Association between age at antiretroviral therapy initiation and 24-month immune response in West-African HIV-infected children.
Identifieur interne : 000364 ( PubMed/Checkpoint ); précédent : 000363; suivant : 000365Association between age at antiretroviral therapy initiation and 24-month immune response in West-African HIV-infected children.
Auteurs : Sophie Desmonde [Sénégal] ; Fatoumata Dicko ; Fla Koueta ; Tanoh Eboua ; Eric Balestre ; Clarisse Amani-Bosse ; Edmond A. Aka ; Koko Lawson-Evi ; Madeleine Amorissani-Folquet ; Kouadio Kouakou ; Siriatou Koumakpai ; Lorna Renner ; Haby Signaté Sy ; Valériane LeroySource :
- AIDS (London, England) [ 1473-5571 ] ; 2014.
Descripteurs français
- KwdFr :
- Afrique de l'Ouest, Antirétroviraux (usage thérapeutique), Enfant, Enfant d'âge préscolaire, Facteurs de l'âge, Facteurs sexuels, Femelle, Humains, Infections à VIH (immunologie), Infections à VIH (traitement médicamenteux), Lymphocytes T CD4+ (immunologie), Mâle, Nourrisson, Numération des lymphocytes CD4, Résultat thérapeutique.
- MESH :
- immunologie : Infections à VIH, Lymphocytes T CD4+.
- traitement médicamenteux : Infections à VIH.
- usage thérapeutique : Antirétroviraux.
- Afrique de l'Ouest, Enfant, Enfant d'âge préscolaire, Facteurs de l'âge, Facteurs sexuels, Femelle, Humains, Mâle, Nourrisson, Numération des lymphocytes CD4, Résultat thérapeutique.
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Anti-Retroviral Agents.
- geographic : Africa, Western.
- drug therapy : HIV Infections.
- immunology : CD4-Positive T-Lymphocytes, HIV Infections.
- Age Factors, CD4 Lymphocyte Count, Child, Child, Preschool, Female, Humans, Infant, Male, Sex Factors, Treatment Outcome.
Abstract
We describe the association between age at antiretroviral therapy (ART) initiation and 24-month CD4 cell response in West African HIV-infected children.
DOI: 10.1097/QAD.0000000000000272
PubMed: 24804858
Affiliations:
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pubmed:24804858Le document en format XML
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Maga, Cotonou, Bénin lKorle Bu Hospital, Accra, Ghana mHôpital des Enfants Albert-Royer, Dakar, Senegal.</nlm:affiliation><country xml:lang="fr">Sénégal</country><wicri:regionArea>aUniversity Bordeaux bINSERM, ISPED, Centre Inserm U897-Epidémiologie-Biostatistique, Bordeaux, France cHôpital Gabriel Toure, Bamako, Mali dHôpital pédiatrique, Centre Hospitalier Universitaire Charles de Gaulle, Ouagadougou, Burkina Faso eCentre Hospitalo-Universitaire de Yopougon, Service Pédiatrie fProgramme MTCT + gCentre de Prise en charge, de Recherche et de Formation (CePReF), Abidjan, Côte, d'Ivoire hCentre Hospitalier Universitaire de Tokoin, Lome, Togo iCentre Hospitalo-Universitaire de Cocody, Service Pédiatrie jCIRBA, Abidjan, Côte d'Ivoire kCentre National Hospitalier Universitaire Hubert K. Maga, Cotonou, Bénin lKorle Bu Hospital, Accra, Ghana mHôpital des Enfants Albert-Royer, Dakar</wicri:regionArea><wicri:noRegion>Dakar</wicri:noRegion></affiliation></author><author><name sortKey="Dicko, Fatoumata" sort="Dicko, Fatoumata" uniqKey="Dicko F" first="Fatoumata" last="Dicko">Fatoumata Dicko</name></author><author><name sortKey="Koueta, Fla" sort="Koueta, Fla" uniqKey="Koueta F" first="Fla" last="Koueta">Fla Koueta</name></author><author><name sortKey="Eboua, Tanoh" sort="Eboua, Tanoh" uniqKey="Eboua T" first="Tanoh" last="Eboua">Tanoh Eboua</name></author><author><name sortKey="Balestre, Eric" sort="Balestre, Eric" uniqKey="Balestre E" first="Eric" last="Balestre">Eric Balestre</name></author><author><name sortKey="Amani Bosse, Clarisse" sort="Amani Bosse, Clarisse" uniqKey="Amani Bosse C" first="Clarisse" last="Amani-Bosse">Clarisse Amani-Bosse</name></author><author><name sortKey="Aka, Edmond A" sort="Aka, Edmond A" uniqKey="Aka E" first="Edmond A" last="Aka">Edmond A. Aka</name></author><author><name sortKey="Lawson Evi, Koko" sort="Lawson Evi, Koko" uniqKey="Lawson Evi K" first="Koko" last="Lawson-Evi">Koko Lawson-Evi</name></author><author><name sortKey="Amorissani Folquet, Madeleine" sort="Amorissani Folquet, Madeleine" uniqKey="Amorissani Folquet M" first="Madeleine" last="Amorissani-Folquet">Madeleine Amorissani-Folquet</name></author><author><name