‘Dormant’ HIV has ongoing skirmishes with the body’s immune system

In people on HIV drugs, the virus may still exhaust T cells, making it hard to fight back

An image of HIV particles seen in yellow replicating from an infected T cell seen in pink.

In this image, HIV particles (yellow) replicate from an infected T cell (pink). In people taking antiretroviral medications, infected cells still shed bits of virus that immune system can detect. The discovery overturns a decades-old idea that the viral reservoir was largely quiescent, not affecting the immune system.

NIAID

For two decades, the dominant idea in HIV research has been that antiretroviral therapy effectively wipes out active viruses that cause devastating infections but leaves behind a reservoir of infected cells seemingly invisible to the immune system — until treatment is stopped.