A mechanistic model for long-term immunological outcomes in South African HIV-infected children and adults receiving ART.

Details

Serval ID
serval:BIB_4E1C1B1FA83D
Type
Article: article from journal or magazin.
Collection
Publications
Title
A mechanistic model for long-term immunological outcomes in South African HIV-infected children and adults receiving ART.
Journal
eLife
Author(s)
Ujeneza E.L., Ndifon W., Sawry S., Fatti G., Riou J., Davies M.A., Nieuwoudt M.
Working group(s)
IeDEA-Southern Africa collaboration
ISSN
2050-084X (Electronic)
ISSN-L
2050-084X
Publication state
Published
Issued date
14/01/2021
Peer-reviewed
Oui
Editor
Davenport Miles P, Pantazis Nikos
Volume
10
Pages
e42390
Language
english
Notes
Publication types: Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Abstract
Long-term effects of the growing population of HIV-treated people in Southern Africa on individuals and the public health sector at large are not yet understood. This study proposes a novel 'ratio' model that relates CD4+ T-cell counts of HIV-infected individuals to the CD4+ count reference values from healthy populations. We use mixed-effects regression to fit the model to data from 1616 children (median age 4.3 years at ART initiation) and 14,542 adults (median age 36 years at ART initiation). We found that the scaled carrying capacity, maximum CD4+ count relative to an HIV-negative individual of similar age, and baseline scaled CD4+ counts were closer to healthy values in children than in adults. Post-ART initiation, CD4+ growth rate was inversely correlated with baseline CD4+ T-cell counts, and consequently higher in adults than children. Our results highlight the impacts of age on dynamics of the immune system of healthy and HIV-infected individuals.
Keywords
Adolescent, Adult, Anti-HIV Agents/administration & dosage, Child, Child, Preschool, Female, HIV Infections/drug therapy, HIV Infections/immunology, Humans, Infant, Male, Middle Aged, Models, Theoretical, South Africa, Young Adult, CD4+ T-cells, hiv-1, human, immune system, infectious disease, microbiology, mixed model, modeling
Pubmed
Web of science
Open Access
Yes
Create date
11/03/2025 10:31
Last modification date
12/03/2025 7:08
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