{"id":886,"date":"2009-07-22T19:41:43","date_gmt":"2009-07-22T18:41:43","guid":{"rendered":"http:\/\/www.i-base.info\/qa\/?p=886"},"modified":"2021-11-22T12:17:16","modified_gmt":"2021-11-22T12:17:16","slug":"what-would-happen-if-somebody-starts-with-0-cd4-count-and-on-entry-inhibitor","status":"publish","type":"post","link":"https:\/\/i-base.info\/qa\/886","title":{"rendered":"What would happen if somebody starts with 0 CD4 count and on entry inhibitor?"},"content":{"rendered":"<p>Unless the person is resistant to other classes of medicines, there is no particular reason of why he\/she should start on an entry inhibitor.<\/p>\n<p>If you have a very low CD4 count, even if it comes back as zero, it does not mean that your body have no immune cells. Only 2% of CD4 cells are in the blood &#8211; most are in the lymph system &#8211; and although it is not good to have a count that low, many people have been able to recover to higher levels after treatment.<br \/>\nEntry inhibitors do not prevent infection of CD4 cells on their own. They need to be used in combination with other ARVs. That is why, their particular usefulness in the situation that you describe is not huge. In addition, the only approved ones-enfuvirtide is taken in the form of injection twice daily and needs to be kept in the fridge. The other one-maraviroc (some people would classify it as a CCR5 inhibitor) is a bit problematic as before starting it, one needs a special test that is very expensive. All of that may turn to be a significant difficulty for somebody who is just starting treatment.<\/p>\n<p>HDACs (Histone Deacetylase Inhibitors) affect the gene expression and are divided into four major groups. Their possible use is very far away from reality, as there are no enough data on how they will affect the body generally. They most probably will be linked to severe side effects and they most probably may be more useful with other conditions and not HIV-infection.<\/p>\n<p>Blood transfusion will only lead to more opportunity for the virus to replicate and thus increase the viral load. Hence this strategy is not very promising.<\/p>\n<p>As for valproic acid, here is an <a href=\"http:\/\/www.i-base.info\/htb\/v6\/htb6-10\/Depletion.html\">interesting article<\/a> that you may find useful.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What would happen if you started ARVs with an entry inhibitor if you had 0 CD4 count for a couple of months and you have not had ARVs before? I know, there is a very big risk of OIs, but would the immune system recover over time?<br \/>\nIf there are no CD4 cells then the virus has nowhere to go and may be latent virus would then wake up in search of cells to infect.<br \/>\nAlso, how about using HDACs? Or maybe transfusion of healthy blood? Or a combination of those with valporoic acid?<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,9,17],"tags":[],"class_list":["post-886","post","type-post","status-publish","format-standard","hentry","category-all-topics","category-cd4-and-viral-load","category-cure"],"_links":{"self":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/886","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/comments?post=886"}],"version-history":[{"count":0,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/886\/revisions"}],"wp:attachment":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/media?parent=886"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/categories?post=886"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/tags?post=886"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}