sortKey="Kouakou, Kouadio" sort="Kouakou, Kouadio" uniqKey="Kouakou K" first="Kouadio" last="Kouakou">Kouadio Kouakou</name></author><author><name sortKey="Koumakpai, Siriatou" sort="Koumakpai, Siriatou" uniqKey="Koumakpai S" first="Siriatou" last="Koumakpai">Siriatou Koumakpai</name></author><author><name sortKey="Renner, Lorna" sort="Renner, Lorna" uniqKey="Renner L" first="Lorna" last="Renner">Lorna Renner</name></author><author><name sortKey="Signate Sy, Haby" sort="Signate Sy, Haby" uniqKey="Signate Sy H" first="Haby" last="Signaté Sy">Haby Signaté Sy</name></author><author><name sortKey="Leroy, Valeriane" sort="Leroy, Valeriane" uniqKey="Leroy V" first="Valériane" last="Leroy">Valériane Leroy</name></author></analytic><series><title level="j">AIDS (London, England)</title><idno type="eISSN">1473-5571</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Africa, Western</term><term>Age Factors</term><term>Anti-Retroviral Agents (therapeutic use)</term><term>CD4 Lymphocyte Count</term><term>CD4-Positive T-Lymphocytes (immunology)</term><term>Child</term><term>Child, Preschool</term><term>Female</term><term>HIV Infections (drug therapy)</term><term>HIV Infections (immunology)</term><term>Humans</term><term>Infant</term><term>Male</term><term>Sex Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Afrique de l'Ouest</term><term>Antirétroviraux (usage thérapeutique)</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs de l'âge</term><term>Facteurs sexuels</term><term>Femelle</term><term>Humains</term><term>Infections à VIH (immunologie)</term><term>Infections à VIH (traitement médicamenteux)</term><term>Lymphocytes T CD4+ (immunologie)</term><term>Mâle</term><term>Nourrisson</term><term>Numération des lymphocytes CD4</term><term>Résultat thérapeutique</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Retroviral Agents</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Africa, Western</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Infections à VIH</term><term>Lymphocytes T CD4+</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>CD4-Positive T-Lymphocytes</term><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antirétroviraux</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Age Factors</term><term>CD4 Lymphocyte Count</term><term>Child</term><term>Child, Preschool</term><term>Female</term><term>Humans</term><term>Infant</term><term>Male</term><term>Sex Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Afrique de l'Ouest</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs de l'âge</term><term>Facteurs sexuels</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Nourrisson</term><term>Numération des lymphocytes CD4</term><term>Résultat thérapeutique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We describe the association between age at antiretroviral therapy (ART) initiation and 24-month CD4 cell response in West African HIV-infected children.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24804858</PMID><DateCreated><Year>2014</Year><Month>09</Month><Day>19</Day></DateCreated><DateCompleted><Year>2015</Year><Month>05</Month><Day>18</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1473-5571</ISSN><JournalIssue CitedMedium="Internet"><Volume>28</Volume><Issue>11</Issue><PubDate><Year>2014</Year><Month>Jul</Month><Day>17</Day></PubDate></JournalIssue><Title>AIDS (London, England)</Title><ISOAbbreviation>AIDS</ISOAbbreviation></Journal><ArticleTitle>Association between age at antiretroviral therapy initiation and 24-month immune response in West-African HIV-infected children.</ArticleTitle><Pagination><MedlinePgn>1645-55</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/QAD.0000000000000272</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">We describe the association between age at antiretroviral therapy (ART) initiation and 24-month CD4 cell response in West African HIV-infected children.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">All HIV-infected children from the IeDEA paediatric West African cohort, initiating ART, with at least two CD4 cell count measurements, including one at ART initiation (baseline) were included. CD4 cell gain on ART was estimated using a multivariable linear mixed model adjusted for baseline variables: age, CD4 cell count, sex, first-line ART regimen. Kaplan-Meier survival curves and a Cox proportional hazards regression model compared immune recovery for age within 24 months post-ART.