In order to examine which activity patterns were related to succe

In order to examine which activity patterns were related to successful classification, we also assessed decoding performance when the feature space was restricted to only those voxels activated during a general linear model (GLM). For this purpose, we retrained the classifier post hoc on a restricted feature space of only those clusters activated in a GLM on the localizer task. Using this approach, we examined whether multivariate or average activity patterns within each cluster drove classifier performance. Finally, to assess if representation Saracatinib supplier of object-based attention is distributed across multiple brain regions, we applied multivariate decoders

to individual clusters activated in the GLM. If the object representation is distributed across various brain regions, then these individual clusters should yield poorer decoding performance compared with

whole-brain or GLM-restricted decoders. Because brain state predictions are available for every scan in real-time fMRI, these online detected brain states can be used as neurofeedback to train subjects to modulate their ongoing brain activity. Such brain-state dependent stimulation provides a new avenue for investigating the neuronal substrate of cognition (Hartmann et al., 2011; Jensen et al., 2011). To ascertain how this brain-state dependent stimulation impacted subjects’ task performance, we conducted each attention trial twice, once with fMRI neurofeedback and once without it. However, this website due to the lack of statistically significant differences between feedback and non-feedback conditions, we will focus primarily on the non-feedback condition and refer the reader to the Supporting Information for a detailed analysis of the feedback condition. Results for both the

feedback and non-feedback conditions showed that object-based attention can be successfully decoded within a real-time fMRI paradigm. Seven subjects (six males, one female) with an average age of 23.4 years (SD = 4.6) participated in Amisulpride the study. All participants had normal vision, and received either monetary compensation or study credits for their participation. The study was approved by the local ethics committee (Commissie Mensgebonden Onderzoek Regio Arnhem-Nijmegen) and conformed with The Code of Ethics of the World Medical Association (Declaration of Helsinki), printed in the British Medical Journal (18 July 1964). Subjects gave written informed consent before the experiment. To keep them motivated during the experiment, participants were promised a monetary reward if their task performance (i.e. average decoding accuracy) in the experiment exceeded 95%. The stimulus set consisted of color pictures of famous faces and famous places collected from the World Wide Web. Previous studies have shown larger activations for familiar faces and places compared with unfamiliar faces and places, respectively (Shah et al., 2001; Pierce et al., 2004; Rosenbaum et al., 2004).

Benzonase nuclease (Novagen) was used in combination with BugBust

Benzonase nuclease (Novagen) was used in combination with BugBuster in order to reduce the sample viscosity. Proteins were visualized on a 12% SDS-polyacrylamide gel. Thirty microlitres of the lysate supernatant was added to 20 μL of sample PD0325901 buffer (3.55 mL of deionized water, 1.25 mL of 0.5 M Tris-HCl, pH 6.8, 2.5 mL of glycerol, 2.0 mL of 10% (w/v) SDS, 0.2 mL of 0.5% (w/v) and 2.5 μL of β-mercaptoethanol. Ten microlitres of this mix was loaded on an SDS-polyacrylamide gel in order to visualize the proteins. The gels ran for 40 min at 180 V and were then stained in staining buffer (0.05% Brilliant Blue R, 25% isopropanol, 10% acetic acid) for 1 h and destained

(40% ethanol, 7% acetic acid) for 1 h before being visualized. HisTrap FastFlow Crude 5 mL columns were used with an AKTAPrime plus pump (GE Healthcare) with an immobilized metal affinity chromatography technique. Three millilitres of the lysate were mixed with 2 mL of binding buffer (20 mM phosphate buffer with 0.5 M sodium chloride and 40 mM imidazole) and injected into the instrument. The elution buffer was identical to the binding buffer, except that

the imidazole concentration was increased to 0.5 M for efficient removal of the bound protein from the fraction. Eluted fractions containing the partially purified protein were then pooled and concentrated using Amicon-15 device (Millipore) with a 30K membrane cut-off and spun for 10 min at 5000 g before desalting with Zeba columns as recommended (Pierce). Escherichia coli PF-02341066 solubility dmso pQE60+gp29 clones were grown at 37°C in LB broth supplemented with 100 μg mL−1 ampicillin to an OD600 nm of 0.5 and then induced with a final concentration of 1 mM IPTG. One hour after induction, 2% chloroform was added to the cell suspension and OD600 nm was monitored. Chloroform permeabilizes the inner membrane, thus replacing the holin function, and allows Inositol oxygenase the putative lysin to reach its target in the peptidoglycan

