Impact of the initial administration of an antiretroviral drug with latency reversal properties on the HIV reservoir size Article Swipe

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Erick De La Torre Tarazona , Elisa Moraga , Raúl Vaquer , Sonsoles Sánchez-Palomino , Elisa de Lazzari , Laura Luna , Sònia Vicens-Artés , Lucio García‐Fraile , Joaquim Peraire , Mercedes García‐Gasalla , Salvador Martı́nez , Luís F. López‐Cortés , Sergio Serrano‐Villar , José Alcamı́ , Santiago Moreno , Inmaculada Jarrín , David Dalmau , Ma Luisa Masó Navarro , Maria Gonzalez , Féderico García , Eva Poveda , José Antonio Iribarren , Félix Ortega Gutiérrez , Rafael Rubio , Francesc Vidal , Juan González , María Ángeles Muñoz‐Fernández , Inmaculada Jarrín , Cristina Moreno , Marta Rava , Rebeca Izquierdo , Cristina Marco , Teresa Gómez‐García , María Ángeles Muñoz‐Fernández , Roxana Juárez , Joaquín Portilla , Irene Portilla , Esperanza Merino , Gema García-Sáez , Iván Agea , José Sánchez–Payá , Juan Carlos Rodrı́guez , Livia Giner , Sergio Reus , Vicente Boix , Diego Torrús , Verónica Álvarez , Julia Portilla , Héctor Pinargote‐Celorio , María Remedios Alemán Valls , Ana López Lirola , Dácil García , Felícitas Díaz-Flores , M. Mar Alonso , Ricardo Pelazas , María Inmaculada Hernández , Lucía Romero , Angélica Bethencourt , Daniel Rodríguez , Víctor Asensi , María Rivas-Carmenado , Rafael Magadán , Javier Díaz-Arias , Federico Pulido , Otilia Bisbal , M. Asunción Hernando , David Rial , María Lagarde , Adriana Pinto , Laura Muñoz Bermejo , Mireia Santacreu , Roser Navarro , Juan Martín Torres , José Antonio Iribarren , María José Aramburu , Xabier Camino , Miguel Ángel Goenaga , Ma Jesús Bustinduy , Harkaitz Azkune , Maialen Ibarguren , Xabier Kortajarena , Ignacio Álvarez-Rodriguez , Leire Gil , Francisco Carmona-Torre , Ana Bayona Carlos , Maialen Lekuona Sanz , Félix Gutiérrez , Catalina Robledano , Mar Masiá , Sergio Padilla , Araceli Adsuar , Rafael J. Pascual , Marta Fernández , Antonio Galiana , José Alberto Castañeda García , Xavier Barber , Javier García Abellán , Guillermo Telenti , Lucía Guillén , Ángela Botella ·

YOU? · · 2025 · Open Access · · DOI: https://doi.org/10.1038/s41598-025-09474-1

The elimination of the latent viral reservoir remains the main barrier in the quest for a cure for people with HIV (PWH). The administration of latency reversal agents (LRA) at antiretroviral treatment (ART) initiation could improve the effectiveness of strategies aimed at HIV remission. This study assessed the impact of maraviroc (MVC), an antiretroviral drug with HIV latency reversal properties, on the viral reservoir size when it is administered at ART initiation. We conducted a longitudinal observational study in PWH initiating ART with a regimen including (MVC-initiation, n = 12) or not including MVC (non-MVC-initiation, n = 22), or switching to an MVC-containing regimen after achieving an undetectable viral load (VL) (MVC-switch, n = 9). The HIV reservoir size was determined via Alu-LTR and Intact Proviral DNA Assay (IPDA) methods, and cell-associated HIV-RNA (ca-HIV-RNA) by nested-qPCR. Comparative analyses employed mixed multivariate linear models. After a median of 90 weeks, the MVC-initiation group showed a greater reduction in integrated and IPDA-total (7.1- and 4.0-fold, respectively), but not IPDA-intact, HIV-DNA reservoir compared to the non-MVC-initiation group. The reductions in integrated, IPDA-total, and IPDA-intact HIV-DNA levels in the MVC-initiation group were also greater compared to the MVC-switch group (from 5.4 to 13.8-fold). Moreover, no significant differences in the HIV transcriptional activity, assessed by ca-HIV-RNA levels or HIV-RNA/HIV-DNA ratios, were observed between the MVC-initiation and non-MVC-initiation groups. In conclusion, starting ART with a drug with HIV latency reversing activity at detectable VL phase may contribute to a greater reduction in the HIV-DNA reservoir. These findings could inform the design of future trials targeting HIV remission via a "kick and kill" strategy.

