{"title":"Long-term outcome in people who use drugs successfully treated for hepatitis C infection with glecaprevir/pibrentasvir","authors":"Shana Yi , David Truong , Brian Conway","doi":"10.1016/j.jve.2024.100569","DOIUrl":"10.1016/j.jve.2024.100569","url":null,"abstract":"<div><h3>Background</h3><div>Several clinical trials, including the recently published the GRAND PLAN study from Vancouver Infectious Diseases Center (VIDC), have demonstrated the efficacy of hepatitis C (HCV) therapy among active drug users, including those facing significant addiction-related and social challenges. In the GRAND PLAN, we documented sustained virological response post-treatment Week12 (SVR12) in 108/117 (92.3 %) individuals (108/111 (mITT) or 97.3 % of those reaching the SVR12 timepoint) receiving an 8-week course of glecaprevir/pibrentasvir (G/P), with almost all using fentanyl and over half being unstably housed. Data on the maintenance of this favorable outcome in the long-term in such a population with a significant risk of reinfection is limited. We hypothesized that the offer of ongoing multidisciplinary care (including addiction care) after SVR12 was achieved would reduce the likelihood of loss to follow up, HCV reinfection or death and consolidate the gains achieved by initial engagement in care to diagnose and treat HCV infection.</div></div><div><h3>Methods</h3><div>The inception cohort for this analysis was the 108 individuals achieving a cure of HCV infection within the GRAND PLAN study. All were offered the opportunity to continue to receive care at the VIDC. This is a multidisciplinary model of care to address medical, mental health, social and addiction-related concerns on an ongoing basis. This included, if necessary, opiate agonist and safer supply therapy, usually provided by the pharmacy adjacent to our inner-city campus. Among those choosing to be retained in care, the endpoint of this analysis was loss to follow up, mortality and HCV reinfection and their correlates. Reinfection was ascertained by repeat HCV RNA testing every 6 months, more frequently if clinically indicated.</div></div><div><h3>Results</h3><div>Of the 108 individuals making up the inception cohort for this analysis, all chose to remain in care at the VIDC. We note a median age of 47 (22–75) years, 28 % female, 21.3 % identifying as indigenous, the majority with mild fibrosis (90.8 % F0–F2), slightly more than half with unstable housing. It is of note that we recorded a 20 % decrease in fentanyl users among those who were cured compared to the baseline evaluation of the overall study cohort (73.5 % vs 94.9 %, p < 0.000001). Among the cured individuals, 104 (96.3 %) remained alive, while 4 individuals died of opioid overdoses. Out of the 104 , 99 (95.2 %) remained HCV-free, while 5 (4.8 %) were re-infected. All five have recently initiated repeat HCV therapy at VIDC, 2 of whom are already documented to be cured.</div></div><div><h3>Conclusion</h3><div>Among a population of vulnerable inner-city residents cured of HCV infection within a multidisciplinary program of care at the VIDC, all individuals accepted the offer to remain in long-term follow up, with a statistically significant reduction in fentanyl use over time. In the setting of an o","PeriodicalId":17552,"journal":{"name":"Journal of Virus Eradication","volume":"10 4","pages":"Article 100569"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11728950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Peluso, A. Deitchman, I. Avila-Vargas, A. Rodriguez, T. Figueroa, T. Dalhuisen, M. Williams, R. Hoh, R. Rutishauser, S. Deeks, L. Cohn
{"title":"3.6 – 00159 Clinical and virologic outcomes of an art interruption in treated controllers and non-controllers","authors":"M. Peluso, A. Deitchman, I. Avila-Vargas, A. Rodriguez, T. Figueroa, T. Dalhuisen, M. Williams, R. Hoh, R. Rutishauser, S. Deeks, L. Cohn","doi":"10.1016/j.jve.2024.100411","DOIUrl":"10.1016/j.jve.2024.100411","url":null,"abstract":"","PeriodicalId":17552,"journal":{"name":"Journal of Virus Eradication","volume":"10 ","pages":"Pages 12-13"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143181915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Browne, J. Peterson, E. Bennett, C. White, S. Chandel, K. James, B. Allard, M. Clohosey, T. Whitaker, C. Baker, S. Pedersen, A. Peery, C. Gay, D. Margolis, N. Archin