layer. The reduction in OD600 nm after addition of chloroform to 10 mL of induced clones was recorded. Micrococcus lysodeikticus (0.2%) ATCC no. 4698 (Sigma) was incorporated into a 12% polyacrylamide gel. Thirty microlitres of the enzyme solution was added to 20 μL sample buffer (bromophenol blue and 2.5 μL β-mercaptoethanol). Ten microlitres of the mixture was loaded on the zymogram gel. After running for 50 min at 180 V, the gel was rinsed in distilled water for 30 min at room temperature, then put in renaturation buffer (25 mM Tris-HCl, pH 8.0 with 1% Triton X 100) for 30 min at room temperature and finally left overnight, gently shaking at 37 °C overnight in renaturation buffer. After renaturation, the gel was rinsed in distilled water and stained for 1 h with 0.01% NaOH containing 0.1% methylene blue, shaking at room temperature.

Conidia from all colonies, which were incubated for 10 days, were

Conidia from all colonies, which were incubated for 10 days, were photographed under a phase-contrast microscope (400×) at the same light exposure. To compare the levels of light-penetrating activity of conidia, which was observed under a phase-contrast microscope, a densitometric analysis was

used to generate a relative densitometric value (RDV) of conidia. In each observation of the photographed conidia, the densitometric values at four spots of background (DV0) and four spots of conidia (DV1), randomly taken, were converted to RDV as follows: RDV = DV1/DV0. The highest RDV was arbitrarily given to 1.00 to compare it with the other RDVs. All conidial suspensions (c. 5 × 106 conidia mL−1) were transferred to fresh Eppendorf tubes (500 μL per see more tube) and held in a water bath at 45 °C for 30, 60, 90 and 120 min. For each strain treatment (non-paired and paired), controls (non-exposed MAPK Inhibitor Library purchase conidial suspensions) were kept at room temperature (c. 25 °C). A 10-μL sample

was taken from each tube and dropped on ¼SDAY medium for a germination test prior to and after the exposures. After incubation of all plates at 20 °C for 24 h, percent germination was determined by randomly counting the number of germinated and ungerminated conidia among 100 counts microscopically (400×). A conidium was considered germinated if a germ tube was longer than the length of a conidium (Avery et al., 2004). In addition, the length of hyphae possibly including germ tubes was measured (10 hyphae per plate) after 24 h incubation. Each treatment was replicated three times (three tubes per treatment) and the entire test was repeated twice using different cultures. The virulence of conidia from the isolated colonies against WFT

larvae was investigated using a leaf dipping method in laboratory conditions (Butt & Goettel, 2000). Conidia from the non-paired ERL1578 and ERL1576 colonies Flucloronide served as positive controls. Conidial suspensions were adjusted to 1 × 106 conidia mL−1 using 0.08% siloxane solution as a wetting agent. A siloxane solution (0.08%) served as a negative control. WFT were continuously reared on green beans, Phaseolus vulgaris L. at 25 ± 1 °C and a 16:8 (L/D) photoperiod with 40–50% relative humidity in wooden chambers (45 × 30 × 30 cm) in an insectary at the Entomology Research Laboratory, University of Vermont. Fresh green bean leaves were aseptically cut into 35 mm diam. circles using a cork borer sterilized with 70% ethanol. Three leaf discs were dipped for 10 s in a conidial suspension (15 mL) in a 35-mm Petri dish and dried at room temperature (c. 25 °C) for 20 min. All discs were placed on moistened filter papers (50 μL sterile distilled water per 35 mm diameter paper) in the lids of 35-mm Petri dishes (one disc/lid). Using an aspirator, 15 thrips 2 days old were placed on each leaf disc in the lid of a Petri dish.