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Antiretroviral drug Human immunodeficiency virus (HIV) Latency (audio) Drug Antiretroviral therapy Medicine Computer science Pharmacology Virology Viral load Telecommunications

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Type: article
Language: en
Landing Page: https://doi.org/10.1038/s41598-025-09474-1
PDF: https://www.nature.com/articles/s41598-025-09474-1.pdf
OA Status: gold
Cited By: 3
References: 45
Related Works: 10
OpenAlex ID: https://openalex.org/W4412370871

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DOI: https://doi.org/10.1038/s41598-025-09474-1

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Title: Impact of the initial administration of an antiretroviral drug with latency reversal properties on the HIV reservoir size

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Type: article

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Language: en

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Publication year: 2025

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Publication date: 2025-07-13

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Authors: Erick De La Torre Tarazona, Elisa Moraga, Raúl Vaquer, Sonsoles Sánchez-Palomino, Elisa de Lazzari, Laura Luna, Sònia Vicens-Artés, Lucio García‐Fraile, Joaquim Peraire, Mercedes García‐Gasalla, Salvador Martı́nez, Luís F. López‐Cortés, Sergio Serrano‐Villar, José Alcamı́, Santiago Moreno, Inmaculada Jarrín, David Dalmau, Ma Luisa Masó Navarro, Maria Gonzalez, Féderico García, Eva Poveda, José Antonio Iribarren, Félix Ortega Gutiérrez, Rafael Rubio, Francesc Vidal, Juan González, María Ángeles Muñoz‐Fernández, Inmaculada Jarrín, Cristina Moreno, Marta Rava, Rebeca Izquierdo, Cristina Marco, Teresa Gómez‐García, María Ángeles Muñoz‐Fernández, Roxana Juárez, Joaquín Portilla, Irene Portilla, Esperanza Merino, Gema García-Sáez, Iván Agea, José Sánchez–Payá, Juan Carlos Rodrı́guez, Livia Giner, Sergio Reus, Vicente Boix, Diego Torrús, Verónica Álvarez, Julia Portilla, Héctor Pinargote‐Celorio, María Remedios Alemán Valls, Ana López Lirola, Dácil García, Felícitas Díaz-Flores, M. Mar Alonso, Ricardo Pelazas, María Inmaculada Hernández, Lucía Romero, Angélica Bethencourt, Daniel Rodríguez, Víctor Asensi, María Rivas-Carmenado, Rafael Magadán, Javier Díaz-Arias, Federico Pulido, Otilia Bisbal, M. Asunción Hernando, David Rial, María Lagarde, Adriana Pinto, Laura Muñoz Bermejo, Mireia Santacreu, Roser Navarro, Juan Martín Torres, José Antonio Iribarren, María José Aramburu, Xabier Camino, Miguel Ángel Goenaga, Ma Jesús Bustinduy, Harkaitz Azkune, Maialen Ibarguren, Xabier Kortajarena, Ignacio Álvarez-Rodriguez, Leire Gil, Francisco Carmona-Torre, Ana Bayona Carlos, Maialen Lekuona Sanz, Félix Gutiérrez, Catalina Robledano, Mar Masiá, Sergio Padilla, Araceli Adsuar, Rafael J. Pascual, Marta Fernández, Antonio Galiana, José Alberto Castañeda García, Xavier Barber, Javier García Abellán, Guillermo Telenti, Lucía Guillén, Ángela Botella

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Landing page: https://doi.org/10.1038/s41598-025-09474-1

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Concepts: Antiretroviral drug, Human immunodeficiency virus (HIV), Latency (audio), Drug, Antiretroviral therapy, Medicine, Computer science, Pharmacology, Virology, Viral load, Telecommunications

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Cited by: 3

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Citations by year (recent): 2025: 3

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References (count): 45

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