{"title":"ST1.1 – 00095 Single cell transcriptomic characterization of the gastrointestinal HIV reservoir","authors":"E. Browne, J. Peterson, E. Bennett, C. White, S. Chandel, K. James, B. Allard, M. Clohosey, T. Whitaker, C. Baker, S. Pedersen, A. Peery, C. Gay, D. Margolis, N. Archin","doi":"10.1016/j.jve.2024.100442","DOIUrl":"10.1016/j.jve.2024.100442","url":null,"abstract":"","PeriodicalId":17552,"journal":{"name":"Journal of Virus Eradication","volume":"10 ","pages":"Page 33"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Zhu, H. Kim, J. Richard, L. Marchitto, C.J. Fritschi, D. Yang, S.L.T. Boodapati, Y. Sun, H.-C. Chen, G. Beaudoin-Bussières, M. Benlarbi, É. Bélanger, K. Dionne, D. Chatterjee, C. Bourassa, H. Medjahed, F. Gaudette, M.A. Brehm, D.L. Greiner, L.D. Shultz, P. Kumar
{"title":"8.2 – 00072 Early intervention with an indoline CD4-mimetic compound that sensitizes HIV-1-infected cells to ADCC favors post-treatment HIV control in humanized mice","authors":"L. Zhu, H. Kim, J. Richard, L. Marchitto, C.J. Fritschi, D. Yang, S.L.T. Boodapati, Y. Sun, H.-C. Chen, G. Beaudoin-Bussières, M. Benlarbi, É. Bélanger, K. Dionne, D. Chatterjee, C. Bourassa, H. Medjahed, F. Gaudette, M.A. Brehm, D.L. Greiner, L.D. Shultz, P. Kumar","doi":"10.1016/j.jve.2024.100437","DOIUrl":"10.1016/j.jve.2024.100437","url":null,"abstract":"","PeriodicalId":17552,"journal":{"name":"Journal of Virus Eradication","volume":"10 ","pages":"Page 29"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Akter, D. Demirov, D. Brandt, J. Gluck, E.K. Halvas, J. Mellors, X. Wu, S.C. Patro, J.W. Rausch, M.F. Kearney
{"title":"PP2.8 – 00051 Full-length sequencing of HIV-1 proviruses in large infected cell clones in PWH on ART reveals a predominance of solo-LTRs","authors":"S. Akter, D. Demirov, D. Brandt, J. Gluck, E.K. Halvas, J. Mellors, X. Wu, S.C. Patro, J.W. Rausch, M.F. Kearney","doi":"10.1016/j.jve.2024.100478","DOIUrl":"10.1016/j.jve.2024.100478","url":null,"abstract":"","PeriodicalId":17552,"journal":{"name":"Journal of Virus Eradication","volume":"10 ","pages":"Page 57"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143180589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shreyal Maikoo , Robert-Jan Palstra , Krista L. Dong , Tokameh Mahmoudi , Thumbi Ndung'u , Paradise Madlala
{"title":"Development of a latency model for HIV-1 subtype C and the impact of long terminal repeat element genetic variation on latency reversal","authors":"Shreyal Maikoo , Robert-Jan Palstra , Krista L. Dong , Tokameh Mahmoudi , Thumbi Ndung'u , Paradise Madlala","doi":"10.1016/j.jve.2024.100575","DOIUrl":"10.1016/j.jve.2024.100575","url":null,"abstract":"<div><div>Sub-Saharan Africa accounts for almost 70 % of people living with HIV (PLWH) worldwide, with the greatest numbers centred in South Africa where 98 % of infections are caused by subtype C (HIV-1C). However, HIV-1 subtype B (HIV-1B), prevalent in Europe and North America, has been the focus of most cure research and testing despite making up only 12 % of HIV-1 infections globally. Development of latency models for non-subtype B viruses is a necessary step to address this disproportionate focus. Furthermore, the impact of genetic variation between viral subtypes, specifically within the long terminal repeat (LTR) element of the viral transcriptional promoter on latency reversal, remains unclear. To address this scientific gap, we constructed a minimal genome retroviral vector expressing HIV-1C consensus transactivator of transcription protein (Tat) and green fluorescent protein (GFP) under the control of either HIV-1C consensus LTR (C731CC) or the transmitted/founder (T/F) LTRs derived from PLWH (C<sub>T/F</sub>731CC), produced corresponding LTR pseudotyped viruses using a vesicular stomatitis virus (VSV-G) pseudotyped Envelope vector and the pCMVΔR8.91 packaging vector containing HIV-1 accessory and <em>rev</em> genes. Viruses produced in this way were used to infect Jurkat E6 and primary CD4<sup>+</sup> T cells <em>in vitro</em>. By enriching for latently infected cells, and treating them with different latency reversing agents, we developed an HIV-1C latency model that demonstrated that the HIV-1C consensus LTR has lower reactivation potential compared to its HIV-1B counterpart. Furthermore, HIV-1C T/F LTR pseudotyped proviral genetic variants exhibited a heterogenous reactivation response which was modulated by host cell (genetic) variation. Our data suggests that genetic variation both within and between HIV-1 subtypes influences latency reversal. Future studies should investigate the specific role of variation in host cellular environment on reactivation differences.</div></div>","PeriodicalId":17552,"journal":{"name":"Journal of Virus Eradication","volume":"10 4","pages":"Article 100575"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}