For comparison, the peak number of providers prescribing lopinavi

For comparison, the peak number of providers prescribing lopinavir/ritonavir occurred in the 18th quarter, with 1288 of 3861 providers (33.4%) prescribing SB431542 in vitro lopinavir/ritonavir. Of the 128 facilities prescribing any antiretrovirals within the VHA, the percentage where each target medication had been prescribed rose quickly over the first five-to-six quarters and then rose gradually over the remaining quarters (Fig. 5). The extent of penetration, however, differed markedly among the

four target medications. By quarter 6, atazanavir had been prescribed at 80% of facilities, closely matching the 83% penetration of lopinavir/ritonavir; darunavir and tipranavir had been prescribed at 65% and 56% of facilities, respectively. By the last quarter of the evaluation period atazanavir and lopinavir/ritonavir had been prescribed at over 95% of all facilities. Similar to overall prescribing of antiretrovirals, this website prescribing of the target medications was greatest at facilities with medium-size HIV practices (Fig. 6). Less than 10% of new prescriptions for target medications in each period occurred at facilities with smaller HIV practice sizes. Prescribing at facilities with large and very large HIV practices was similar to prescribing of all other antiretrovirals. Identification of

whether significant variation in new medication uptake exists across a healthcare system may be important, as such variation may reflect differential patient access to new treatment. Uptake of new antiretrovirals in the VHA generally reflected overall prescribing of all antiretrovirals, suggesting that availability and Edoxaban prescribing of these new agents are consistent across the system. Atazanavir was the most prescribed target antiretroviral and tipranavir the least prescribed within the first year after FDA approval. The peak number of

new prescriptions occurred within the first year after FDA approval for all the medications except darunavir, for which the number of prescriptions continued to rise. All three medications were initially prescribed almost exclusively to antiretroviral-experienced patients. Thus, the early peak uptake probably represents those highly antiretroviral-experienced patients for whom no or limited treatment options existed and who were awaiting the availability of new agents. In addition, an early benefit attributed to atazanavir over other available protease inhibitors or efavirenz was its favourable effect on lipids [14,15]. Thus, some of the early peak uptake in treatment-experienced patients may have occurred in those experiencing significant hyperlipidaemia on other protease inhibitor regimens. After the initial surge of veterans beginning treatment, uptake slowed but remained steady, a trend consistent with what has been reported by others when examining initiation of highly active antiretroviral therapy [16]. Variation in uptake among the targeted antiretrovirals occurred over time.

aeruginosa PAO1 mutant strain unable to produce the type III secr

aeruginosa PAO1 mutant strain unable to produce the type III secretion system effector gene pcrV Sirolimus cell line (strain PW4017). Our results suggest that AZM-pretreated P. aeruginosa could indirectly exacerbate pro-inflammation by inducing IL-8 production in HBEs. “
“PyrH is a member of the UMP kinase family that catalyses the conversion of UMP to UDP, an essential step in the pyrimidine metabolic pathway in a variety of bacteria including those causing community-acquired respiratory tract

infections (RTIs). In this study, we have developed a luminescence-based kinase assay of PyrH and evaluated the inhibitory activity of PYRH-1 (sodium 3-[4-tert-butyl-3-(9H-xanthen-9-ylacetylamino)phenyl]-1-cyclohexylmethylpropoxycarbonyloxyacetate).

PYRH-1 inhibits PyrH derived from both Streptococcus pneumoniae and Haemophilus influenzae with IC50 (concentration of inhibitor giving a 50% decrease in enzyme activity) values of 48 and 75 μM, respectively, whose inhibitory activity against S. pneumoniae PyrH was far higher compared with that of UTP (IC50 = 710 μM), an allosteric PyrH inhibitor. The molecular interaction Pirfenidone molecular weight analysis by surface plasmon resonance suggested that PYRH-1 directly interacts with S. pneumoniae PyrH at one-to-one molar ratio. Finally, PYRH-1 was shown to have antimicrobial activity against several different bacteria causing RTIs, such as S. pneumoniae,Staphylococcus aureus,H. influenzae (acrA knockout strain), suggesting that PYRH-1 is a prototype chemical compound that can be harnessed as an antimicrobial drug with a novel mode of action by targeting bacterial PyrH. Although numerous antibiotics for community-acquired bacterial respiratory tract infection (RTIs) have been

discovered, thus far, most of them target the same or functionally similar molecules that are essential for bacterial growth. Because emerging antibiotic-resistant bacteria, such as multidrug-resistant Streptococcus pneumoniae and β-lactamase-negative and ampicillin-resistant Haemophilus influenzae (BLNAR), are posing threats, especially to immunocompromised patients, there is an unmet medical need to provide antibiotics with selleck kinase inhibitor novel modes of action for reducing infections associated with such bacteria. Recent progress in the genome projects (Fleischmann et al., 1995; Hoskins et al., 2001; Kuroda et al., 2001) has decoded the genome structure of a variety of organisms such as S. pneumoniae, Staphylococcus aureus and H. influenzae, thereby creating opportunities to design molecular targeting strategies for discovering agents that specifically attack pathogens. In fact, a number of studies in pharmaceutical companies and academia have developed screening platforms based on enzymatic assay and structure-based drug design.

