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Annals of Internal Medicine, tip sheet, July 4, 2000

A randomized controlled trial found that a new anti-inflammatory drug decreased kidney function at the same rate as an older medication. Prompt treatment with three powerful antiretroviral drugs after HIV exposure prevented infection in a young girl, according to researchers.

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Restored immunity protects AIDS patients from opportunistic infection

A new study by Dr. Wafaa M. El-Sadr found that HIV-infected patients with restored immunity can safely defer taking prophylactic antibiotics due to low infection rates. The study showed that antiretroviral therapy reconstitutes protective immunity, reducing the risk of opportunistic infections.

International panel announces new treatment guidelines for HIV

The new guidelines take into account the availability of new anti-retroviral drugs and expanded therapy choices. Recommendations include initiating therapy based on viral load and CD4 cell count, choosing individualized regimens, and monitoring treatment response with CD4 and HIV RNA levels.

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New drug shows antiviral benefit against HIV but produces renal side effects

A clinical study found that adefovir reduced viral load by an average of 60% in patients, but also caused kidney problems in about 60% of those taking the drug beyond 24 weeks. The drug is useful as an additional medication for building effective treatment combinations, but should be used with close monitoring.

Drug combination shows potent punch against HIV in children

A novel combination of efavirenz and nelfinavir demonstrates strong, sustained results in controlling HIV infection in children. The treatment achieves undetectable virus levels in more than half of the children studied, with fewer side effects and a simplified daily regimen.

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New model suggests that AIDS drugs may not abolish HIV infection

A new model of HIV decline during treatment suggests that antiretroviral therapy drives HIV down to stable levels, varying with drug efficacy. The model proposes that significant numbers of CD4+ T cells become infected with HIV after treatment initiation, leading to a gradual decline in viral load.

Some HIV patients show no viral rebound after stopping drugs

Researchers found that six HIV-infected patients who stopped taking antiviral drugs yet continued to suppress HIV replication had strong immune responses. The study suggests that temporarily discontinuing drugs may help maintain the virus at a low level, paving the way for vaccine development.

New Anti-HIV Therapies Needed To Eradicate HIV

Researchers found that current anti-HIV drug combinations are effective in suppressing the virus, but may not be enough to eradicate it. Studies show that residual infection persists, with some patients still showing signs of viral replication after years of treatment.

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'Silent' HIV Infection Lasts A Lifetime

A study published in Nature Medicine found that silent HIV infections can persist for decades, making long-term medication necessary. Researchers discovered that patients taking strict anti-HIV regimens could keep the virus suppressed and experience no symptoms of AIDS, highlighting the importance of adherence to therapy.

Researchers Finding May Boost Effectiveness Of Anti-HIV Drugs

Vanderbilt University Medical Center researchers found that a 'transporter molecule' called P-glyco protein may prevent protease inhibitors from reaching the virus, raising hope for boosting treatment effectiveness and reducing costs. The discovery could provide new strategies for treating HIV by targeting the protein's action.

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HIV Persists And Can Replicate Despite Prolonged Combination Therapy

Despite prolonged treatment with combination antiretroviral therapy, HIV persists and can replicate in patients with no detectable virus in their blood. Researchers found that resting CD4+ T cells serve as a stable 'reservoir' of virus, allowing it to continue replicating even when undetectable.