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 4808 children initiated on ART, 3014 were enrolled at a median age of 5.6 years; 61.2% were immunodeficient. After 12 months, children at least 4 years at baseline had significantly lower CD4 cell gains compared with children less than 2 years, the reference group (P<0.001). However, by 24 months, we observed higher CD4 cell gain in children who initiated ART between 3 and 4 years compared with those less than 2 years (P<0.001). The 24-month CD4 cell gain was also strongest in immunodeficient children at baseline. Among these children, 75% reached immune recovery: 12-month rates were significantly highest in all those aged 2-5 years at ART initiation compared with those less than 2 years. Beyond 12 months on ART, immune recovery was significantly lower in children initiated more than 5 years (adjusted hazard ratio: 0.69, 95% confidence interval: 0.56-0.86).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">These results suggest that both the initiation of ART at the earliest age less than 5 years and before any severe immunodeficiency is needed for improving 24-month immune recovery on ART.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Desmonde</LastName><ForeName>Sophie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>aUniversity Bordeaux bINSERM, ISPED, Centre Inserm U897-Epidémiologie-Biostatistique, Bordeaux, France cHôpital Gabriel Toure, Bamako, Mali dHôpital pédiatrique, Centre Hospitalier Universitaire Charles de Gaulle, Ouagadougou, Burkina Faso eCentre Hospitalo-Universitaire de Yopougon, Service Pédiatrie fProgramme MTCT + gCentre de Prise en charge, de Recherche et de Formation (CePReF), Abidjan, Côte, d'Ivoire hCentre Hospitalier Universitaire de Tokoin, Lome, Togo iCentre Hospitalo-Universitaire de Cocody, Service Pédiatrie jCIRBA, Abidjan, Côte d'Ivoire kCentre National Hospitalier Universitaire Hubert K. Maga, Cotonou, Bénin lKorle Bu Hospital, Accra, Ghana mHôpital des Enfants Albert-Royer, Dakar, Senegal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dicko</LastName><ForeName>Fatoumata</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Koueta</LastName><ForeName>Fla</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Eboua</LastName><ForeName>Tanoh</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Balestre</LastName><ForeName>Eric</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Amani-Bosse</LastName><ForeName>Clarisse</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Aka</LastName><ForeName>Edmond A</ForeName><Initials>EA</Initials></Author><Author ValidYN="Y"><LastName>Lawson-Evi</LastName><ForeName>Koko</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Amorissani-Folquet</LastName><ForeName>Madeleine</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Kouakou</LastName><ForeName>Kouadio</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Koumakpai</LastName><ForeName>Siriatou</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Renner</LastName><ForeName>Lorna</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Signaté Sy</LastName><ForeName>Haby</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Leroy</LastName><ForeName>Valériane</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><CollectiveName>IeDEA West Africa Paediatric Collaboration</CollectiveName></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>U01 AI069919</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>U01AI069919</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>AIDS</MedlineTA><NlmUniqueID>8710219</NlmUniqueID><ISSNLinking>0269-9370</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D044966">Anti-Retroviral Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CitationSubset>X</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>S Afr Med J. 2009 Oct;99(10):730-7</RefSource><PMID Version="1">20128272</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Res Treat. 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