCR2b-64I alleles. But none of 5 RPs (rapid progressors) appeared to have both SDF1-3'A and CCR2b-64I alleles. Conclusion: The different genetic backgrounds in study populations may affect the disease progression and the AIDS epidemic in each country. Further studies need to define whether high frequencies of CCR2b-64I and SDF1-3'A allelic variants may affect the HIV disease progression.