Document 0101 DOCN M95A0101 TI Ex vivo expansion of CD4 lymphocytes from human immunodeficiency virus type 1-infected persons in the presence of combination antiretroviral agents. DT 9510 AU Wilson CC; Wong JT; Girard DD; Merrill DP; Dynan M; An DD; Kalams SA; Johnson RP; Hirsch MS; D'Aquila RT; et al; Infectious Disease and Immunopathology Units, Massachusetts; General Hospital, Boston 02114, USA. SO J Infect Dis. 1995 Jul;172(1):88-96. Unique Identifier : AIDSLINE MED/95318563 AB Expansion of CD4 lymphocytes from human immunodeficiency virus type 1 (HIV-1)-infected persons ex vivo has been limited by enhanced virus replication and cell death. The successful expansion of functional CD4 lymphocytes from HIV-1-infected persons has now been accomplished using a bispecific monoclonal antibody to CD3 and CD8 in combination with three antiretroviral agents. CD4 lymphocytes were polyclonally expanded by a factor of 10(3)-10(7) during 4-8 weeks in culture. Supernatants from most cultures were persistently HIV-1 p24 antigen-negative by day 14 and remained negative despite removal of antiretroviral agents at day 28. In such cultures, HIV-1 could not be recovered by cocultivation, and amounts of HIV-1 DNA declined or remained stable at low levels, eventually becoming undetectable in 2 cases. This approach establishes the feasibility of CD4 lymphocyte expansion in persons with HIV disease and may be useful for immune-based or gene therapies. DE Acquired Immunodeficiency Syndrome/DRUG THERAPY/*IMMUNOLOGY/ VIROLOGY Antiviral Agents/*THERAPEUTIC USE Base Sequence Cells, Cultured Comparative Study *CD4 Lymphocyte Count CD4-Positive T-Lymphocytes/DRUG EFFECTS/*IMMUNOLOGY Drug Therapy, Combination DNA Primers DNA, Viral/*BLOOD Human HIV Infections/DRUG THERAPY/*IMMUNOLOGY/VIROLOGY HIV Long Terminal Repeat HIV Seropositivity/DRUG THERAPY/*IMMUNOLOGY/VIROLOGY *HIV-1/GENETICS/ISOLATION & PURIF Lymphocyte Transformation Molecular Sequence Data Polymerase Chain Reaction/METHODS Receptors, Antigen, T-Cell, alpha-beta/ANALYSIS Reverse Transcriptase/GENETICS Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).