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Monday Seminar: February 26, 2007 4pm in Biosciences West (map), Room 301 John Mittler, Dept. of Microbiology, University of Washington, Seattle, WA 98195"HIV-1 treatment and pathogenesis: A population ecology perspective" John Mittler has broad interests in ecology and evolutionary biology, and will be available to meet with faculty and students all day Monday (the Department will also spring for a free breakfast for some lucky person on both Monday and Tuesday). If you'd like to meet with John (and I encourage you to; he’s good value), please contact Mary Price (mary.price@ucr.edu; 232-9505), who is organizing his schedule. |
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Talk Abstract: The major obstacles to HIV-1 treatment are the evolution of drug resistance and persistence of viruses within latently infected cells. Longitudinal studies of the decline of latently infected cells during therapy suggest that these cells have a half-life of ~4 years. This estimate, however, assumes that therapy is 100% effective. To address this limitation, we have developed a novel method for estimating the longevity of viral reservoirs from changes in genetic divergence (i.e., distance from the founder virus) that occur during therapy. Our method gives much shorter half-lives (median ~1 year), though this is still too long for viral eradication to be a realistic option using current therapies. It may still be possible, however, to eradicate populations of viruses resistant to one- or two-drug “maintenance regimens” after a period of highly intense “induction therapy.” Our models suggest that under a variety of biologically plausible conditions that 4-10 months of induction therapy are needed to maximize the probability of eradicating viruses resistant to the maintenance regimen. This is longer than the 2-3 months used in early (unsuccessful) trails of induction-maintenance therapy. Interestingly, our models suggest that the optimal time to intensify therapy is often several days to weeks after the start of regular, maintenance therapy. This delay is a consequence of virus-target cell dynamics similar to that which occur in predator-prey systems. Brief biography & research interests: |
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