Beneficial Effect of TRAIL on HIV Burden, without Detectable Immune Consequences
2008

Effect of TRAIL on HIV Burden

Sample size: 6 publication Evidence: moderate

Author Information

Author(s): Shepard Brett D., De Forni Davide, McNamara David R., Foli Andrea, Rizza Stacey A., Abraham Roshini S., Knutson Keith, Wettstein Peter J., Lori Franco, Badley Andrew D.

Primary Institution: Mayo Clinic, Rochester, Minnesota, United States of America

Hypothesis

All cells that contain virus, including those productively- and latently-infected, have necessarily been 'primed' by gp120 and remain TRAIL-sensitive.

Conclusion

TRAIL treatment may be an important adjunct to antiretroviral therapy, even in patients with suppressed viral replication.

Supporting Evidence

  • TRAIL treatment reduced viral burden in lymphocytes from HIV-infected patients.
  • TRAIL did not alter the cytokine milieu of treated cells.
  • TRAIL treatment had no adverse effect on immune cell quantity or function.

Takeaway

This study found that a treatment called TRAIL can help reduce the amount of HIV in the body without harming healthy immune cells.

Methodology

The study evaluated the effects of TRAIL on peripheral blood lymphocytes from HIV-infected patients with suppressed viral replication using various assays.

Limitations

The study does not address the long-term effects of TRAIL treatment or its efficacy in patients with unsuppressed viral loads.

Participant Demographics

Participants were HIV-infected individuals with suppressed viral replication and CD4+ counts greater than 150 cells/mL.

Digital Object Identifier (DOI)

10.1371/journal.pone.0003096

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