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자료유형
학술저널
저자정보
Young-Keol Cho (University of Ulsan College of Medicine, Asan Medical Center) Jung-Eun Kim (University of Ulsan College of Medicine, Asan Medical Center) Jinny Lee (University of Ulsan College of Medicine, Asan Medical Center)
저널정보
고려인삼학회 Journal of Ginseng Research Journal of Ginseng Research Vol.47 No.1
발행연도
2023.1
수록면
117 - 122 (6page)

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Background: Human immunodeficiency virus-1 (HIV-1) that binds to the coreceptor CCR5 (R5 viruses) can evolve into viruses that bind to the coreceptor CXCR4 (X4 viruses), with high viral replication rates governing this coreceptor switch. Korean Red Ginseng (KRG) treatment of HIV-1 infected patients has been found to slow the depletion of CD4þ T cells. This study assessed whether the KRG-associated slow depletion of CD4þ T cells was associated with coreceptor switching.
Methods: This study included 146 HIV-1-infected patients naïve to antiretroviral therapy (ART) and seven patients receiving ART. A total of 540 blood samples were obtained from these patients over 122 ± 129 months. Their env genes were amplified by nested PCR or RT-PCR and subjected to direct sequencing. Tropism was determined with a 10% false positive rate (FPR) cutoff.
Results: Of the 146 patients naïve to ART, 102 were KRG-naïve, and 44 had been treated with KRG. Evaluation of initial samples showed that coreceptor switch had occurred in 19 patients, later occurring in 38 additional patients. There was a significant correlation between the amount of KRG and FPR. Based on initial samples, the R5 maintenance period was extended 2.35-fold, with the coreceptor switch being delayed 2.42-fold in KRG-treated compared with KRG-naïve patients. The coreceptor switch occurred in 85% of a homogeneous cohort. The proportion of patients who maintained R5 for >10 years was significantly higher in long-term slow progressors than in typical progressors.
Conclusion: KRG therapy extends R5 maintenance period by increasing FPR, thereby slowing the coreceptor switch.

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ABSTRACT
1. Introduction
2. Method and materials
3. Results
4. Discussion
References

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