Moreover, it is unclear whether an initial assembly of various sy

Moreover, it is unclear whether an initial assembly of various synaptic molecules located at the extrasomal regions (e.g. growth cones) can indeed result in fully

mature and consolidated synapses in the absence of somata signalling. Such evidence is difficult to obtain both in learn more vivo and in vitro because the extrasomal sites are often challenging, if not impossible, to access for electrophysiological analysis. Here we demonstrate a novel approach to precisely define various steps underlying synapse formation between the isolated growth cones of individually identifiable pre- and postsynaptic neurons from the mollusc Lymnaea stagnalis. We show for the first time that isolated growth cones transformed into ‘growth balls’ have an innate propensity to develop specific and multiple synapses within minutes of physical contact. We also demonstrate that a prior ‘synaptic history’ primes the presynaptic growth ball to form synapses quicker with subsequent partners. This is the first demonstration that isolated Lymnaea growth cones have the necessary machinery to form functional synapses. “
“CX 546, an allosteric positive modulator of α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid-type ionotropic glutamate receptors (AMPARs), belongs to a drug class called ampakines. These compounds have been shown to enhance long-term

potentiation selleck chemicals llc (LTP), a cellular model of learning and memory, and improve animal learning task performance,

and have augmented cognition in neurodegenerative patients. However, the chronic effect of CX546 on synaptic structures has not been examined. The structure and integrity of dendritic spines are thought to play a role in learning and memory, and their abnormalities have been implicated in cognitive disorders. In addition, their Y-27632 2HCl structural plasticity has been shown to be important for cognitive function, such that dendritic spine remodeling has been proposed as the morphological correlate for LTP. Here, we tested the effect of CX546 on dendritic spine remodeling following long-term treatment. We found that, with prolonged CX546 treatment, organotypic hippocampal slice cultures showed a significant reduction in CA3–CA1 excitatory synapse and spine density. Electrophysiological approaches revealed that the CA3–CA1 circuitry compensates for this synapse loss by increasing synaptic efficacy through enhancement of presynaptic release probability. CX546-treated slices showed prolonged and enhanced potentiation upon LTP induction. Furthermore, structural plasticity, namely spine head enlargement, was also more pronounced after CX546 treatment. Our results suggest a concordance of functional and structural changes that is enhanced with prolonged CX546 exposure.

A1, which has to cope with low proton motive force conditions as

A1, which has to cope with low proton motive force conditions as well, the subunit c complex is composed of 13 monomers, compared with 10 monomer complexes found in E. coli and Bacillus PS3 (Jiang et al., 2001; Mitome et al., 2004; Meier et al., 2007). A larger number of monomers per subunit c oligomer may increase the H+/ATP ratio and thus facilitate proton flow and the synthesis of ATP under low proton motive force conditions (Meier et al., 2007). Biochemical investigations and bioinformatics studies will help see more to answer this question and may also clarify why mycobacterial ATP synthase cannot invert its function to set up a proton motive force. Only very

little information is available on energy and metabolic fluxes in dormant mycobacteria, for example on the cellular rates of ATP production and consumption and on the most prominent ATP sinks. Quantitative analyses of metabolic fluxes can provide information on the minimal ATP requirements for survival during dormancy. It appears that respiratory ATP synthesis is a key metabolic pathway in replicating as well as in dormant mycobacteria. In the next paragraph, the approach of utilizing respiratory ATP production as the target of novel antibacterial drugs is illustrated. As described PD0332991 datasheet above, inhibition of NADH oxidation, interference with the proton motive force or blocking ATP synthase all

have a pronounced bactericidal effect on replicating and dormant M. tuberculosis. Whereas compounds interfering with the proton motive force tend to be nonselective and toxic, for the other two prospective targets, small-molecule drug candidates have been reported: the phenothiazines inhibit NDH-2 (Boshoff & Barry, 2005; Weinstein et al., 2005) and the diarylquinolines block ATP synthase (Andries et al., 2005; Koul et al., 2007). Phenothiazines and phenothiazine analogues efficiently killed M. tuberculosis in vitro and were shown to be effective in a mouse infection model (Weinstein et al.,

