Two or Three? Clinical and Proteomic Perspectives on Dolutegravir/Lamivudine Versus Bictegravir/ Emtricitabine/Tenofovir Alafenamide as Initial HIV Treatment

While triple-drug regimens (3DR) have long been the standard of care for HIV infection, two-drug regimens (2DR), particularly dolutegravir/lamivudine (DTG/3TC), have emerged as viable first-line options. However, there is limited understanding of how baseline clinical profiles associated with regime...

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Detalles Bibliográficos
Autores: Díaz García, Claudio, Serrano Villar, Sergio, García Ruiz de Morales, Alejandro G., Güerri Fernández, Robert, Pérez Somarriba, Juncal, Sánchez Palomino, Sonsoles, Suárez García, Inés, Hernández Gutiérrez, Cristina, Dalmau, David, Moreno, Santiago, et al.
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universidad Europea (UEM)
Repositorio:ABACUS. Repositorio de Producción Científica
Idioma:inglés
OAI Identifier:oai:abacus.universidadeuropea.com:11268/16446
Acceso en línea:https://hdl.handle.net/11268/16446
Access Level:acceso abierto
Palabra clave:Antirretrovirales
Ciencias médicas
Política de la salud
Biotecnología
Goal 3: Ensure healthy lives and promote well-being for all at all ages
Goal 9: Build resilient infrastructure, promote sustainable industrialization and foster innovation
Descripción
Sumario:While triple-drug regimens (3DR) have long been the standard of care for HIV infection, two-drug regimens (2DR), particularly dolutegravir/lamivudine (DTG/3TC), have emerged as viable first-line options. However, there is limited understanding of how baseline clinical profiles associated with regimen choice relate to underlying inflammatory states and long-term immune trajectories. Regimen selection was associated with baseline disease severity and inflammatory burden. Despite being used in patients with more advanced profiles, BIC/F/TAF effectively reduced systemic inflammation over 2 years. Both regimens attenuated inflammatory activity, though with distinct trajectories that may carry implications for immune recovery and long-term outcomes.