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Omics · study · 2026

Oral Islatravir in Macaques Decreases Lymphocytes and Monocytes and is Associated with Immune Dysregulation

Listed in NCBI GEO

Treatment and prevention of HIV with oral islatravir (ISL) in humans has been associated with decreases in total lymphocytes, CD4+ T-cells, and B-cells in a dose- dependent manner.

Description

We defined in macaques the effects of oral ISL on lymphocytes, monocytes, granulocytes, and gene expression in peripheral blood mononuclear cells (PBMCs). Female pigtailed macaques (n=5) received an HIV pre-exposure prophylaxis dose of oral ISL adjusted allometrically once a week for 12 weeks.

Complete blood counts and B- and T-cells were monitored prior to, during, and after ISL treatment, and changes in counts were evaluated by using a repeated measures model. ISL treatment was associated with declines in lymphocytes (11.9%, p=0.0015) and monocytes (22.4%, p=0.0003) but not granulocytes (0.3%, p=0.9781). Total lymphocytes and monocytes returned to pre-treatment levels 6 weeks after treatment cessation (p=0.8244 and p=0.4620, respectively).

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Lymphocyte subpopulation analyses showed a significant decline in CD8+ (8.8%, p=0.0403) and CD20+ (73.4%; p<0.0001) cells but not CD4+ cells (0.1%; p=0.9989). Gene set enrichment analysis in PBMCs showed negative enrichment (padj<0.05) of gene pathways associated with immune regulation, cell proliferation, and inflammation. These results provide the first insights on the mechanisms of ISL-induced lymphopenia and highlight the value of the macaque model to study immune alterations at the preclinical stage.

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Life Sciences
Provenance · 1 source records, 6 field assertions
SourceKeyLast seenRaw
NCBI GEOGSE32011412 d agoJSON v1
FieldAssertionExtractorEvidence
access_levelsource · NCBI GEOconnector:ncbi_geo@1.0.0
concepts[field].local:field:life-sciencesmapping · NCBI GEOconnector:ncbi_geo@1.0.0
concepts[method].geo_series_type:expression-profiling-by-high-throughput-sequencingsource · NCBI GEOconnector:ncbi_geo@1.0.0/gdstype
descriptionsource · NCBI GEOconnector:ncbi_geo@1.0.0/summary
publication_datesource · NCBI GEOconnector:ncbi_geo@1.0.0
titlesource · NCBI GEOconnector:ncbi_geo@1.0.0/title