Publications by authors named "Andrea Heisey"

Background.  Human immunodeficiency virus (HIV)-1 elite controllers (ECs) represent an ideal population to study the effects of HIV persistence on chronic inflammation in the absence of antiretroviral therapy (ART). Methods.

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Objectives: The objective of this study is to evaluate the impact of therapeutic HIV vaccination on the HIV reservoir and assess the relationship of the viral reservoir with HIV-specific immune status and viral rebound kinetics.

Design: A retrospective analysis of ACTG A5197, a randomized, placebo-controlled trial of a therapeutic rAd5 HIV-1 gag vaccine.

Methods: Participants received vaccine/placebo at weeks 0, 4 and 26 prior to a 16-week analytic treatment interruption (ATI) at week 38.

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Article Synopsis
  • The study investigates whether allogeneic hematopoietic stem cell transplantation (HSCT) can lead to long-term HIV-1 remission in two patients who had undetectable levels of the virus.
  • Both patients showed no detectable HIV-1 in their blood and rectal tissue for several weeks after stopping antiretroviral therapy, but eventually experienced a rebound of the virus with acute symptoms.
  • Findings suggest that while HSCT may decrease HIV reservoirs, persistent reservoirs can lead to viral rebound, indicating that further research is needed to understand the long-term effects and viability of HSCT for sustained HIV-1 remission.
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Objectives: To evaluate the relationship between incomplete antiretroviral therapy (ART) adherence and levels of residual HIV-1 viremia.

Design: Medication adherence and residual viremia less than 50 copies/ml were quantified in participants of a cohort of homeless and marginally housed individuals with HIV/AIDS.

Methods: Participants had at least 6 months of virologic suppression of less than 50 copies/ml and were in the adherence monitoring cohort with monthly unannounced pill counts.

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