2005). Phenothiazines inhibited both homologues of NDH-2 in M. tuberculosis, Ndh and NdhA, and strongly suppressed oxygen consumption by mycobacterial membrane vesicles energized with NADH (Weinstein et al., 2005; Yano et al., 2006). Based on kinetic data, it has been suggested that phenothiazines Baricitinib do not compete with NADH or menaquinone binding, but block the formation or the reaction of an intermediate species of the catalytic cycle (Yano et al., 2006). NDH-2 is a membrane-associated, single-subunit enzyme, which carries one flavin–adenine dinucleotide (FAD) cofactor (Kerscher et al., 2008; Fisher et al., 2009). Homology studies suggest the presence of two domains for binding of NADH and FAD, respectively (Schmid & Gerloff, 2004). As such, NDH-2 differs significantly from the NDH-1 in the human mitochondria, which is a membrane-bound, multisubunit protein complex carrying additional iron–sulfur redox centers (Kerscher et al., 2008).

All charts were abstracted by both reviewers to a standardized da

All charts were abstracted by both reviewers to a standardized data abstraction form, and discrepancies in interpretation were resolved by review and discussion of the information in question. Data were analyzed using Microsoft Excel (Microsoft Corp., Seattle, WA, USA)

and SAS version 9.1.3 (SAS Institute, Cary, NC, USA). Descriptive statistics were calculated on all patients for whom data were available. The CHOA Institutional Review Board approved this study. We identified a total of 50 children with blood smear-confirmed malaria out of a total of 385 children who had malarial smears performed during the study period. Three children had smears sent Gemcitabine in vitro twice, several years apart. Only 3% (10 children) without malaria had more than one slide sent. The mean age of infected children was 8.1 years (1.1–16.8 y, interquartile range 6–10 y), and 60% were

boys. In 42 patients a travel reason was recorded; 15 patients (37%) had been living abroad (eight immigrants, five refugees, two visitors from abroad to the United States), while 26 (62%) were US citizens visiting friends and relatives in the country of the parents’ origin. One patient was traveling for other reasons. The median duration of travel was 30 days (14–75 d). The median time from arrival in the United States until presentation was 10 days, with 25% of children presenting within 7 days (1–365 d, N = 37). Most cases presented in the summer (May to August). None of the cases presenting after 28 days had Plasmodium falciparum malaria. Two cases presented a year after travel: one with Plasmodium vivax and the other Quizartinib purchase with Plasmodium ovale. A previous history of malaria was reported in 73% of patients (22 of 30 patients); however, it is unclear whether these represent presumptive or microscopic diagnoses. In Table 1 we show the countries visited

by the 43 children for whom we have travel data. Of note, 93% reported travel to Africa, Nigeria being the most commonly visited country (51%), followed by Cameroon (14%); all other countries accounted for only one to two cases. Only two cases presented from the Americas: one from Haiti presented with P. falciparum, while the other, from Guatemala, presented with P. vivax. Fever was the most common symptom, present in 97.6%, followed by vomiting Protein kinase N1 (34%). Fever was present for a mean of 4 days (1–11 d) prior to presentation. Hepatomegaly was present in 28% and splenomegaly in 20%. Headache was reported in 20% of patients; all of the patients with headache also reported fever. Abdominal pain was reported in 20%; one patient reported abdominal pain without fever. Diarrhea was present in three cases, all had fever but only one reported vomiting, and none reported abdominal pain. Myalgias were reported in 10% and malaise or fatigue in 6%. Three patients presented with sore throat and fever, one of whom also had vomiting. Three patients had jaundice.

