extracted and subjected to complementary DNA synthesis followed by real time polymerase chain reaction amplification of a 79 base pair region of HIV 1 Gag or a portion of the RCAS genome. HIV 1 RNA levels were determined using a standard curve constructed with HIV 1 of known RNA copy number. TG-101348 To ensure that the extraction process was successful, the level of RCAS was measured using a separate standard curve constructed with RCAS of known RNA copy number. HIV 1 RNA results by SCA each represent themedian of triplicate determinations. CSF Soluble Immunological and Other Outcome Measurements Neopterin was measured in cell free CSF and plasma by enzymelinked immunoassay according to the manufacturer’s instructions .
sodium butyrate clinical trial CSF white blood cell counts and differential, blood CD41 and CD81 T cell counts, CSF and blood albumin used to compute the CSF blood albumin ratio , CSF total protein, and blood metabolic profile were all performed in the San Francisco General Hospital Clinical Laboratories using standard methods. CSF and Blood T Cell Activation by Multiparameter Flow Cytometry CSF and blood CD41 and CD81 T cell activation were assessed by the percentage of cells in fresh specimens coexpressing surface CD38 and human leukocyte antigen –DR or CCR5 as described previously . Flow cytometry data were compensated and analyzed with FlowJo software version 8.8 . Neurological Evaluations All subjects underwent a standardized bedside medical and neurological evaluation. Performance was monitored using 4 brief quantitative tests to obtain a simple aggregate quantitative neurological performance score .
Statistics Changes from baseline to follow up test intervals at 12 weeks for each of the outcome variables were compared independently by unpaired parametric or nonparametric t tests. Proportions were compared using Fisher exact test. All P values were 2 sided with values ,.05 considered significant. altretamine structure Descriptive and comparative statistical analyses were performed using GraphPad Prism 5 software . RESULTS Subjects Of 37 subjects screened, 18 met criteria and were randomized. One subject in the raltegravir group was censored when a pharmacological study showed no drug in either plasma or CSF . Six subjects randomized to no drug later rolled over to receive raltegravir. Primary analysis treated the rollover subjects as independent and compared 14 intensified to 9 nonintensified subject LY-231514 solubility experiences.
The baseline characteristics of the subjects are shown in Table 1, grouped as all subjects at entry, those not receiving raltegravir after initial randomization, and the combined subjects receiving raltegravir both initially and after rollover. There is thus overlap among these fetal rights groups. The subjects were predominantly male, with a long history of infection and treatment . They were on a variety of ART combinations with a mean number of drugs of 3.6 for the overall group and a mean CPE score of 1.8 . There was no significant difference in this score between those initially randomized to either arm or between the final comparison groups. As defined by entry, all plasma and CSF HIV 1 RNA levels were ,50 copies/mL. Blood CD41 T cell counts were relatively preserved . CSF WBCs and neopterin levels were also low, and CSF blood albumin ratios were normal.
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