Up to 40% of newly diagnosed cases of HIV-1 infection are late diagnoses, with a profound decrease in CD4 cell counts in many cases. One-third of these individuals do not achieve optimal CD4 cell recovery (OR) after suppressive antiretroviral treatment (ART). This retrospective/longitudinal study of poor recovery (PR) included 79 HIV-1-infected individuals with CD4 count <200 cells/mm 3 (25 PR and 54 OR) before ART. After suppressive ART, 21 PR and 24 OR individuals were further analysed, including paired samples. Selected miRs and plasma inflammatory markers were determined to investigate their potential predictive/diagnostic value for poor recovery. miR-192, IL-6 and sCD14 were independently associated with CD4 recovery before ART (p = 0.031, p = 0.007, and p = 0.008, respectively). The combination of these three factors returned a good discrimination (predictive value for pR) value of 0.841 (AUC, p < 0.001). After suppressive ART, miR-144 was independently associated with CD4 recovery (p = 0.017), showing a moderate discrimination value of 0.730 (AUC, p = 0.008) for PR. Our study provides new evidence on the relationship between miRs and HIV-1 infection that could help improve the management of individuals at HIV-1 diagnosis. These miRs and cytokines signature sets provide novel tools to predict CD4 cell recovery and its progression after ART.Newly diagnosed cases of HIV-1 infection include individuals with a late diagnosis who often have a low level of CD4 cell counts. Antiretroviral treatment (ART) can restore the CD4 cell level in most of the HIV-1-infected individuals. Nevertheless, one-third of these individuals remained at a very low CD4 level (<200 cells/mm 3 ) after ART despite virological suppression 1-3 .Persistent immune activation and inflammation are associated with poor CD4 cell recovery (PR). These factors contribute to the risk of illness, increasing the risk of several morbidities compared to the uninfected population, as well as the risk of death 4,5 . While to date no effective alternative treatment is available to increase the CD4 cell levels to optimal counts, initiation of ART early after HIV-1 diagnosis might provide a good opportunity to maximise the CD4 cell recovery.On the other hand, adding antiretroviral drugs to an already suppressive treatment does not improve either CD4 cell recovery nor reduce morbidity or mortality 6,7 . Besides, no observable clinical benefit was observed in