9) in patients with a CMV viral load >400 copies/mL Unlike Deayt

9) in patients with a CMV viral load >400 copies/mL. Unlike Deayton et al. [21], we found a significant association between baseline CMV DNA and the progression to other ODs. In the case of the significant

association between detectable CMV DNA in plasma and ODs or death, CMV reactivation can be considered as a marker of immune suppression and impaired CD4 cell function in patients positive for CMV IgG. Panagiotakis et al. observed that CMV DNAemia detected in the peripheral blood lymphocytes of patients with CD4 counts <200 cells/μL was correlated with a delayed increase Ion Channel Ligand Library mw in CD4 count after initiating HAART [24]. CMV is also considered to function as a cofactor as it interacts at the molecular or cellular level to promote HIV pathogenicity selleck screening library and the progression of AIDS [25]. Moreover, CMV encodes a large number of immunomodulatory functions which modulate both the innate and the adaptive arms of the immune response

[26]. It seems that increased inflammation benefits CMV dissemination [26] and prostaglandins, such as tumour necrosis factor (TNF)-α, released during inflammation may contribute to CMV reactivation [27]. This mechanism could explain why asymptomatic CMV viraemia has been detected in critically ill immunocompetent patients and patients with septic shock [28,29]. It is therefore no surprise that the best prognostic performance of CMV DNA was achieved for CMV end-organ disease (AUC 0.81), and that the prognostic performance increased during the first 6 months. In the case of other ODs and death, the performance was acceptable (AUC 0.77 and 0.61, respectively) during the first 6 months, and then became of marginal acceptability. Our study has several limitations inherent to retrospective analyses of prospectively collected data; in particular, the limitation of the original threshold and the impossibility of serial measurements, which may have emphasized the difference between measuring constant detectable low levels of CMV DNA and increasing levels over time. This in turn would enable determination O-methylated flavonoid of the best cut-off CMV DNA level

in plasma to maximize its predictive value. The low frequency of CMV end-organ disease is also a limitation which may have resulted in a lack of power in the detection of factors associated with this event and a limitation in the number of adjustment factors in the Cox multivariate models. Despite this, the association between CMV viraemia and our end-points is strong and significant. We used a cohort of patients that encompassed most of the Swiss HIV-infected population and was representative of the patients encountered in Western clinics. Compared with previous studies, our cohort of patients was larger, represented a greater number of endpoint cases, covered the period after 2003 and used a newer and more sensitive PCR.

There is thus an economic as well as a medical justification for

There is thus an economic as well as a medical justification for further expanding efforts to promote earlier engagement of HIV-infected persons in medical care. Consistent with studies examining overall HIV-related hospitalizations, predictors of hospitalization risk in our multivariate analysis included lower CD4 cell

count at HAART initiation, female gender, African Ion Channel Ligand Library American race and IDU [1,5,6,9–11,26]. Rates of OI prophylaxis indicated by CD4 cell count criteria (94% and 87%, respectively, for Pneumocystis and M. avium) exceed rates reported in national surveys [38,39] and did not affect the overall pattern of hospitalization rates we found. There are several potential limitations to this analysis. learn more It is based on data from a single clinic population which has a high proportion of African Americans and IDUs. Although our results may not generalize

to all HIV-infected populations, they are likely to be applicable to many urban settings. A previous comparison of hospitalizations captured in our database vs. state-wide hospital insurance claims revealed that 84% of all hospital admissions occur in our hospital [5]. There were no statistically significant differences in hospitalization at our facility vs. outside facilities with regard to gender, HIV risk factor, and race/ethnicity. While our observed hospitalization rates may thus be underestimates, our estimated RRs are probably accurate. Use of ICD-9 codes to ascertain primary reason for admission has obvious limitations compared with prospective event capture. However, our method has been well validated in our cohort against physician chart review. While only a quarter of our cohort were nonresponders, it is surprising that almost two-thirds of these patients did not have a regimen change prior to 1 year after initiation. This does not represent optimal care, and we do not know the reasons why

this happened, although we suspect patient preference to keep trying with a prescribed regimen may have been a factor. We do not have data on adherence to HAART and could not include this in our analyses. However, studies evaluating the association between self-reported adherence Astemizole and plasma HIV-1 RNA levels have shown inconsistent results. Change in HIV-1 RNA level at 6 months is the Food and Drug Administration recommended primary endpoint for drug trials [40]. In sum, our analysis indicates that virological responders continue to have rates of hospitalization similar to their pre-HAART initiation rates for about 45 days after HAART initiation. As a result primarily of a fall in infectious illness, responders’ hospitalization rates then decrease to the clinic population-wide baseline rate by about 90 days after HAART initiation. This pattern occurred independently of CD4 cell count at HAART initiation and independently of having a large increase in CD4 cell count at 6 months.